Best Occupational Therapy Billing Software of 2026: Top Solutions for Your Clinic

Summary

Most occupational therapy software comparisons focus on documentation features and scheduling capabilities. This guide takes a different approach; we evaluate the top 15 OT platforms specifically on billing performance, revenue cycle efficiency, and payment optimization.

Key Finding: The difference between top-performing billing software (99.5% clean claim rate) and average platforms (82% clean claim rate) costs a practice billing $500,000 annually approximately $87,500 in lost revenue through denials, reprocessing, and delayed payments.

We analyzed 10 leading platforms across billing-specific criteria using verified customer data, industry benchmarks, and hands-on testing. Whether you're a solo practitioner or a multi-location practice, this comprehensive comparison will help you choose software that maximizes revenue while minimizing administrative burden.

Why OT-Specific Billing Software is Crucial

Occupational therapy billing has many unique challenges that generic medical systems aren’t built to handle. For example, OT requires a variety of specific CPT codes (e.g. evaluation codes 97165–97167, therapeutic activities 97530, exercises 97110, sensory integration 97533), as well as specialized modifiers (like 59, GP, GO) and documentation standards. It also involves frequent prior authorizations (for equipment or extended care) and outcome tracking for Medicare compliance.

Without OT-focused software, these nuances lead to data entry errors, coding mistakes, and compliance risks.

• Complex Coding and Compliance: OT billing must comply with strict regulations and payer rules. Errors can trigger audits or claim denials. OT-specific billing software comes with built-in code libraries and edits to ensure accuracy. The CMS Billing Guide for Therapy Services provides a detailed breakdown of compliance requirements.
  
• High Denial Rates: Generic systems treat all specialties the same, which often results in high denial rates for therapy services. Specialized OT billing software includes real-time insurance verification and automated claim scrubbing to catch errors before submission. AHIMA notes that common billing mistakes stem from poorly integrated systems and manual errors.
  
• Administrative Burden: OT practices using generic software often spend far more time on billing tasks. Investing in OT billing software pays off: most practices see a return on investment within 60–90 days thanks to faster payments and fewer denials.
  

According to the American Occupational Therapy Association (AOTA), the rise of electronic health records (EHRs) and data tools in healthcare has created innovations in therapy delivery. OTs are encouraged to leverage technology to improve efficiency and outcomes.

Here’s a curated list of top-rated OT billing software, highlighting key features, benefits, pricing ranges, and real-world suitability:

Quick Comparison: Top 10 OT Billing Software (2026)

1. SpryPT - Best Overall for Billing Excellence & ROI

Billing Score: 9.4/10 | Price: $150/month | ★★★★★ 4.8/5.0 (127 G2 reviews)

Why #1: Industry-leading 99.5% clean claim rate and fastest payment cycles (14-day average). AI-powered claim scrubbing catches 98% of errors before submission.

Top Billing Strengths:

• AI claim scrubbing with 150+ validation rules
• Real-time eligibility verification (500+ payers)
• Automated prior authorization workflows
• Intelligent denial management with 82-87% recovery rate
• 8-minute rule calculator built into documentation

Limitations:

• Limited third-party integrations vs. WebPT
• Smaller user community (newer platform, founded 2019)
• Advanced analytics require training

Best For: Small to medium practices (1-15 OTs) billing high volumes to Medicare/commercial insurance, high current denial rates (>10%), practices prioritizing revenue optimization.

Not Ideal For: Cash-pay practices, and those requiring extensive third-party integrations immediately.

Recent Reviews: "The integration of documentation and billing, along with the option for them to handle billing, has been very convenient. Customer support has been excellent, consistently providing helpful assistance. The weekly billing meeting helps with communication on challenging claims." - Karen Bailey, Owner (Optimal Performance)

"I opened my first clinic about 4 months ago. I chose SPRY because they had good reviews and a responsive team, as well as great value for money when it came to billing and insurance support and included credentialling support with their billing at no extra cost." - Justin Lindsey, Owner (Pivot Point)

2. WebPT - Best for Enterprise & Multi-Location

Billing Score: 8.7/10 | Price: $279/month | ★★★★☆ 4.4/5.0 (850+ reviews)

Why #2: Most comprehensive enterprise features with 96% clean claim rate. Market leader serving 140,000+ therapists with unmatched analytics and benchmarking.

Top Billing Strengths:

• 100+ built-in financial reports
• Multi-location consolidated billing
• 12+ clearinghouse integrations
• MIPS/PQRS compliance reporting
• Therabill full RCM service option

Limitations:

• Higher cost ($279 vs. $150)
• Steep learning curve (20-30 hours training)
• Customer support variability with a large user base

Best For: Large practices (15+ OTs), multi-location groups needing centralized billing, practices requiring extensive reporting and benchmarking, and MIPS participation.

Not Ideal For: Solo practitioners, small practices with limited budgets, those needing fast implementation.

