Frequent question: Can a licensed massage therapist bill insurance?

In order for insurance companies to reimburse for massage therapy or any medical service, the condition being treated must be medically necessary. The way insurers initially determine medical necessity is by the diagnosis, designated by a code corresponding with the medical condition provided by the treating physician.

Can massage therapists bill insurance?

State licensing laws control whether massage therapists can bill health insurance for their services. … Insurance companies also usually require a doctor’s order for a service before they will pay a claim, so make sure you are familiar with the requirements of the insurance companies they work with.

What kind of insurance does a massage therapist need?

There are three main types of insurance that massage therapists need: general liability, professional liability, and business property liability. General liability: Coverage for any accidents that occur before or after treatment.

Is lymphatic massage covered by insurance?

For example, if you have lymphedema that has caused extreme swelling in your arms and legs, your insurance company likely covers lymphatic drainage massage because it is considered a legitimate form of medical massage and treatment for lymphedema. …

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Can a massage therapist get an NPI number?

Massage therapists, as of 2007, have the option to obtain an NPI. Other heatlh care providers such as doctors, dentists, and physical therapists, also register for and receive NPIs.

How can I get my insurance to pay for massage therapy?

How to get medical insurance to cover massage therapy

  1. Call to verify your insurance coverage for massage therapy. …
  2. Get a prescription by clearly communicating to your doctor that you’d like massage therapy. …
  3. Ask your doctor to prescribe massage for the most general diagnosis possible. …
  4. If possible, get a prescription that doesn’t specify the frequency and number of massages.

How can I get insurance to pay for massage?

There are ways to have your massage services paid for by your health insurance companies.

  1. Enroll in a flexible spending account (FSA). …
  2. If your FSA card doesn’t work then get an insurance receipt from the massage facility. …
  3. If you are using massage for medical reasons, get a doctor’s prescription.

What is the best insurance for massage therapist?

The Most Coverage At The Lowest Cost

From complete professional liability coverage to freebies for your touch therapy practice – MMIP’s massage therapy insurance proves to not only be the most affordable liability and malpractice insurance, but also the most beneficial.

Do therapists need malpractice insurance?

Malpractice insurance isn’t only for medical professionals. In these litigious times, counselors / psychotherapists are encouraged to carry professional liability insurance (or malpractice insurance) to safeguard from a claim or lawsuit as well.

Does Blue Cross Blue Shield cover medical massage?

It is difficult if not impossible to get in home massage through regular major medical insurance like Blue Cross/ Blue Shield, Cigna, United Health Care (UHC), Aetna, etc. However it is possible, if your doctor’s office is willing to bill this themselves, for massage therapy to occur at the doctor’s facility.

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Does Medicare pay for lymphatic massage?

Under current Medicare policy, lymphedema patients have coverage for Manual Lymphatic Drainage (MLD), performed by a qualified Medicare provider such as a physical or occupational therapist, and, when certain conditions are satisfied, a pneumatic compression pump.

Can doctors prescribe massage therapy?

Massage therapy can be prescribed by your doctor. If you are suffering from any of the following conditions, consult your physician to see if massage could be a treatment option: Stress-related insomnia. Headaches.

Do chiropractors do massage therapy?

While some chiropractic providers offer massage therapy in their offices, not all offer chiropractic massage. This discipline is its own separate entity with different methods but similar goals to both massage therapy and chiropractic adjustments.

Who needs an NPI?

All Individuals and Organizations who meet the definition of health care provider as described at 45 CFR 160.103 are eligible to obtain a National Provider Identifier, or NPI. If you are a HIPAA covered provider or if you are a health care provider/supplier who bills Medicare for your services, you need an NPI.

How do I get an NPI?

How Do You Apply for an NPI? Health care providers may apply for an NPI in one of three ways: Option 1: Apply through a web-based application process. Visit the National Plan and Provider Enumeration System (NPPES) at https://nppes.cms.hhs.gov/NPPES/Welcome.do on the CMS website.

What is the CPT code for massage therapy?

97124

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