resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Coding for the Subluxation: ICD-9 vs. ICD-10
When I attended chiropractic school, I was taught that chiropractors approach health care differently than the traditional medical establishment.
Knee Pain From the Kinetic Chain
As practitioners of manual medicine, chiropractors often treat patients suffering from knee pain.
Are You a Bad Chiropractic Patient?
My father was a great DC. In fact, as you might expect, he was the doctor of chiropractic I measured all other doctors against. Sadly, he died at age 61 when I was in my early 30s.
Physical Exam 101: The Hands
I am sure you are familiar with the old adage: "When the only tool in your toolbox is a hammer, everything starts to look like a nail."
Curbing Label Overwhelm
For the average consumer, reading a food package can be overwhelming: natural, organic, non-GMO, gluten free, free range ... you get the picture.
Immunizations by Colorado DCs: Really?
You probably didn't hear about it, but back on Nov. 21, 2013, the Board of Directors of the Colorado Chiropractic Association (CCA) adopted "immunization authority" for Colorado DCs as its No. 2 legislative goal.
Remembering Clarence Gonstead and 50 Years of the Gonstead Clinic
Dr. Clarence Selmer Gonstead (1898-1978) took chiropractic practice from back-alley bone setting to an understandable biomechanical science. His life was dedicated to clinical competency.
A History Worth Telling
The popularity and the use of acupuncture for the treatment of animals in the United States is at its peak.
New Medical Technologies You Need to Know
We're all familiar with how fast computers become obsolete, as well as the rapid pace of development in the field of cell phone technology. The latest smart phones are far more powerful than desktop computers were only a few years ago.
Medical Qigong for the Heart: Part III
Part 1 and Part II of this series focused on the physical aspect of the Heart and mental emotional aspects of the Heart respectively. Now, I would like to focus on the spiritual aspect of the Heart.
By the Numbers: 3 Common Financial Mistakes With Major Consequences
Warren Buffett is on record for sharing the hidden art of becoming wealthy and making it simple enough for anyone to grasp.
Why You Should Include the Single-Leg Stance Test in Every Patient Assessment
The single-leg stance (SLS) test, also known as the single-limb stance test, unipedal stance test or one-legged stance / balance test, is often used in the geriatric population to assess static postural and balance control.
The Science of Stretching
In 1986, Rob DeCastella set a course record by running the Boston Marathon in 2:07:51, just 39 seconds off the world record.
A Guide for Talking to Doctors about Acupuncture and Brain Chemistry
Before I begin any discussion of how to talk about the effects of acupuncture on brain chemistry, nervous and endocrine function, it is essential to understand just what physicians most need help with.
Vaccines and Chiropractic: Evidence-Based Medicine or Medical Dogma?
Right or wrong, the chiropractic profession has historically been against vaccinations. However, a growing trend within the profession is seeking to reverse this position.
Building From the Bottom Up
I caught up with my dear friend Honora Wolfe, in her Colorado painting studio where, if she is not praying in Bhutan or doing charitable work in a Nepali free clinic, she spends most of her time now.
Peer Points: Always Seeking To Grow
Ellen "Kiki" Geary has spent the last decade honing her craft. As a specialist in integrative holistic care, she went straight from completing her master's degree in acupuncture and chinese herbal medicine from Bastyr University to building a successful and thriving practice in the small community of Anacortes, Washington.
Fibromyalgia: Put the Pain in Its Place
While some fibromyalgia patients respond favorably to regular chiropractic care, others experience minimal relief. Unfortunately, many of these patients must rely on pharmacological management to relieve their constant pain.
A Chinese Medicine Story: An Interview with Mazin Al-Khafaji
Mazin Al-Khafaji's work has interested me for years. In February 2014, we invited him for the second time to speak at the Southwest Symposium in Austin, Texas.
August, 2001, Vol. 01, Issue 08
Insurance Billing & Reimbursement Issues
By Vivian Madison-Mahoney, LMT
Here are a few pointers regarding insurance billing and reimbursement. Follow some of the guidelines below, take it slow and easy, and advance your way to success!
If you need phone numbers for the Divisions of Insurance or Workers' Comp in your state, call me at: 865-436-3573 or email at: and I will get back to you as soon as possible.
Regarding Discounted Fees for Services
Since so many of you ask my opinion on the subject of discounted fees for alternative care services to insurance companies, I will offer just that: my opinion, for what it's worth.
There is a lot of talk, both positive and negative, about CAM and insurance companies wanting to contract with massage therapists to give discounts for their services. There is much I could say on this topic, but briefly, let me tell you what I think. Insurance companies wish to have therapists give discounts for their subscribers, which in turn helps them sell policies or compete with other carriers to sell policies to employer groups, etc. This discount is given by providers most often in turn for the promise of the subscribers finding massage therapists or other alternative care providers in their directory of providers.
Just because you are in the directory is not a sign that you are a "provider" in the network in the usual sense. It is an agreement to be placed in the provider network booklet, directory or policy to inform the subscriber that you are willing to provide services at a discounted rate for a nonmedical, non-insurance related case.
I personally feel that therapists should be allowed to make their own decision as to if they desire to provide discounts in exchange for the listing -- just as it should be the decision of each massage therapist whether to accept medically referred cases and insurance reimbursement for such services.
I do not feel that anyone should be making the decisions or rules as to who should accept these types of cases. If the physician prescribes the treatment or therapy as medically necessary; if the therapy prescribed is within the therapist's scope of practice/licensure and/or certification; if the insurance companies are willing to reimburse you for your services; if the patient wishes to receive the therapy; and if the physician and the therapist decide that it is in the best interest of the patient, themselves, and their office, then it should then be the therapist's decision and only theirs.
For anyone else to make rules and regulations to limit ones income potential is unmerited. The same goes if rules were put into effect requiring a therapist to have to accept insurance cases. I feel it should be each individual's personal decision.
Here are some questions I would like you to ask insurance carriers and/or credentialing companies who submit applications to you, offering discounted fees to their subscribers for your services:
There are many more questions to consider, but these should serve as food for thought for now.
Click here for more information about Vivian Madison-Mahoney, LMT.
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