resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
How to Find and Fix TL Nerve Impingements
The thoracolumbar junction (TLJ) and the peripheral sensory nerves that exit from it are frequent, important and rarely recognized sources of lower back, pelvic and hip pain. Let's outline a clear exam protocol for diagnosing the problem.
Recording and Appropriate Billing of Timed Physical Medicine Services
There is a common misunderstanding about timed therapy services and although you do have some knowledge of timed service documentation, based on your comment on the 8-minute rule, your understanding is correct, but incomplete.
News in Brief
A Moment of Silence for Dr. Stephen Press; New ACA President Elected; F4CP Offers New MemBership Benefit.
An Interview with Amanda Shayle
JW: Can you share with us some of your history and how you became an acupuncturist? What did you do prior to becoming an acupuncturist? Where did you go to school?
NCCAOM Launches New Membership Organization
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) recently launched a new national membership organization, the NCCAOM Academy of Diplomates.
The Rest of the Patient Story
I've written previously about allowing a patient to tell you their story – about taking the time to listen and engage all the aspects of their case history, the injury in question, and the related issues.
Constructing Our Reality: The Primary Channels and Perception, Part 1
My favorite topic of discussion within Chinese medicine is the acupuncture channel systems. First of all, each of us have them. They are part of our bodies; not something external to us. To learn about the acupuncture channels is to learn about ourselves.
Asking Patients the Right Questions
When was the last time you asked a patient a question? Maybe 30 seconds ago? But, are you asking the right questions to elicit valuable and useful information? As a healthcare provider, you've likely spent hundreds of hours learning to ask the right questions to gather critical health information from your patients.
The Value of Melatonin in Breast Cancer Prevention and Adjunctive Treatment
Although melatonin (MLT) is best known for its sleep-aid properties and as a natural remedy to prevent jet lag, extensive experimental studies suggest it possesses anticancer activity through several biological mechanisms.
Building Relationships and Referral Networks with Allopathic Practitioners
Dr. Doug, an orthopedist of 20 years, had heard stories from patients who tried acupuncture. While he was able to address many of their complaints effectively, some appeared to gain additional benefit when their care included TCM.
Transparency is Key at ASA First Annual Meeting
On March 4th and 5th the American Society of Acupuncturists (ASA) held a successful first annual meeting in Albuquerque, New Mexico.
Filling the Gap: The Role of Alternative Practitioners in a Broken Health Care System
I have been asked many times what got me into alternative medicine. My answer is simple: I want to truly help and make a difference in people's health.
The IME System: A Current Public Health Risk and Solutions That Are Working
I strongly believe in the independent medical examination (IME) system. There are far too many doctors in every profession who are not following E&M protocols and never claim MMI (maximum medical improvement) has occurred for their patients, which has caused financial stress for many private and public carriers.
Health and Wellness Partnership
Yo San University of Traditional Chinese Medicine and The Wellness Center at the LAC + USC Historic General Hospital recently joined forces to extend care to the residents of Boyle Heights area of Los Angeles.
Business Lesson #1: Adapt or Else
My wife and I recently enjoyed an excellent meal at a restaurant recommended by some friends. We often have concerns about restaurant recommendations, as many have been disappointing.
Energy: For Life and For Death
Energy is a deep topic in Traditional Chinese Medicine. Qi is understood to underlie all of existence, animated or not, and the qi of the living is studied with special attention.
Vitamin D Fails to Help Knee OA? The Proper Perspective
The March 8, 2016 issue of JAMA includes a study about vitamin D supplementation for osteoarthritis of the knee. This is a really weird study.
The Art of Listening
One of the most important clinical concepts for me was voiced by the legendary physician William Osler. "Listen to your patient, he/she is telling you the diagnosis." After treating literally thousands of patients, it can become almost second nature to quickly discover clues which reveal the underlying diagnosis.
Essentials of Assessment: The Squat
The squat is a simple, fast and functional tool to evaluate patient symmetry and function. As simple and easy as it is to implement, it can yield considerable amounts of valuable, clinically relevant information.
Roots in the Community, Branches Far Beyond
The Jung Tao School of Classical Chinese Medicine (JTS) was founded in 1998 by Sean Christian Marshall in Sugar Grove, North Carolina, a small community near Boone in the state's westernmost mountains.
The Power of Eccentric Exercise: Hamstring Injury Prevention and Rehab
For almost 20 years, I've worked with professional athletes who make a living by running really fast. It goes without saying that hamstring injury (HSI) prevention and rehabilitation is a big part of what they expect from a sports chiropractor.
April, 2001, Vol. 01, Issue 04
Insurance Billing and Reimbursement: Have Confidence, Dare to Take Chances, Prevail
By Vivian Madison-Mahoney, LMT
I contemplated for some time on what to write in this issue. As I thought about it, it became even more difficult, because what I really would like to do is sit down with each of you and share my many years of experience.I would love to help each of you obtain success accepting medical referrals while accepting insurance as payment for your services. That being impossible, the next best thing I can do, although I certainly do not know it all, is to let you know I am here for you and I am willing to assist in anyway possible.
It has been a challenging, interesting, and exciting adventure for me the past 16 years, staying on top of insurance issues that could affect massage therapists in general. However, none of it does much good when I see many of you struggling, trying to decide if accepting insurance cases is or is not, the right thing for you to do, (if indeed it is possible within your licensure, certification, area or state). Since it is not possible to know each state's rules and laws, I am counting on you to share with me your roadblocks and/or successes.
I feel there are many ways in which I may be able to help, yet I am at a loss as to the best way to do this. So the only way to accomplish this is to let you know, you may e-mail, write, fax or call me, and I will do all I can to assist you. I don't guarantee that I will be able to answer every question, but I am willing to try!
So you will know where I am coming from and why I am even writing for Massage Today, I need to first say that I am not a professional speaker, teacher, lecturer or writer, I am just like most of you, always doing what I can to earn an income while doing work that is challenging, fun and rewarding.
Our story is not particularly special. When I first began, there were only a couple of massage therapists in Florida who even dared to accept an insurance case. I learned insurance billing through trial and error and asking questions. Taking one case at a time, it wasn't long until my insurance-related business exploded. We began to obtain referrals not only from physicians, but also from attorneys and insurance companies themselves.
In my practice, my staff included as many as 14 massage therapists at a time (one who was with me 11 years), two daughters (one is a massage therapist, one was my executive office manager and insurance billing clerk), and one other lady who was a former patient. This lady begged for a position and soon became my "jack of all trades" person. (She later purchased my practice and still runs it today.)
We were fortunate to have nearly 200 physicians from many specialties regularly referring patients to our office. Our office treated as many as 39 clients/patients a day and billed insurance for up to 500 patient visits a month for many years. We billed out $11,000 to $13,000 a week on a regular basis. The majority of these were auto and workers' compensation injury and disability cases. We accepted very few major medical cases for the first several years.
The keys to our success are the same keys you can use to make your practice successful, namely:
I know most of you massage therapists have the same determination, love and caring for others as we did. If we could do it, anyone can!
Am I suggesting that you shoot for the same level of production? Absolutely not; sometimes bigger is not better. Increased income also increases overhead, including payroll, and stress. It is imperative that you take time for yourself!
What I am suggesting is that you take a chance, see what you can accomplish, and be aware that there are pitfalls. Ask questions of the insurance adjusters, supervisors or others. Take precautions; do it safely, correctly and legally. I wish you success!
Should you accept insurance cases? Why not? If you don't, your competition will!
Click here for more information about Vivian Madison-Mahoney, LMT.
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