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Occupational Therapy Billing & RCM

Occupational Therapy billing and revenue cycle, 50-state coverage.

Occupational therapy billing services from ASP-RCM Solutions. 23,499 NPPES occupational therapy billing providers across all 50 states + DC. BHCOE channel partner. HIPAA + SOC 2 Type II compliant. Senior partners on every account.

What good occupational therapy billing execution looks like.

The operating discipline we install on every occupational therapy billing engagement.

  1. 8-minute rule + timed code billingOT billing under Medicare 8-minute rule converts treatment minutes to billable units for timed codes (97165-97168 evaluation, 97530, 97535, 97537 treatment). Accurate time tracking is foundational.
  2. GO modifier disciplineAll OT services bill with GO modifier identifying occupational therapy discipline. Missing GO triggers denial.
  3. Plan of Care + recertification cycleMedicare requires physician-signed Plan of Care every 90 days for OT. Recertification timing must be tracked.
  4. KX modifier above therapy thresholdOT shares therapy threshold with SLP ($2,330 in 2025 combined). KX modifier and supporting documentation required above threshold.
  5. Pediatric OT + school-based billingyour state pediatric OT may bill your state Medicaid program EPSDT, school-based services, or commercial. Each requires distinct workflow.
  6. Hand therapy + specialty OT codingHand therapy and other specialty OT carry distinct procedure codes with documentation requirements. Specialty coding depth matters.

Top occupational therapy billing markets by NPPES org count.

State-level RCM guides for the largest occupational therapy billing markets in the U.S.

View all 50 state guides →

Free 30-day audit for occupational therapy billing providers.

Send us your last 90 days of claim data. We assess realization, denial patterns, and operational discipline. Written 4-page report yours to keep.

Request audit Talk to a senior partner