resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
A Conversation With Dr. Betty Edmond
This month's column is an exclusive interview with Betty Edmond MD, newly elected CEO/President of the AOMA Graduate School of Integrative Medicine in Austin, Texas.
Qigong for Substance Abuse
It is commonly believed that substance abuse, in addition to harming one’s physiological state, hurts the spirit. There is also a belief that one’s spirit does not weaken due to substance abuse, but rather, the person finds solace in addiction due to an already weak spirit.
Low Back Pain in Running Athletes
After 7 million years of adapting to upright postures, the lumbar spine and pelvis have become remarkably adept at managing ground-reactive forces associated with running.
We Get Letters & Email
Our Country Needs Us Between Elections, Too; Continuing Care: We Aren't There Yet; Our Associations Need to Do More.
An Opportunity & a Responsibility
Nearly 80 Americans die from an opioid-related overdose every day, and spine-related pain is one of the principle drivers of opioid use. This unfortunate situation creates both an opportunity and a responsibility.
True Practice Mobility for the Chiropractic Profession
When natural disasters occur, chiropractors can literally travel to the other side of the world to offer humanitarian relief in less than a day. The chiropractor's license to legally practice, however, can't make it past the state line.
News in Brief
Updated Neck Pain & Whiplash Guideline; Attention, IHS DCs; New VP of Institutional Advancement At Palmer; N.J. DC Interns At U.S. Olympic Training Center; Chiropractic Society Of R.I. On The Front Lines.
Prepare for the End, From the Beginning: Wealth Building and Retirement with the Tao
Yin and yang flow into and out from one another continually. Beginnings become endings and endings become beginnings again. Wholeness and cycles are the nature of Tao.
Five Branches University Has First Hospital TCM Residency
Established in 1984, Five Branches University (FBU) has campuses in Santa Cruz and San Jose, Calif., which serve the communities of Santa Cruz, the Monterey Bay, and Silicon Valley.
Anti-Aging With Dr. Ping Zhang
Jennifer Waters, TCM practitioner and writer of the Acupuncture Today column, "Talking With the Masters" sat down with Dr. Ping Zhang to discuss aniti-aging with acupuncture.
Shoulder Rehab: Start With the Scapula
The scapula is an incredible display of elegance and movement within the biomechanics of human motion. It's evolved for mobility and stability in the scapulo-thoracic region, giving us the ability to do things that are uniquely human, such as throwing with accuracy.
Scar Reduction With Acupuncture & Microneedling (Part 2)
Protocols & treatment Timing
Flirting With Alternative Therapies
There are about as many adjunct therapies being marketed to acupuncturists as there are acupuncturists. While some may remain purist in their application of traditional Chinese medicine, others choose to explore new horizons of treatment.
The Acupuncture Channel System (Part 1)
The earliest Chinese reference to channels is in the Mawangdui Medical Manuscripts,1 which are dated to the Warring States period of the Zhou Dynasty (475 BC-221 AD). The text presents 11 channels. There are no acupuncture points listed in those channels.
The Case Report: A Valuable Tool
Case reports are a valuable form of descriptive research. The most basic form of practice-based research, a case report is a detailed account of the history, presenting symptoms, assessment, observations, treatment and follow-up of an individual patient, discussed in the context of prior and potential future research.
Another Step Forward for Chiropractic
Chiropractic is now available to 86,000-plus Latter-Day Saints missionaries and you are invited to become a provider. LDS membership in not required; our only concern is that our missionaries get the best quality care available.
Crow Like the Rooster
As we welcome in the Year of the Rooster, we look at some of its major characteristics: confidence and communication, which suits the image we have of the Rooster...strutting in the farmyard, crowing to the others that it's time to wake up.
Let's Clear Up the Collection Confusion
This is an often-misunderstood practice swirling with misinformation. First, a few basics: Insurance is a contract between the patient and the insurance company. The insurance company is simply making a payment for services or care on behalf of the patient.
