How do I decide between private pay and billing insurance?
When deciding whether to go with private pay, insurance, or a hybrid model for your OT practice, it’s all about weighing the pros and cons based on your goals,...
Brandy Archie, OTD, OTR/L • AskSAMIE
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3 min read
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How to get credentialed with Medicare
Here's a step-by-step guide, to help you become a Medicare provider.
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2 min read
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Building a Profitable Out-of-Network OT Practice
Not every OTP wants to deal with insurance credentialing, prior authorizations, and reimbursement delays. Building an out-of-network (OON) practice is a viable...
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5 min read
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Do I Need a Physical Location to Bill as Outpatient?
If you're providing outpatient services in clients' homes, you might be wondering whether you need a physical clinic or office location in order to bill for...
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3 min read
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The False Claims Act: What Every OTP Should Know
If you're billing Medicare, Medicaid, or any other federal insurance program as an occupational therapy practitioner, it's essential to understand the False...
Clarice Grote, MS, OTR/L • Amplify OT
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3 min read
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Step-by-Step Guide to Credentialing with Medicaid
If you've already gone through the Medicare credentialing process, you know the drill: paperwork, patience, and persistence. Medicaid credentialing follows a...
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6 min read
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What services should NOT be billed to Medicare?
Or, put another way—what services can be cash pay because they aren’t billable to Medicare?
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4 min read
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What’s the difference between Medicare and Medicare Advantage plans?
Medicare is a federal health insurance program primarily covering acute care services for individuals 65 and older. It also covers individuals younger than 65...
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3 min read
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Understanding Reimbursements: Medicare, CPT Codes, and Insurance Payments
If you’re billing insurance as an occupational therapist, wrapping your head around reimbursement rates, Medicare payments, and private insurance differences...
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5 min read
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CAQH Profile Setup Guide for OT Practitioners
If you plan to bill any commercial insurance payer, you're going to need a CAQH (Council for Affordable Quality Healthcare) ProView profile. CAQH is a...
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6 min read
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What is a superbill and should I be giving it to my clients?
A superbill is essentially an itemized receipt that your clients can use to request reimbursement from their insurance company when you’re an out-of-network...
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2 min read
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