Billing massage therapy can be tricky and is based on payer rules. For example, some payers will only pay one modality with a visit or two modalities max. Massage therapy is billed in 15 minute increments but I have never seen more than 1/2 hour get paid by health insurance - in my experience. Be sure patient signs an ABN saying they know they might be liable for payment if insurance denies the therapy.
In many cases, HMOs tell their patients that massage is a member benefit which entitles them to say, 25% discount on massage therapy and it does not go through insurance. Patient pays at time of service. I know at least 2 HMOs that have that rule.
So, if you charge $75 for a 50 minute massage, the patient only has to pay out of pocket $56.25....which is cheaper than going to a massage spa.
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