Boys with arms over each others shoulders

PRACTICE, POLICY, AND INSURANCE INFORMATION

CBIT and ComB Habit REversal Training

Online OTs is a progressive occupational therapy practice treating repetitive movements, vocalizations, and behaviors. We provide both CBIT Therapy and ComB Habit Reversal Training for Tourette Syndrome and other Tic Disorders, Functional Neurological Disorders, and Body-Focused Repetitive Behaviors.

The goal of therapy is to gain a better understanding of one’s condition and to manage it with ongoing support and research-backed strategies. Sensory awareness, education, environmental modification, advocacy, assistive technology, compassion, and behavioral blockers are core program components. CBIT competing response training also helps to provide some immediate relief and to decrease the frequency and intensity of urges and unwanted actions.

What conditions do we treat?

Provisional Tic Disorder
Persistent Tic Disorder
Tourette Syndrome
Functional Neurological Disorder
Skin Picking Disorder
Hair Pulling Dissorder
Nail Biting Disorder
Thumb Sucking Disorder
Multiple Body-Focused Repetitive Behaviors (BFRB)
Stereotypies
Sensory integration

Where is telehealth available?

Our CBIT and ComB occupational therapy services are available via telehealth throughout Connecticut, 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.

What are the private pay fees?

Evaluation: $315

Therapy and Training Session: $195

Which insurance plans are accepted?

Online OTs accepts Mass General Brigham Health Plan and Blue Cross Blue Shield insurance plans. Limited financial assistance is available for income-eligible patients.

Patients with BCBS HMO plans are required to ask their PCP for a referral and to fax an Authorization Number to 857-202-5085 that includes the PCP's full name and NPI number.

This must be done prior to booking an evaluation.

Information that will be requested is below:

Occupational Therapist: Susan Eppling

Practice: Online OTs LLC (DBA CBIT THERAPY)

Service: Occupational Therapy Rehabilitation

NPI 2: 1669082277 (Group Practice)

NPI 1: 1285893081 (Individual)

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.

What is out-of-network Gap Exception reimbursement?

Online OTs treats conditions for which there are very few trained health professionals. As a result, most insurers do not have providers in network. This means that you may be eligible for a Network Gap Exception. Ask your PCP for a referral to Online OTs and then request pre-authorization and reimbursement 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 the reimbursement from your insurer. The necessary information to seek authorization is below:

Occupational Therapist: Susan Eppling

Practice: Online OTs LLC

Service: Occupational Therapy Rehabilitation

NPI 2: 1669082277 (group practice)

NPI 1: 1285893081 (individual)

Telehealth Address: 43 NylanderWay, Acton, MA 01720

Phone: 617-221-5944

Fax: 857-202-5085

Billing codes: 97165, 97530, 97535

How do I request services?

Please send us an email and we'll be in touch soon. Please indicate if you are ,seeking support for tics, BFRB, FND or another reason.

What's the fax number for Referrals and Authorization Numbers?

FAX: 857-202-5085

What's the No-Show and Late Cancellation Policy?

Patients will be charged in full 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.

What is my diagnosis?

Patients with FND, 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.

Where can I seek emotional / mental health support?

FND, Tic disorders, and Body-Focused Repetitve Behaviors can cause great emotional distress and lead to mental health concerns. If you or someone you love is struggling, please reach out to a pediatrician, PCP, psychiatrist, psychologist, social worker, counselor, emergency room, support group, mental health organization, or 911. Please know it is always okay to seek help and that things can get better. Please find links to helplines below:

Suicide helplines

Depression helplines

Anxiety helplines