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Hazards in the Environment Making Your Patients Sick
Working both separately and together, Western and Chinese medicine have many successes in the treatment of the myriad diseases that afflict human beings in modern times.
Spotlight on Acupuncture Research at IRCIMH
Acupuncture and Traditional Chinese Medicine were well-represented at the International Research Congress on Integrative Medicine and Health (IRCIMH)- 2014 which took place in Miami from May 13–16.
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.
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.
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."
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.
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.
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.
Healing With Hope
Ella is a Gulf War veteran and a survivor of military sexual trauma. Like hundreds of veterans, Ella was on 11 different medications for depression, anxiety, insomnia, irritable bowel syndrome and chronic pain.
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.
Medical Qigong for the Heart: Part II
Chinese Medicine is rich in commentary regarding the emotions and how they affect our qi.
Deciphering The New CMS 1500 Claim Form
Q: I am confused on using the new 1500 form, particularly Block 14 and Block 15. What is required and how do I properly fill these out? And do I actually have to use this new form or may I continue using the old version?
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.
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.
Looking For Answers In Many Places
I am sure we have all heard the old adage: "When the only tool in your toolbox is a hammer, everything starts to look like a nail."
The Acupuncture Success Express
Time is passing very quickly these days. We are atoms half the way through the year of the horse. You could call it "horse racing season" for this profession. Perhaps it is time for reinvention during this time.
The Kidney Official
The Kidney is known as the Official Who Controls the Waterways. In Western medical terms, a major function of the Kidneys is to filter the blood. Every day, a person's kidneys process about 200 liters of blood to sift out about two liters of waste and excess water.
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.
Best Practices for Website Success
If one asked 10 years ago whether a website was relevant I was the first to suggest no. Yet as the world moves increasingly towards electronic information there is a dire need to have a website for your practice. Your website is actually your electronic calling card.
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.
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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