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.
- 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.
- GO modifier disciplineAll OT services bill with GO modifier identifying occupational therapy discipline. Missing GO triggers denial.
- Plan of Care + recertification cycleMedicare requires physician-signed Plan of Care every 90 days for OT. Recertification timing must be tracked.
- KX modifier above therapy thresholdOT shares therapy threshold with SLP ($2,330 in 2025 combined). KX modifier and supporting documentation required above threshold.
- Pediatric OT + school-based billingyour state pediatric OT may bill your state Medicaid program EPSDT, school-based services, or commercial. Each requires distinct workflow.
- 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.