Massage Insurance Billing

Comment

Comment by Julie Onofrio on October 27, 2010 at 11:38pm

Only WA allows mt to be contracted providers. If someone is billing ins. then ask them how. If it is through a chiro. it is probably under their license.

Comment by Darcy Neibaur on October 27, 2010 at 11:06pm

Nancy contact Vivian Madison Mahoney on this site. She is the expert.

Comment by Nancy Henson on October 27, 2010 at 11:02pm

Nobody in Mobile, AL. has breached insurance billing for MT, yet a couple of other cities in AL. are indeed billing insurance, i.e. chiropractor offices. Tried to do research on becoming a provider to no avail...any advice or links you can direct me to?

Comment by Julie Onofrio on October 21, 2010 at 10:02pm

I use www.officeally.com- It is free and secure. It is all electronic billing. You just add the info to a cms 1500 form online. They also have free client management software and a few other things that I haven't tried.

Comment by Mark Volkmann on October 21, 2010 at 4:15pm

Do you use any billing software, using a billing service, or submiting them manually? Ideas and tips would be greatly appreciated!

Comment by Ann Ross on October 17, 2010 at 7:35pm

Hi Everyone,

With all of the recent changes regarding insurance billing in WA state I'm considering no longer billing insurance directly and passing it onto my clients (if they wish to do so). Has anyone ever provided a "superbill"? If so, what exactly needs to be included for the insurance company to accept it from the client and reimburse them directly? If anyone has or knows of a sample form that would be great!

Thanks so much for your time!
Ann

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)

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