Payment Policy
AOTA educates occupational therapy practitioners about fair coverage and payment policies by Medicare and other public and commercial payers. AOTA staff, working alongside member experts, create key resources that can help you get paid and engage in self advocacy and patient advocacy for the services you provide every day.
Resources
Medicare
Medicare resources and information for occupational therapy practitioners.
Commercial insurance
Resources when starting a private practice or entering into a business relationship with other providers.
Skilled nursing facilities payment
Payment for occupational therapy in skilled nursing facilities (SNFs) continues to change. Utilize these AOTA resources to keep up to date on this information.
Medicare Advantage
Medicare Advantage plans offer an alternative way of receiving Medicare-related health care benefits through common private vehicles such as HMOs, PPOs, and PFFS.
Home health payment
Payment for occupational therapy in home health (HH) continues to change. Utilize these AOTA resources to keep up to date on this information.
Medicaid
Medicaid is a joint partnership between the states and the federal government that provides coverage to low-income individuals.
Workers' compensation
Workers' compensation, a type of business insurance that provides for loss of income, medical expenses, and other related expenses due to an injury or health condition related to the work environment.
Private practice essentials for reimbursement
Navigate the process of establishing a successful private practice with AOTA's Private Practice Resource Guide.
Explore more on payment policy
Coding and Billing Resources
Get paid for the services you deliver. AOTA provides clear, easy-to-understand resources to help occupational therapy practitioners code and bill correctly.
Establishing your OT practice
Starting your own practice requires a number of early logistical steps once you have decided what type of setting or practice arrangement you would like to establish.
Am I required to bill Medicare? Understanding the Medicare Advanced Beneficiary Notice
Medicare beneficiaries cannot pay for occupational therapy services that may be covered by Medicare without an Advanced Beneficiary Notice of Non-Coverage.
Documentation resources for your everyday practice
Documentation is a valuable part of the the occupational therapy process, and helps to showcase the distinct value of occupational therapy. Review these best practices for documentation to help you provide quality care, increase reimbursement, decrease denied claims, and articulate the distinct value of occupational therapy.
