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Massage Insurance Billing

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All about billing insurance companies for massage services. What states can you bill for mva's, work injuries, PPO's, HMO's? What is required in each state or even city?

Website: http://www.massage-career-guides.com/massage-insurance-billing.html
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Latest Activity: Aug 31

Massage Insurance Billing

I have been billing insurance since the beginning of my career which started in 1989. I am not an expert but do know a fair amount about it. The thing is that there are so many differences in each state and in each city and even each insurance plan it can be overwhelming. I have used insurance billing through my career to keep it stable. Yes there are difficulties in getting paid but I found that the more I knew the better I was able to weed out problem cases and set boundaries around working with people and their insurance companies. I am starting this group to allow people to share their insurance billing tips, classes and information.

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Comment by Carol J McDaniel on August 18, 2010 at 3:37pm: 6 Assnmt of Benefits, Records Release, Pymt Agreemt.DOC

Hi Tammie,
Don't know if this attachement will work but here is an example of the form I use. I have the client sign 3 copies. They keep one, I keep one, and give one to the lawyer. I do this for ALL insurance claims.

Comment by Mirra Greenway on June 25, 2010 at 7:25am: I have my Approved Providership established with American Specialty Health Networks, and now I realize that I MUST take any and all of their referrals-within 24 hours! Does anyone else have experience with them?

Comment by Kimberly Rogers on May 29, 2010 at 6:44pm: Andrea,
Since you are now practicing in WI, are you employed by the chiro or just renting office space? If you are an employee, I believe the chiro would be responsible for billing your (MT) services to insurance. You may end up waiting (forever) for reimbursement.
However, if you are renting space, you are better off charging the clients up front and giving them a receipt. They can then take the receipt and submit it to the appropriate party, depending upon the type & situation of personal injury/workman's comp. There is nothing wrong with being up front and telling your clients (and the chiro) that you can't bill insurance (yet).
Hopefully now that the new massage law has been signed and all WI MTs will now be LICENSED over the next 2 years, that will change.
Ask WC & PI clients if they have health savings accounts, or health compensation through work...for instance, my husband's company has health savings accounts that allow for massage therapy with a physician's Rx.
I'm sorry that I don't have more information for you. I can give you a contact: Betsy Krizenesky, AMTA-WI Chapter Law & Legislation Chair. Her email is Krizenesky@aol.com or her cell# is: 920-725-0224. She should have information that will help answer your question further...or know who is the correct person to contact. She is very nice. A little busy, though...it may take her a few days to get back to you. But she does return all her phone calls and emails. And if she doesn't have the answer, she helps out to get you answers.
Please post back on the forum how things are going. I'm sure WI is not the only state that has "wackiness" when it comes to insurance billing.

Comment by Jan Seeley, LMP on May 16, 2010 at 11:38am: always ask if it's THEIR insurance that's handling things, even if the other guy is at fault - let their insurance deal with the other guy's insurance. I only accept first party, where Mr. Smith (client) is rear-ended, for instance. His PIP handles the payments to me. They will pay fairly quickly, sometimes within a couple of weeks. I try to stay away from 3rd party PIPs, where the other guy's insurance pays directly to you. That can sometimes be a long wait because they don't want to settle quickly. In those instances, I always make the client pay, and give a receipt, and it's up to them to deal with the other guy's insurance.

I bill first party PIPs often, making sure I have a Dr. script for massage, getting claim #, etc. from client, and checking with their insurance first to make sure it's an open claim, and that I have a mailing address to send claims and chart notes to.

(I'm in WA State, assuming that you can do the same in VA)

Comment by Rick Morgan on May 16, 2010 at 6:54am: Probably, depends on their settlement with the insurer

Comment by Desiree on May 15, 2010 at 9:40pm: So can anyone tell me this? If I have someone that has a PI case like a car accident and they get services and pay cash to me, can I give them a receipt and then they submit to get reimbursed personally?

Comment by Desiree on May 15, 2010 at 9:39pm: Thanks Rick. Thats what I heard from another therapist but I wanted to make sure they were correct. Thats too bad that we cant. I really do not want to deal with PI and WC cases. At least I cant afford to at this point.

Comment by Rick Morgan on May 14, 2010 at 9:20am: Desiree,
My understanding is that we cannot bill direct to health insurance. If you work with a primary care provider/md/chiro, they can bill for your services. PIP and workers comp-yes

Comment by Jan Seeley, LMP on May 13, 2010 at 11:56am: Desiree...are you licensed in VA? Do they have a state massage board? That is the first place I would look for answers. And talk with other Virginia therapists. They should be able to tell you what you need to know. I'm not aware of any agency or group that keeps track of what each state allows regarding acceptance of health insurance..

Anyone else?