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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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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

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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 Julie Onofrio on February 8, 2010 at 5:26pm
Just to clarify further- my comment about it being too expensive should have been that it may be too expensive for some and finding out more info about whether or not you can bill in your state or what is involved can help you to make a more informed decision about whether or not you want to pursue taking classes or not. I did not say that anyone who purchased the product is being taken advantage of in any way.

I just think that more can be done to get insurance billing to be accepted in other states and this is a good place to begin - getting ideas and input.
Julie
Comment by Ann Ross on February 8, 2010 at 5:24pm
Jan,
I have never known an MT to be able to receive that much. While an MT might be billing that much, I can't ever see getting reimbursed for that much. It's my understanding that $120 is the highest we will be reimbursed through PIP. L&I used to pay that in WA state, however it has since been reduced to, I think $88. Also, the highest I have ever seen private insurance pay is $100. If you find any information on that I'd love to know. Seems a little excessive to me. :)
Best,
Ann
Comment by Jan Seeley, LMP on February 8, 2010 at 5:18pm
OK...I just want to know where a massage therapist can make over $200 in one session. Is that in a place where the therapist is not contracted? I make nowhere near that in a session. That seems pretty outrageous, IMO. What can you possibly bill for that amounts to that much?
Comment by Darcy Neibaur on February 8, 2010 at 5:17pm
Vivian thank you for being who you are and for doing what you do for all of us.
Comment by Julie Onofrio on February 8, 2010 at 2:17pm
My apologizes Vivian... I was just reacting to another post saying that you would help anyone and everyone which is fine but I also think that we can help each other on a local level and it is good to mentor others and be mentored by others.

Even if you take your online class there are still very intricate details that only apply to each state like here in WA there are so many things to know that are different than most states because we are billing PPO's and are under contract.

Your products are the best in the profession - no doubt about that and yes I do promote them which is why I also started this thread here but I also do think that billing insurance can help many massage therapists stay afloat and even build a successful business doing ins. billing.

Julie
Comment by Vivian Madison Mahoney on February 8, 2010 at 11:47am
I have read through some of the comments and was shocked to see that Julie (group creator) has commented that Vivian's insurance products were "too expensive".

I am so sorry but I just have to defend myself and the thousands of massage practitioners who have purchased my materials or who took my seminars.

Since 1990 I raised my basic, no materials included, 6 CE seminars from $145.00 to $169.00 or $189.00 depending on distance.

Next I am sorry to hear that those thousands of massage practitioners who spent $109.90 including shipping, were taken advantage of by me. I thought and still think that if a massage therapist wants to work in a field with medical, legal and insurance professionals that this cost of doing business to learn to do it right is not "expensive". What I was always taught, is that ignorance is what is expensive.

Adding also that anyone who has purchased my materials from www.massageinsurancebilling.com or whom have taken my seminars gets a year of free consultation. To this date anyone can tell you I have NEVER charged for consultation not only to those who have purchased products from me years and years ago but not for ANYONE, NOT EVER!!

Thousands of hours of my FREE time have gone into helping massage therapists in the arena of insurance billing, practice building and other massage related business questions.

Not only do I assist Massage Professionals, but MD's, DC's, Insurance Auditing and Insurance Fraud Divisions. So do we really need to get all the massage therapists involved giving opinions who have had problems or do we want them to ask questions to help them prevent delays, denials, reductions and losses?

If my making a living selling a manual to a massage therapist for $109.90 including S&H is too expensive to help them make over twice that amount in the VERY FIRST PATIENT SESSION if and when properly billed, then tell what I should be doing from here on out?

Preventing delays, denials, reductions and losses, that is what I am all about!!

And to end my comments, I think it is only fair to note that Julie has earned more from my Affiliate Program than anyone else. Over $1,300.00, in this past few months on my "too expensive" products.

Forgive me if I sound angry but that was such a slap in the face, I was angry and I felt the need to defend myself and those who believe in me.

Vivian
Comment by Hans Albert Quistorff, LMP on February 7, 2010 at 11:17pm
I have been a member of bill_for_massage@yahoogroups.com since 2006. It is not a very active group but every few months there will be a question that sparks some exchange.
Hans Albert Quistorff, LMP
Antalgic Posture Pain Specialist
Comment by robbie rogers on February 7, 2010 at 3:50am
does anyone do medical billing in new mexico?
Comment by Jan Seeley, LMP on February 7, 2010 at 2:33am
as far as I know, Medicare and Medicaid will NOT pay for massage. I'm in WA state, and bill just about everyone except Regence of WA Insurance, as their provider lists are closed. I only bill using the code 97124. There is also a code 97140, manual therapy, but I understand that a lot of insurancews won';t accept that from massage therapists...at least not here in WA State. If you know otherwise, let me know.

Here's an article from massage today.com that explains some of the various codes:

http://www.massagetoday.com/mpacms/mt/article.php?id=10699
Comment by Julie Onofrio on February 6, 2010 at 9:24pm
Yes thanks again. I know Vivian helps everyone and is an expert at insurance billing. I think we can learn more from each other by discussing such issues and especially learn from what is going on in WA State where we are contracted providers with insurance companies. It is mandated by state law and if people would look at how it started here maybe we could get it to be more accepted in other states. It was just the insurance commissioner creating a law making it so and then a few years of law suits by the ins. companies and we won.

How can we get accepted as insurance providers in every state? That will be one topic of discussion here and in my other online communities.

Julie
 

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