A New Year and Vision for the ACA
Inadequate pain management coupled with the epidemic of prescription opioid overuse and abuse has taken a severe toll on the lives of millions of people in the United States. Every day, more than 1,000 people are treated in the ER for misusing prescription opioids.
The winter season is upon us and offers unique challenges for the clinician and patient alike. To effectively navigate through the winter season there are two main TCM medicinals, Huang Qi and Gan Jiang, to consider, as well as two important formulas which feature these two TCM treasures.
An Education in Gluten Sensitivity
A relatively new syndrome officially documented as non-celiac gluten sensitivity (NCGS) or gluten sensitivity (GS) was officially recognized and published in the new list of gluten-related disorders in 2012.
Nutrition for Menopause: Front-Line Therapy for All Phases
Of all the changes women experience during their reproductive life, there is no doubt the most dreaded are the three phases of menopause. This is not surprising since all of the symptoms associated with menopause are replete with unpleasantness.
April, 2002, Vol. 02, Issue 04
By Vivian Madison-Mahoney, LMT
Author's note: This month I would like to ask you, the readers, to let me know what you would like me to cover in upcoming articles for Massage Today.It can be difficult to cover issues that are beneficial to all, especially when I am not familiar with your state's rules, or your massage practice acts or laws, or what it is you would like to know more about. I want to be here for you and offer what is most important to each of you. So please keep your questions coming, and please be patient waiting for my answers!
Which Insurers Pay?
Probably the question most often asked of me is, "What insurance companies pay a massage therapist, and which ones do not?"
First of all, there are no lists of which insurance companies pay for our services and which do not. We should be so lucky to have it that easy.
The first thing you have to understand is that an insurance company may cover services of certain providers under certain conditions, and not in others. For example, an insurer may cover the services of a licensed massage therapist for a work-related injury under your state's workers' compensation rules. Yet this exact same insurer may not cover the same services where the coverage is through a major employer who is self-insured. Then again, this same insurance company may pay for the same services by the same provider, if the coverage is through an auto insurance policy.
Always Call the Insurer
It is imperative that you always call the insurance company's adjuster to obtain coverage information. You will need information such as, "is the patient covered under the policy? Are there benefits left? Is there a deductible? Has the deductible been met yet? How much is the co-pay, if any? If it is a workers' comp. Case, will the adjuster authorize you for payment for your services? Much more information is necessary, too much to cover in this article. This is to just give you an example of how much is required even before you begin to provide therapy for a medical referral.
Until you have gotten answers to these questions, you should not provide therapy for the patient in question, unless you are willing to accept the loss in case you are not covered for your services.
Remember, to bill your services to an insurance company, the patient's condition must be deemed medically necessary. For a case to be medically necessary, it must first be diagnosed as such by a licensed physician. You must have a prescription from the physician that states the diagnosis and gives you the order to perform the massage therapy-related services, the frequency and duration.
Knowing Medical Codes Is Not the Answer
It is evident by the many questions I receive from therapists around the country that they have access to medical codes, but no instructions on insurance billing as such. With no other information on insurance billing, reimbursement, and collection techniques except the possession of codes, they get themselves in trouble and ultimately get discouraged. In addition, when billing is done improperly, it sends out red flags to insurers that negatively affect all of us.
Please know that to have access to billing codes is only 1/16th of the battle of insurance billing. One must understand that accepting medical cases brings with it new documentation requirements, responsibilities, technicalities, legalities, and consequences of not doing it accurately.
Each subject I bring up can lead to further discussion, because with insurance billing one thing leads to another and another. That is why it is imperative that you have a better understanding of insurance than just knowing what codes are allowed for massage therapists and having forms to use. Please feel free to contact me, and I will do what I can to help, as much as I can in the time allowed for me to do so. I do not know all the answers, but when I don't know, I'll be sure to tell you.
Click here for previous articles by Vivian Madison-Mahoney, LMT.
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