I’m a massage provider for Premera Blue Cross. This morning I was verifying massage therapy benefits for a patient when the customer service rep at Premera asked me for the diagnosis codes (ICD) from the doctor’s prescription. This is the first time I’ve had this happen. I don’t know whether I got a new customer [...]
by Larry on June 17, 2005
in Massage
You always need a prescription for medical massage, even if your plan says you can self-refer. Here’s why. It’s not in my scope of practice as a massage therapist to diagnose, yet the insurance billing forms require a diagnosis code before they will pay. If I were to just make up a diagnosis code and [...]
by Larry on June 17, 2005
in Massage
Insurance companies continue to closely monitor reimbursements for massage treatments. I’ve got a couple of patients whose payments have been suspended until they file an appeal. All of these appeals (and other disputes/issues with insurance companies) keep coming back to the same issues: medical necessity and treatment plans. To help both my patients and me [...]