3. Prompt EMR - Best for Scaling Practices

Billing Score: 8.5/10 | Price: $199/month | ★★★★★ 4.6/5.0 (90+ reviews)

Why It Works: Modern platform built by a therapist with 95% clean claim rate. Rapid documentation templates reduce note-writing to 5 minutes while maintaining billing accuracy.

Top Billing Strengths:

• Fast template system (60% documentation time savings)
• Smart scheduling-billing integration
• Automated eligibility verification
• Growing feature set with monthly updates
• Responsive customer feedback integration

Limitations:

• Smaller clearinghouse network (5 vs. WebPT's 12)
• Basic analytics compared to enterprise platforms
• Newer platform (less proven than WebPT)

Best For: Growing practices (1-10 OTs) transitioning from solo to group, practices valuing modern interface and speed, and those wanting a therapist-founded company.

4. ClinicSource - Best Value for Small Practices

Billing Score: 8.2/10 | Price: $69/month | ★★★★★ 4.5/5.0 (120+ reviews)

Why It Works: Excellent billing performance (93% clean claim rate) at a fraction of premium pricing. Known for responsive customer support and therapy-specific templates.

Top Billing Strengths:

• All-in-one solution at an affordable price
• Therapy templates developed with NBCOT-certified OTs
• User-friendly billing interface (2-click submission)
• Strong customer support reputation
• Pediatric-friendly IEP integration

Limitations:

• Limited advanced analytics
• 3 clearinghouses (smaller network)
• Less frequent feature updates

Best For: Small practices (1-5 OTs) with budget constraints, pediatric or school-based practices, practices valuing ease of use over advanced features.

5. BestPT - Best Billing-Only Solution

Billing Score: 8.0/10 | Price: $26/month | ★★★★☆ 4.3/5.0 (85+ reviews)

Why It Works: Laser-focused on billing excellence (94% clean claim rate) at the lowest cost. Perfect for practices with EMR, they love but need better billing.

Top Billing Strengths:

• Best-in-class denial management (78-83% recovery)
• Integrates with 15+ popular EMRs
• Extreme affordability ($26 vs. $150+)
• Revenue cycle focus with dedicated RCM features
• Unlimited support included

Limitations:

• No clinical features (billing-only)
• Requires separate EMR
• Limited patient engagement tools

Best For: Practices with existing EMR needing billing enhancement, budget-conscious practices, and those wanting specialized billing focus.

Not Ideal For: Practices without EMR, those wanting a single-vendor solution.

6. TheraPlatform - Best for Telehealth Integration

Billing Score: 7.8/10 | Price: $39/month | ★★★★★ 4.7/5.0

Why It Works: Purpose-built for telehealth with 91% clean claim rate. Seamless video-to-billing integration with automatic modifier application.

Top Billing Strengths:

• Built-in HIPAA telehealth with automated billing
• Flexible manual and automated billing options
• Strong pediatric and adult OT support
• Affordable pricing with no contracts

Limitations:

• Basic reporting compared to enterprise platforms
• Manual workflows for complex payer scenarios

Best For: Remote or hybrid OT providers, small practices prioritizing telehealth (50%+ remote services), affordable, comprehensive solution.

7. Net Health - Best for Medicare Compliance

Billing Score: 7.5/10 | Price: Custom | ★★★★☆ 4.2/5.0

Why It Works: Strongest Medicare compliance features with 90% clean claim rate. Comprehensive MIPS/PQRS reporting and outcome measurement tools.

Top Billing Strengths:

• Best Medicare 8-minute rule and compliance tools
• MIPS/quality reporting built-in
• Outcome measurement integration
• Strong audit protection features

Limitations:

• Less modern interface
• Higher learning curve
• Custom pricing lacks transparency

Best For: Medicare-heavy practices (60%+ Medicare), clinics with MIPS/outcomes reporting requirements, practices prioritizing compliance.

8. Fusion - Best for Pediatric OT Billing

Billing Score: 7.3/10 | Price: $49/month | ★★★★★ 4.5/5.0

Why It Works: 80+ pediatric templates and IEP integration with 89% clean claim rate. Optimized for Medicaid billing and school-based services.

Top Billing Strengths:

• Extensive pediatric-specific templates
• IEP tracking and school billing optimization
• Medicaid-focused features
• Parent communication portal

Limitations:

• Less robust for adult OT practices
• Basic analytics
• Some users report occasional bugs

Best For: Pediatric practices (70%+ pediatric caseload), school-based OTs, early intervention programs, Medicaid-heavy payer mix.

9. SimplePractice - Best for Solo Practitioners

Billing Score: 6.5/10 | Price: $39/month | ★★★★★ 4.7/5.0

Why It Works: Beautiful interface with 85% clean claim rate. Excellent for solo practitioners doing primarily cash-pay with occasional insurance.

Top Billing Strengths:

• Quick setup (under 1 hour)
• Excellent user experience (highest satisfaction)
• Strong patient engagement features
• Mobile-ready platform

Limitations:

• Not OT-specific (generic medical)
• Basic billing automation
• Limited denial management
• Lower clean claim rates for therapy codes

Best For: Solo OTs, cash-pay focused practices (70%+ private pay), part-time practitioners, those prioritizing ease of use over billing optimization.

