# How to Choose an Occupational Therapy Billing Company

Compare OT billing partners by workflow ownership, specialty familiarity, exception handling, reporting, communication, and transition terms.

## Compare ownership, not just claim submission

An OT billing partner should explain what happens from the time a visit is ready for billing through payer follow-up, payment posting, and resolution of exceptions. Ask which tasks it performs, what information it needs from clinicians or administrators, and how it reports work that is waiting on the practice or payer.

Specialty familiarity matters, but a broad claim of “OT experience” is not enough to evaluate a fit. Ask the vendor to walk through how it checks documentation, provider and location details, payer instructions, and unusual claim responses. The walkthrough should show how the team verifies current requirements rather than relying on memory or assuming every payer follows the same process.

## Questions to ask an OT billing company

- Which parts of claim submission, payment posting, denial follow-up, and A/R work are included?
- What remains with the OT practice—for example, clinical documentation, intake, authorizations, or credentialing?
- How does the vendor handle claims that need clarification from a therapist or practice administrator?
- How are unresolved claims prioritized, assigned, and reported?
- What system access and handoff information will the vendor need?
- How are fees calculated, and which services or transition tasks are separate?
- What happens to open claims and practice records if the relationship ends?

Ask for the answers in writing and compare vendors using the same payer mix, work scope, volume assumptions, and reporting expectations. A low headline fee is hard to compare when one proposal leaves more follow-up or exception work with your staff.

## Keep OT-specific claims precise

Do not assume that a rule or workflow for physical therapy automatically applies to occupational therapy. Confirm the discipline, provider, service, documentation, and payer instructions for the claim at hand. When Medicare assistant modifiers or code-family questions arise, verify them against current CMS guidance; commercial plan rules can differ.

## How Brace Health fits

Brace Health provides outsourced billing and revenue-cycle support for therapy practices, with a dedicated U.S.-based biller working closely with the practice and technology supporting the workflow. The scope is back-end billing; Brace does not handle patient intake, prior authorizations, or credentialing. Confirm that the practice’s specialty, payer mix, and workflow fit Brace’s current service scope before deciding to work together.