Online OTs' Frequently Asked Questions

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Online OTs is an occupational therapy telehealth practice. We specialize in Habit Reversal Training and CBIT Therapy for tics, Tourette Syndrome, and other Tic Disorders, Functional Neurological Disorder, and Body-Focused Repetitive Behaviors. Our practice also utilizes ComB and the SCAMP profile to raise patients' awareness of repetitive and unwanted behaviors and guide treatment.

CBIT Therapy is the branch of Online OTs that heavily utilizes Comprehensive Behavioral Intervention for Tics (CBIT). CBIT is a research-backed and highly effective program developed to treat vocal and motor tics, which are a predominant feature of Tourette Syndrome (TS, Tourette's, Tourette Disorder). Online OTs has adapted CBIT to work alongside the ComB and SCAMP protocols to also address Body-Focused Repetitive Behaviors (BFRB) that harm skin, nails, and hair.  Online OTs'  approach enables helpful strategies to be put immediately into place during the initial evaluation. 

Our occupational therapy services are available via telehealth throughout Massachusetts, New Hampshire, Maine, New York, and Vermont. Due to federal licensing laws, we can not accept patients residing in other states or countries. Video conferencing is via a HIPPA compliant version of Google Meet. 

Parents are required to be participate in all sessions with minors.

Evaluation: $239

Therapy and Training Session: $196

Most patients complete therapy within five to ten sessions. 

Some patients seek reimbursement from their insurer.

Online OTs accepts Mass General Brigham Health Plan (formerly known as Allways Health Partners) and Blue Cross Blue Shield (BCBS).  

Patients with BCBS HMO plans are required to ask their PCP for a referral and to fax us an Authorization Number that includes the PCP's full name and NPI number. 

Information that will be requested is below:

Occupational Therapist: Susan Eppling

Practice:  Online OTs LLC  

Service: Occupational Therapy Rehabilitation 

NPI 2: 1669082277 

NPI 1: 1285893081 

Telehealth Address: 43 NylanderWay, Acton, MA  01720 

Phone: 617-221-5944 

Fax: 857-202-5085 

Billing codes: 97165, 97530, 97535

Patients are responsible for all co-pays, deductibles, and other costs not covered by their insurer.

See below for information regarding Network Gap Exception reimbursement from other insurers.

Patients with BCBS HMO plans are required to ask their PCP for a referral and pre-authorization. Patients are responsible for all co-pays, deductibles, and other costs not covered by their insurer. 

Information that will be requested follows:

Occupational Therapist: Susan Eppling

Practice:  Online OTs LLC  

Service: Occupational Therapy Rehabilitation 

NPI 2: 1669082277  (Group Practice)

NPI 1: 1285893081  

Telehealth Address: 43 NylanderWay, Acton, MA  01720 

Phone: 617-221-5944 

Fax: 857-202-5085 

Billing codes: 97165, 97530, 97535

Please also ask your PCP's office to  send the Authorization Number and the PCP's full name and NPI number to Fax # 857-202-5085. This step greatly decreases the amount of time necessary to wait for an evaluation. 

Online OTs treats conditions for which there are very few trained health professionals. If you are not able to find someone in-network who specializes in tics or BFRB (or if the waiting list is unreasonable) you may be eligible for a Network Gap Exception. Ask your PCP for a referral to Online OTs and then request pre-authorization from your insurer. Please note that all patients with a gap exception and/or those with insurance other than BCBS PPO and MGBHP are considered private pay and are charged for services in full. You will be provided documentation to then seek reimbursement from your insurer.

The necessary information to provide your insurer prior to receiving services with Online OTs is below:

Occupational Therapist: Susan Eppling

Practice:  Online OTs LLC  

Service: Occupational Therapy Rehabilitation

NPI 2: 1669082277 

NPI 1: 1285893081 

Telehealth Address: 43 NylanderWay, Acton, MA  01720 

Phone: 617-221-5944 

Fax: 857-202-5085 

Billing codes: 97165, 97530, 97535

Please contact us and we will be in touch soon.

857-202-5085

Patients will be charged $75 for each session that is missed or canceled late. This fee will not be paid or reimbursed by your insurance. At least 24 hours' notice is required to cancel a session. If you must miss a session, please send notice to info@onlineots.com as soon as possible so that other patients have access to treatment.

Patients with a tic disorder, or what they believe are tics, should meet with their PCP and a neurologist to determine a proper diagnosis and discuss treatment options. Patients with Body-Focused Repetitive Behaviors (BFRB) such as excessive and harmful skin picking, hair pulling, nail biting, cheek biting, lip pulling, nose picking, and thumb sucking should meet with their PCP , dermatologist, and other relevant providers to rule out possible causes for the behavior and to address any skin damage or risk for infection.

If you or someone you love is struggling with mental health concerns, please reach out to a pediatrician, PCP, psychiatrist, psychologist, social worker, counselor, emergency room, support group, mental health organization, or 911.

Suicide prevention lifelines include:

988 Suicide & Crisis Lifeline

The Trevor Project