resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
New Relationships, Old Trauma: AOM & Other Healing Strategies
Being in love is one the most beautiful and enjoyable experiences. Most of us are willing to pay almost any price to have that experience, and still often find it elusive or fleeting. Navigating the ups and downs of loving relationships are often challenging — even for the most psychologically balanced among us.
Is the New Medicare Reporting Exemption Right for You?
What you've heard is not a rumor – there will be exemptions for providers of Medicare patients, with no penalties assessed for offices that do not do Quality Payment Program (EHR, PQRS, MACRA and MIPS) reporting.
A Daily Strategy for Heavy-Metal Detox
In modern society, we are constantly exposed to heavy metals such as cadmium, lead and mercury. These heavy metals have no essential biochemical roles in our body, and conversely, can cause us a great deal of harm if they build up to toxic levels.
Taking the Chiropractic Message to the Press
"There is no better place on earth to have a news event," the National Press Club boasts, and it's easy to understand why: Every year, the 108-year-old Washington, D.C.-based organization hosts countless press conferences on the hottest topics impacting America and often the world.
A Major Role in Back Pain: The Multifidus
Back pain affects roughly 80 percent of the population at one time or another and is one of the leading causes of doctor visits.
Bill With Confidence: Learn What to Collect
Q: I am trying to understand what I may collect from my patient when there is insurance. Do I have to accept the amount allowed by the plan or may I collect up to my billed amount? Please note, I am not a member of any insurance plan.
An Integrated Approach to Chronic Pain
Findings from a unique Medicaid pilot project in Rhode Island involving high-use Medicaid recipients from two health plans were recently presented to the state's Department of Health, demonstrating stellar outcomes with regard to medication use, ER visits, health care costs and patient satisfaction.
Eczema & Acupuncture: A Sound Solution (Part 1)
Eczema affects approximately 3.5 percent of the global population and is one of the most common skin complaints seen by dermatologists.
Why I Quit Doing House Calls
My father was a chiropractor who did house calls, so when I became a DC, I figured doing house calls was part of the job. My March article recalled my experience as a small boy, accompanying my dad while he went to patients' homes to treat them.
Is It Time to Rethink Mental Illness? (Pt. 1)
Invariably, patients will ask their chiropractor about depression or various mental illnesses. Some practitioners will reflexively offer a cervical adjustment, suggest St. John's wort or contemplate a referral to a specialist.
Give Yourself the Digital Advantage
When you see this article in the print version of this issue and swear you read it already, don't be alarmed: you probably did. That's because by that time, the May issue will have been available online in digital format for three weeks.
Balancing Spring Challenges
As the winter months come to a close and warmer spring weather appears, patients may begin to present with new challenging pattern presentations.
Women's Hormones: A Western & Eastern Perspective
Sometimes it may seem that you require a degree in medicine to understand hormones and how they function.
Creating Good Business Buzz
What do patients really think about working with you? Rarely do you hear the whole truth. Those who improve may be candid in their gratitude.
News in Brief
ACA Adopts New Governance Model; ACA 2017 Awards; CCA Helps Calif. DCs "Share the Love"; $1 Million to Help Advance the Profession; D'Youville Raises the Bar on Anatomy Education; ErRatum.
Raditation & Your Smartphone: Is it Worth the Risk?
If radial arteries could talk (and in my experience they can to some extent), they would say, "Step away from the smartphone." At least that is the message I am receiving loud and clear as I feel the pulses of many patients.
The Visual Error Scoring System: A Concussion Tool
Postural stability and oculomotor function are the most easily recognized physical indicators of neurologic motor dysfunction associated with concussions.
Universal Design: Principles & Practice
In many respects, universal design serves as the core of ergonomics. It's also a good tool to use when designing a return-to-work program for injured and/or ill patients. Let's take a closer look at universal design and why it should matter to you and your patients.
An Unexpected Diagnosis: The Result of Lacking Communication
A couple years ago I had a case that showed me the importance of open communication between health practitioners. We need to show up with less fear, and let go of our judgments so we can do better for the patient.
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 previous articles by Vivian Madison-Mahoney, LMT.
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