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Suggestions on How to become a provider?
Please also check the
insurance billing manual updates and the
blog for more information.
1. Find out if you are allowed to become a provider in your state. You can contact your state insurance commissioners’ office or the local health insurance companies. 2. If you are not allowed to become a provider consider, forming a group of therapists in your state and begin the process of changing the law. Work with your local massage association or state board. 3. Find out what qualifications are needed to become a provider. Some requirements may be a minimum of liability insurance or a minimum amount of time being in practice. There may also be space requirements such as privacy regulations and handicap access. 4. Call the local insurance companies and ask for a provider application. This is usually a detailed application. 5. You will be required to sign a contract with the company and comply with their rules and regulations. Read everything carefully. 6. Find out what CPT codes you are allowed to bill and what is their allowable fees for that code. Find out how many units of each code they will pay for. Find out what you need from clients to ensure payments – prescriptions, referrals, co-payments, chart notes etc. 7. Prove to an insurance company that your treatment will save them money. For example: 6-12 session of massage working with carpal tunnel can save the insurance company the costs of surgery.
Please also check the
insurance billing manual updates and the
blog for more information.
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