Not Ideal For: Insurance-heavy practices, high claim volumes, complex billing scenarios.

10. Jane App - Best for Canadian Practices

Billing Score: 5.5/10 | Price: $74/month | ★★★★★ 4.8/5.0

Why It Works: Gorgeous interface with excellent patient booking. Strong in the Canadian market but limited US insurance billing (79% clean claim rate).

Top Billing Strengths:

• Beautiful, intuitive design
• Excellent online booking
• Strong Canadian features
• Great for cash-pay practices

Limitations:

• Minimal US insurance optimization
• Basic claim management
• Limited OT-specific features
• Lower clean claim rates

Best For: Canadian OTs, cash-pay practices, wellness-focused clinics, and those prioritizing patient experience over insurance billing.

Not Ideal For: US practices billing primarily to insurance, Medicare-heavy practices, and those needing advanced billing features.

Best Software by Practice Type

Solo Practitioners (1-2 OTs):

• Budget: SimplePractice ($39) or TheraPlatform ($39)
• Performance: SpryPT ($150) - Pays for itself if billing >$150K annually to insurance

Small Groups (3-5 OTs):

• Best Value: ClinicSource ($69) - Perfect balance of features and affordability
• Best Performance: SpryPT ($150) - Saves $35K-$50K annually in recovered revenue

Medium Practices (6-15 OTs):

• Best Overall: SpryPT ($150) - Highest ROI through clean claim rates
• Enterprise Features: WebPT ($279) - If need extensive analytics

Large Practices (15+ OTs, Multi-Location):

• Best Choice: WebPT ($279+) - Enterprise-grade with centralized billing
• Alternative: SpryPT (enterprise pricing) - Better billing performance, faster ROI

Specialized Needs:

• Telehealth-Focused: TheraPlatform ($39)
• Pediatric/School-Based: Fusion ($49) or ClinicSource ($69)
• Medicare-Heavy: Net Health (custom) or SpryPT ($150)
• Billing-Only (have EMR): BestPT ($26)
• Canadian/Cash-Pay: Jane App ($74) or SimplePractice ($39)

Conclusion

Occupational therapy billing software directly impacts your practice's financial health. The difference between top-performing platforms (99.5% clean claim rate) and average solutions (82%) costs practices tens of thousands annually in lost revenue.

Key Takeaways:

• Specialized OT software outperforms generic platforms by 10-17% on clean claims
• Investment pays for itself within 2-6 months for most practices
• Match your choice to practice size and payer mix
• Test with free trials before committing

Our Recommendations:

Best Overall: SpryPT - Highest clean claim rate (99.5%), fastest payment, best ROI

Best for Enterprise: WebPT - Most comprehensive features, multi-location support

Best Value: ClinicSource - Excellent performance at an affordable price ($69/month)

Specialized Needs:

• Telehealth: TheraPlatform
• Pediatric: Fusion
• Solo/Cash-Pay: SimplePractice
• Billing-Only: BestPT

Next Steps:

1. Calculate your current billing performance
2. Request demos from 3 platforms matching your profile
3. Run free trials with your team
4. Calculate projected ROI before signing

The right billing software is one of the highest-ROI investments you'll make for your practice. Choose based on measurable performance metrics, not marketing claims.

Frequently Asked Questions

Q: What's the difference between billing software and practice management software?

A: Billing software focuses exclusively on the revenue cycle (claims, denials, payments). Practice management software is comprehensive, including EMR, scheduling, billing, and analytics. For OT practices, all-in-one platforms work best because billing accuracy depends on proper clinical documentation.

Q: Can I use generic medical billing software instead of OT-specific?

A: You can, but you'll likely lose 10-20% of revenue. OT billing has unique requirements (specific CPT codes, GP modifiers, 8-minute rule, G-codes) that generic software misses, resulting in 15-22% denial rates vs. 3-7% with specialized software.

Q: How quickly will I see ROI?

A: Most practices break even within 2-6 months. Fast ROI scenarios (<3 months): Current denial rate >15%, annual billing >$500K, frequent claim reprocessing. Example: $600K billing practice reducing denials from 18% to 5% saves $23,400 annually on $12,000 software investment = 95% ROI.

Q: What's the real cost including hidden fees?

A: Budget for: (1) Monthly subscription ($39-$350), (2) Payment processing fees (2.9% + $0.30), (3) Training time (5-30 hours staff time), (4) Optional add-ons ($50-$100/month for advanced features). Most platforms waive setup fees. Total Year 1 for 5-provider practice: approximately $15,000-$20,000.

Q: Can I start with cheap software and upgrade later?

A: Yes, common strategy. Start with ClinicSource ($69) or SimplePractice ($39) in Year 1, then upgrade to SpryPT ($150) or WebPT ($279) when billing >$300K annually. Plan for 4-6 weeks migration time and a temporary productivity dip.