Insurance Reimbursement and Massage Therapy
Business & Marketing

Insurance Reimbursement and Massage Therapy

Author(s): Nancy M. Porambo and Clark Simpson

3CE credits 10 Lessons Text

Explore how to work with insurers and other healthcare payors on reimbursements. Understand the entire process including steps to begin, organizations involved, and managing denials. Determine if third-party billing is right for you.

This course includes short videos to enhance the text content.

Disclaimer: The information contained in this extended course is not intended to reflect AMA, CMS, AMTA, any district or state division of AMTA, state Medicaid and/or any private third-party carrier policy. It is intended to be informative and does not supersede state/provincial licensing boards’ ethical guidelines and/or local, state, provincial or national regulations and/or laws. It is superseded by Local Coverage Determination and specific healthcare contracts.

The information contained herein is meant to provide practitioners involved in massage therapy services with information regarding the issues addressed. The ultimate responsibility of the validity, utility and application of the information contained herein lies with the individual and/or institution using this information and not with any supporting organization and/or the author of this course. Finally, note that the CPT system is copyrighted and the information contained in the course should be treated as such. CPT information is provided as a source of education to the participants of the course.

When you finish this course, you will be able to:

  • Describe the process of reimbursement billing and how state regulations may enable or prevent coverage.
  • Review HIPAA expectations and confidentiality.
  • Explain credentialing and contracting, and insurance denials.
  • Define opportunities made available due to healthcare reform.

  1. Insurance Reimbursement
  2. Billing Third-party Payors
  3. Insurance Reimbursement Videos 1-2
  4. Billing Basics
  5. Confidentiality and HIPAA
  6. Codes for Reimbursement
  7. Billing Forms and Denials
  8. Healthcare Legislation and Massage Therapy
  9. Insurance Reimbursement Videos 3-5
  10. Glossary

Nancy M. Porambo is a nationally certified and state licensed massage therapist. Since 1990 she has operated the Therapy Option Inc. in Jim Thorpe Pennsylvania, a facility that specializes in the treatment of chronic pain utilizing neuromuscular massage therapy techniques. Nancy holds bachelor degrees in Psychology and Business Management and received a Master’s Degree in Clinical Health Psychology from the Philadelphia College of Osteopathic Medicine. 

Clark Simpson is President/CEO of The Clark Group Associates, Inc. The Clark Group Associates, Inc. is a leadership and strategic management company providing consulting services in revenue enhancement and third party reimbursement. He is an Adjunct Professor in the MBA program of Anderson University’s Falls School of Business.