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Massage Insurance Billing

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Massage Insurance Billing

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.massagepracticebuilder.com/massage-insurance-billing
Members: 142
Latest Activity: Jul 16, 2017

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.

Please start a discussion topic and use your state/city in the heading and share information on what massage insurance billing you are able to do in your area.  Thanks Julie

Discussion Forum

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Is there a max number of units allotted per body region? When I took my medical billing class I learned that we could only bill for 2 units per body region per day (I use code 97140). I wonder if…Continue

Started by erica ragusa. Last reply by Phil Cutrell, LMT, BCTMB Jul 28, 2016.

ICD-9 code: is it needed? 1 Reply

My thought is that we do as LMT's need an ICD-9 code from a referring physician in order to bill for massage therapy.  Is this correct?  I recently received a script from a physician referring his…Continue

Started by erica ragusa. Last reply by Eeris Kallil CMT Nov 10, 2015.

Hiring a Medical Biller 6 Replies

I am looking to "hire" a medical biller to bill insurance for my practice. I am a one man show…Continue

Started by Trina Throckmorton. Last reply by erica ragusa Oct 1, 2014.

What states/cities, insurance plans can you bill in your state? 9 Replies

One of the most common questions I get is what insurance company can I bill?In Most states you can bill for car accidents and work related injuries but there are certain rules in some states like…Continue

Started by Julie Onofrio. Last reply by Julie Onofrio Apr 11, 2012.

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Comment by Desiree Zeller, LMT, BCTMB 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 Zeller, LMT, BCTMB 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 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?
Comment by Desiree Zeller, LMT, BCTMB on May 13, 2010 at 11:13am
Does anyone know if therapists in Virginia are able to bill insurance with a doctor referral?
Comment by Melanie Cain on April 19, 2010 at 9:08pm
If you are a Washington State Practitioner and are interested in billing classes and information please send me your e-mail to get on my list. I will be teaching in Seattle and Vancouver this summer and will have classes on the East side of the state as well, being that I am from Kennewick.
Comment by Erica Bliss Winston on April 14, 2010 at 5:14am
Andrea,
I would find someone in your state who teaches about insurance billing. It really makes a difference. Florida and WA are unusual in that massage therapists are accepted in the insurance industry (by state law, I believe) and a lot of the "teachers" come from those states, including Ms. Mahoney I believe. You need to talk to someone who knows WI.

Here in NC, insurance billing options are slim because a massage therapist can't be a "provider" in the system. Taking on workman's comp and auto accident cases has serious ramifications in when you get paid and if you get paid, so know your stuff and your risks before you get started.
Comment by Darcy Neibaur on April 14, 2010 at 3:14am
Andrea contact Vivian Madison Mahoney. She is on this site. She is an insurance Expert
Comment by Andrea Keapproth on April 13, 2010 at 11:58pm
Hi,
I have been a LMT since 2007. I worked in a private office for my first 2 years and I have now just opened my own business in WI, within a chiropractic office.
I am hoping to start accepting insurance, but have no previous experience working with insurance companies or the paperwork involved.
The chiropractor is very enthusiastic about sending me clients with workman's comp and insurance.
Does anyone have any advice for me? Or a website where I can get the correct forms needed?
Thank you.
Comment by Jan Seeley, LMP on March 14, 2010 at 11:11pm
unfortunately, that's still the impression to some people. It's part opf our job to educate them, to speak up, to let them know exactly what massage does for their health. It's one step at a time, but it's up to us. Or you could move to WA State :)
Comment by Kimberly Rogers on March 14, 2010 at 3:45pm
Okay. So it sounds like in Wisconsin, a massage therapist would have to be a partner or an employee of a physician's office or or chiropractic office or physical therapy practice, where the medical practice is the one billing insurance, not the massage therapist. This explains alot. But why tie our (MTBs) hands? As long as we are trained, certified and registered/licensed with our state, why not "free up" the grip a little? I was offended when an insurance rep came to my husband's work (off-duty National Guard job) and told family and worker attendees at the yearly insurance-update meeting that massage is "froo-froo" and real men don't need pampering.

"Froo-froo?" Puh-leeze.
 

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