Occupational Therapy Billing Services

Why Choose ANR Occupational Therapy Billing?

• 8-Minute Rule Tracked on Every Session, Every Time

  Most OT denials trace back to undertimed sessions and improperly counted treatment minutes. Our billers audit every claim against the 8-minute rule before submission — calculating total timed minutes across CPT 97110, 97140, 97530, and 97535 to ensure every billable unit is captured and every untimed code is properly separated. No more lost units. No more "lack of medical necessity" denials triggered by documentation that doesn't match billed time.

• CO Modifier & OT Assistant Billing Built for the 15% Payment Cut

  Medicare's 15% payment reduction on services delivered in part by an OT assistant has quietly cost practices thousands in 2025 and 2026. Our claim workflows automatically apply the CO modifier where required, separate COTA-delivered minutes from OT-delivered minutes, and protect your full reimbursement on directly delivered services. Most billing companies still get this wrong, we built our process around it.

• Therapy Threshold & KX Modifier Workflows That Prevent Denials

  The Medicare therapy threshold trips up more OT practices than any other regulatory rule. Our team tracks every patient's annual therapy spend across PT, OT, and SLP combined, applies the KX modifier with proper documentation of medical necessity above threshold, and flags accounts approaching the medical review threshold before denials hit. You stay compliant. You stay paid.

• Pediatric, Geriatric & School-Based OT Specialists On Your Account

  Pediatric OT lives in CPT 97165-97168 evaluations, 97533 sensory integration, and a maze of state-specific Medicaid early intervention rules. Geriatric OT lives in Medicare Part B compliance, plan of care recertification, and home health PDGM episodes. School-based OT lives in IEP documentation, ESY billing, and Medicaid school-based services rules that change state by state. Our team is organized by subspecialty — your account is staffed by billers who actually work your subtype every day.

• Real-Time Dashboards Built for OT Practice Owners

  You shouldn't need to call your billing company to find out what's happening to your money. Our reporting dashboard shows real-time clean claim rate, days in AR, denial rate by payer, therapy threshold tracking per patient, CPT code utilization trends, and recovered revenue from appeals — refreshed daily, accessible from any device. Decisions based on data, not guesswork or quarterly check-ins.