resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
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.
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.
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.
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.
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.
Acupuncture Points: Broadening Our Scope and Diagnostic Work
As every practitioner knows, the correct diagnosis is everything. Most healing disciplines rely on the use of symptomatology for their treatment implementation. Beyond symptomatology, we have clinical tests to provide more objective findings.
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.
Scar Reduction With Acupuncture & Microneedling (Part 2)
Protocols & treatment Timing
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
We Get Letters & Email
Our Country Needs Us Between Elections, Too; Continuing Care: We Aren't There Yet; Our Associations Need to Do More.
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.
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.
November, 2006, Vol. 06, Issue 11
Get Your National Provider Identifer
By Vivian Madison-Mahoney, LMT
Massage therapists can now obtain a National Provider Identifier (NPI)! My advice is to get it now, while the information is right here in front of you. As a health care provider, the NPI will be your own standard, unique identifier and is yours forever - never to be changed.
The Administrative Simplification Provisions of the Health Insurance Portability and Accountability Act of 1996 (HIPAA) mandated the adoption of standard unique identifiers for health care providers, a National Plan and Provider Enumeration System (NPPES), as well as the adoption of standard unique identifiers for health plans.The purpose of these provisions is to improve the efficiency and effectiveness of the electronic transmission of health information. This new number is now available and will replace any and all other provider identifier numbers.
This number is not a necessity for those not classified as a "covered entity." However, when it comes to an insurance company denying or delaying a claim, it might use the fact that the claim form is incomplete if some needed blanks are not filled in. This could tie up your claim for another 30 days or more. So, why chance it? Get your NPI now while you have this information. It costs you nothing except a little time to go through the process.
What Is a "Covered Entity"?
HIPAA classifies a "covered entity" as anyone who processes patient-identifiable information by electronic means. If now, or in the future, you decide to process patient-identifiable information by electronic means or hire someone else, such as a clearinghouse, to do it, you will be required to have this NPI number. You also might be considered a "covered entity" if you are a business associate, and possibly in some other circumstances.
At this time, most, if not all, massage therapists do not submit claims or other patient-identifiable information by electronic means. This does not preclude the fact that insurance companies might in the future require that all claims be submitted electronically. We also cannot bill or accept Medicare at this time. However, we might as well apply for and receive this number while there is a taxonomy classification for massage therapists.
There currently are four ways to contact the NPI Enumerator to obtain your own number: online, by phone, by e-mail or by regular mail. Here is the contact info:
When applying online, click on "Apply Online" and then begin the registration process. Most of this will be very straightforward. When you get to "Taxonomy Information," look under 22-Respiratory, Rehabilitative and Restorative Service Provider. Then scroll down to Massage Therapist. Don't forget to add your license number and the state in which it was issued.
Note: If you are in an unlicensed state, you might want to call the toll-free number and ask to speak to someone who can advise you regarding whether you should use your National Certification Number or if you would otherwise be able to apply to receive an NPI number.
New CMS 1500 Claim Forms
The National Uniform Claim Committee has announced approval of revised CMS 1500 claim forms with a few new revisions. One of the revisions will be an available space to input your new NPI number. Don't be investing big in CMS (formerly HCFA) 1500 claim forms right now! New CMS 1500 claim forms with space for new NPI numbers, though not mandatory until late spring, are now available on my Web site: www.massageinsurancebilling.com. You can contact me at that site if you have any additional questions.
Click here for previous articles by Vivian Madison-Mahoney, LMT.
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