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Insurance Billing in CA by LMT

I would love to hear from Licensed Massage Therapists in California who run their own business on how I can bill insurances. What are your experiences? Thanks a lot!

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Permalink Reply by Jennifer Parks on July 1, 2013 at 9:58pm

Hi Tanja! I'm currently an ASH (American Specialty Healthcare) Provider and it's going great! They make it very easy to submit payments. I just wish more policies covered massage...but baby steps. Little by little we are making believers out of them that massage is not just relaxing, but it's also a great pain management tool & preventative therapy for so many ailments!!!

ASH only pays $11.25 per 15 minutes ($45 ph), but I don't do deep tissue. I keep it easy on my body and work the injured areas. Contact them! It takes 60-90 days for credidation.

Be well ;)
Jenn

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Permalink Reply by Jody C. Hutchinson on July 2, 2013 at 8:27am

Tanja,

The Ca MTC doesn't license therapists, it is a certification. CMP or CMT, no LMT.

Anyway, the two insurances you can bill are Personal Injury/Auto Accidents and Workman's Compensation. These are two entirely different systems with CPT codes, payment schedules and other administrative policies.

I have had good luck with Auto cases. My last W/C case paid barely $47 and I can't afford to do these anymore.

I wouldn't sign up for ASH or any other PPO. Just my 2 cents.

Cheers,

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Permalink Reply by Mike Hinkle on July 2, 2013 at 8:03pm

Hi Tanja,

The best expert in the country on Medical Billing will be our Keynote Speaker and teaching a class you may want to take on board the Queen Mary next month! Vivian Madison Mahoney can help you. Her class at http://worldmassagefestival.com/2013/mahoney.html

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Permalink Reply by Daniel Cohen on July 3, 2013 at 2:42pm

You must be determined and persistant if you want to be approved as a provider. They do everything they can to delay and discourage. Check out if it is worth it to you. Remember that they set the rates. Cafeteria plans are great. Your client gets reimbursed.

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Permalink Reply by Tanja Seagraves on July 3, 2013 at 4:19pm

Jennifer Parks said:

Hi Tanja! I'm currently an ASH (American Specialty Healthcare) Provider and it's going great! They make it very easy to submit payments. I just wish more policies covered massage...but baby steps. Little by little we are making believers out of them that massage is not just relaxing, but it's also a great pain management tool & preventative therapy for so many ailments!!!

ASH only pays $11.25 per 15 minutes ($45 ph), but I don't do deep tissue. I keep it easy on my body and work the injured areas. Contact them! It takes 60-90 days for credidation.

Be well ;)
Jenn

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Permalink Reply by Daniel Cohen on July 3, 2013 at 10:40pm

Thanks, I was thinking of joining ASH. But at $45/hour, I will keep doing what I do. Auto accidents are much better. Even Mercury Insurance pays more than that.