Lost A Sale, But Initial Phone Consultations — A Big Part Of Brilliant Customer Service
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The Risks I Took
We all take risks when we choose this profession. For some, it is not knowing if you can make a living practicing TCM. For others, it is parental or cultural disapproval.
An International Life: An Interview with Mary Elizabeth Wakefield
I met Mary Elizabeth Wakefield during her class last summer in Seneca Falls, New York at the Finger Lakes School of Chinese Medicine.
Meet Cheyenne: Your Future Colleague
Allow me to introduce you to Cheyenne (Chey), the daughter of some of our family's closest friends. We attend and serve at the same church together, and have known each other for many years.
The Three Heater Official
This Official, belonging to the element Fire, is responsible for maintaining and regulating the heating system of the body, mind, and spirit. It is named for its function. The trunk is divided into three "burning spaces" or "jiaos."
Creating Relationships at Southwest Symposium
The month of May brought many interesting activities. As I have said in many previous columns this year, this profession is moving in a very exciting direction. Make sure you are getting involved. If you're not, you just might get left behind.
Integrative Medicine for the Underserved: A Seat at the Table
Numerous organizations have risen to the challenge of providing care to medically-underserved populations and here we feature one such group.
Sports Medicine 101: Surgery or No Surgery?
In the world of sports medicine, many careers are saved by surgeries that correct traumatic damage to the body. Muscle tears, ligament damage, fractures, spinal disc herniations, and joint instabilities are a few of the issues frequently addressed with surgical intervention.
Key Changes and Updates to the 7th Edition CNT Manual
Acupuncture Today recently interviewed Jennifer Brett, ND, L.Ac. regarding the updates to the CNT manaul.
Chinese Doctors Poke Holes in Australian Study
A recent Australian clinical trial, published in the Journal of the American Medical Association (JAMA) in 2014 by Rana Hinman, et el., evaluating the effectiveness of both needle and laser acupuncture for chronic knee pain.
Q&A With the First VA Chiropractic Residents
As you may have read previously, a major step forward for the profession occurred in July 2014 when the Department of Veterans Affairs began piloting a chiropractic residency program at five locations.
Treatment of PTSD: An Opportunity for the Practice of Integrated Medicine
PTSD is widespread across America today. Not only do many of our honored men and women in uniform bring it home with them from the war zones they have been active in, but it often follows any life-threatening event people go through when their lives have been in danger.
Marketing with a Microphone
When given an option, it stands to reason that people prefer to do business with those they know, like, and trust.
Leg-Length Inequality and Pelvic Fixation: A New Approach to the Negative Derifield (Part 3)
A patient with sacroiliac fixation and dysfunction ordinarily demonstrates a noticeable leg-length inequality when placed in the prone position on the adjusting table.
NCCAOM Video Contest
The NCCAOM is excited to announce the launch of the second annual video contest "Because it Works!" 2015.
Going On-Site With Chiropractic Care
The Foundation for Chiropractic Progress has released a position paper highlighting the financial, clinical and patient-satisfaction benefits of providing chiropractic care at on-site corporate health clinics.
Nomenclature and Classification of Lumbar Disc Pathology: Version 2.0
The Nomenclature and Classification of Lumbar Disc Pathology consensus, published in 2001 by the collaborative efforts of the North American Spine Society, the American Society of Spine Radiology and the American Society of Neuroradiology, has guided radiologists, clinicians and the public for more than a decade.
News in Brief
Investigating the Cellular Impact of Mechanical Force; National Board Seats (Not-So) New Officers at Annual Meeting.
Free Yourself From the Pocketbook Practice
Let's take a journey together; there's an important lesson to be learned. Imagine a town or city just like yours.
I was sitting in a Pizza Hut in Peoria, Ill., with my friend Reggie, sometime in the spring of my senior year in college, when he started doodling on his paper placemat. In those days, the company had a picture of U.S. on the mats, showing all the locations of the "Huts" in the country.
The Source-Luo Point Combination, Part 2
The Da Cheng includes symptoms for the source-luo points that indicate when to use them for treatment. Yang defines the method as the guest-host (it is one of a variety of acupuncture point combinations called guest-host).
Desert: A Metaphor from the Study of Genetics
In most of the human lives I know about, there are stretches of time which feel stagnant, or worse. We can feel adrift, or wounded and sidelined, and these times don't seem to carry much usefulness while they are unfolding.
Should You Change an Athlete's Natural Running Form?
Once past the ankle, impact forces travel at about 200 mph into the knee. In addition to allowing the quad to absorb force, bending the knee (E) prevents the hip and pelvis from moving up and down too much (F), which is important for injury prevention and efficiency.
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 more information about Vivian Madison-Mahoney, LMT.
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