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Insurance Billing Manual for Massage therapists

Please also check the insurance billing manual updates and the blog for more information.

 Issues that affect the future of massage and insurance billing

While more and more insurance companies are allowing massage therapists to become providers and are paying for massage therapy services, I find it to be a mixed blessing.  On one hand we are being recognized as health care providers. On the other hand our work is being limited and controlled by companies who don’t really know much about health and healing.  They are telling us how long our sessions should be, how often we can see the client, for what duration, for what conditions and how we should be treating them.  In some ways, we are being forced into joining with insurance companies.  There are a lot of people who will not go for massage just because it is not covered in their policy.  Some will only go for the allotted number of treatments and stop after that.  This is usually a result of people not understanding what massage is really all about and really valuing such a service.  Educating people to take responsibility for their health and well-being is essential.  It is not just about “fixing” that shoulder problem or back problem.

As a profession, more research is needed to determine if we really want to be jumping into the medical arena and becoming a part of managed care.  Do we want to continue being able to bill for MVA’s , L&I/WC? What is it saying about our work?  Our profession?

I feel we are responding to a need of the community rather than determining what it is we want to be doing.  We feel pressured to accept insurance so that we don’t lose clients and so that we will get a steady flow of new clients.  We are jumping into a field that will further require us to “fix” clients and limit healing.  The medical community and insurance world are constantly struggling with financial issues and what they will cover, what will be paid and when.  We feel that we have to become a part of this network to be accepted by doctors and clients – but do we really need this?  What will give us more credibility and provide massage therapists with the tools for success?  (I have more thoughts on this online at www.thebodyworker.com, http://www.thebodyworker.com/guesteditorial_118.pdf, http://www.thebodyworker.com/insurance_billing_massage_therapy.htm)

 

I also believe that there is much more to healing than “fixing” clients symptoms.  Healing requires teams of support so that the client can look at the deeper issues of what is really causing them to overwork, not take care of themselves and then end up sick or injured.  We all know that there is much more to musculo-skeletal pain than meets the eye.  Repressed emotions and spiritual conflicts are often the cause of pain.  We build up physical armor to protect ourselves from the stress around us and in us.

Being a part of networks and billing insurance companies that are based on the medical model of healing pain, really limit healing and the ability of the client to find their wholeness.  It takes us away from being of service and forces us to “fix”.  Moving away from managed care and billing insurance companies will allow us to emerge from the shadow of “caretaking” and come into the light where we can be accepted for who we are rather than what the insurance industry wants us to be.   It is possible to build and maintain a practice that is 100% cash and also be successful! 

The way out of “caretaking” and “fixing” and being a slave to insurance companies is through supervision.  Supervision is the process of looking at ourselves first to discover our own wholeness and learn to stay aware of it as we work with others who are looking for wholeness themselves.  It is the process of becoming aware and staying alive while others are in their story of pain.  Our stories are where we have come from and what builds our defenses and limits us. It is finding out what our stories are so that we can know when our story is having us rather than knowing that we are in our story.  Building a community peer supervision groups and seeking out individual supervisors where we can share our stories and come to know our stories better, are the key to getting away from managed care and building a profession that is accepted by the public. 

It is the key to creating successful practices – a practice that is financially rewarding, emotionally connected and spiritually alive!

 

Please also check the insurance billing manual updates and the blog for more information.

Home ] Insurance Billing CE ] Become a Provider ] Table of Contents ] Intro ] Contracts ] Personal Injury ] Track communications ] Types of Insurance ] Networking ] How to become a Provider ] What should SOAP charts say? ] Physicians Referral for Massage ] Issues and Ethics of Billing ] Reports ] State Info ] Insurance Benefits Verification ] Basic Billing Procedures ] Personal Injury Claims ] Insurance Billing Manual ] To bill or not to bill ] Insurance Billing manual updates ] Fill out HCFA ] Functional Outcomes ] Resources ] Progress Report From ] Injured Workers ] Setting Your Fees ] Glossary A-E ] GlossaryF-O ] Glossary P-Z ] [ Issues and Ethics ] The ICD-9's ] CPT & ICD-9 Codes ] CPT Codes ] Getting Paid ] HMO's, PPO's ] Documentation ] HCFA Intro ] In Summary ]

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