Archive for the ‘Policies/Promotions’ Category

Using your Health Insurance for my services

Monday, April 30th, 2018

At this time I am taking new clients with Regence Blue Shield, First Choice Health Network, and United Health Care. First Choice and UHC clients can continue to book appointments from the regular service menu, as can L&I and PIP claims.

To book an appointment that will be paid for with your Regence health insurance, please choose “Insurance Session 60 Minutes” from the service menu on my booking site. You will then have to choose “Insurance A.” as your provider- this is still me, using a different provider name so I can distinguish between services.  There are a limited number of these sessions in my schedule, so it may be several months before an opening shows up on the calendar. You can also join the cancellation list (on the sidebar) for openings that come available.

For all clients using their health insurance, I ask that you have a prescription for massage from your doctor, regardless of whether your plan says you need one. Your prescription must include the proper ICD-10 diagnosis code/s and the number of sessions prescribed. Some Regence plans require pre-authorization for massage therapy treatment. Please click here to determine whether this affects you.

I no longer work as an Aetna or a Premera provider, but I can furnish you with the proper paperwork to get my work reimbursed at the out-of-network rate if you wish.

Thrive Together Healing Arts

Wednesday, September 27th, 2017

I have had this dream for a reaaaallly long time to get a thing going with other folks who do healing work in various disciplines. I’ve spent hours working on business plans and crunching numbers and as yet the time has not been right and the plan has not become more than a dream, but I did get excited a couple of years ago and set up an LLC and bought myself some url’s. Thought I’d point them here for awhile, while the dream drifts around in the ethers… here’s the nutshell:

Thrive Together Healing Arts is a collective wellness center currently in the idea phase of existence.

Thrive Together sustains a field of rejuvenating energy, invites you to feel better just by walking in. It is a collective of offices housing 4-7 independent practitioners of varying healing arts, sharing resources where useful. It is peaceful without being precious, friendly and engaging and respectful in its presentation.

Underneath all the struggle and strain, we are doing just fine; this place will remind us of that.

We are a Limited Liability Company owned by one of the independent practitioners of Thrive Together Healing Arts.  Although other practitioners are not owners in the LLC, collaboration, collective responsibility and respect are keys to sustaining the common goal of Thriving Together.

Gift Certificates

Tuesday, March 8th, 2016

cert_massageTo purchase a gift certificate go to the “Book Now” button in the right sidebar, where you will find a “Gift Certificates” option in the menu bar on top. Thanks!

Insurance Paperwork

Tuesday, January 26th, 2016

Here are some resources for those of you wanting to submit claims to your insurance companies for out-of-network reimbursement:

Premera’s Claim Form

Aetna’s Claim Form Menu

Cigna Claim Form

You will need a billing statement from me to submit along with the form from your insurance company, and many times they will want me to put the ICD-10 code from your prescription on my statement. Again, I require a prescription even if your plan does not.

Straighten Up and Fly Right!

Wednesday, June 3rd, 2015

Vintage Stranger Ad, unfinished
Vintage Stranger Ad, unfinished
It’s Summer in Seattle! The best time of year, and you should be feeling your very best. To help keep you flying through these long and lovely days, I’m offering a mini-series of Structural Integration for a reduced rate: Three sessions for $300. (That’s a savings of $75 for the set!)

If you have never received Dr. Rolf’s Structural Integration work, three sessions is a perfect intro, and should leave you feeling light on your feet, longer in your spine, and either completely satisfied or aware that you need more.
If you have done a series in the past, three is a great tune-up set.

To take advantage of this offer, book three appointments here and use promotion code SUMMER!. Offer ends August 31, 2016.

Settling in

Monday, September 22nd, 2014

The big move is behind me. I have been working in the new space for a week, every day adding a little more of this and adjusting that. I have a couple more things to take care of, but it’s almost home.

I like it more than I thought I would. I’ve traded seagulls for train whistles, and crazy afterthought bathrooms for easy listening in the elevators.

Entry
Entry
Afternoon light.
Afternoon light.
Small but cozy.
Small but cozy.
Night view.
Night view.

My hope is that as I settle into the space, it will become more and more restful and welcoming for you.

Moving

Friday, September 5th, 2014

August 15, 2014 marked 21 years in the Maud building for me. I was 22 when I signed that lease, fresh out of massage school and super tired of being a bike messenger. My brother had asked me if I wanted to fill up some space on the back of the Stranger (where he was one of two ad reps) with a free ad, and I needed a place to practice when people started calling. I remember the first client I had in my new space– a friend of a friend.

It was never my intention to end up in Pioneer Square, but the spaces I was looking at in the Capitol Hill and Belltown areas felt cramped and ugly, and this little room had a tall ceiling, an exposed brick wall, and a lovely big window. I paid $110/month for the tiny room I have been using as my office, enough room for a massage table, a cabinet for my sheets, and that was about it. When I got my Structural Integration certification in 1997, I expanded into the spacious suite I’ve been using ever since.

Pioneer Square has historically been a sketchy neighborhood–like, right from the start– and yet I have never felt unsafe here. I have watched the Square struggle to balance high rent retail with a high percentage of homeless services, suffer the blows of the Nisqually earthquake and the big Recession, endure a reputation of violence and stink, and see it now emerging into the new “Foodie Heaven” advertised on the buses, a place with more people living in it and working in it and more development on the way.

When my landlords told me last month that it was time for them to occupy the whole building, I immediately began looking for my new space. As I walked around Pioneer Square, my gut sat low and sluggish, sad and heavy. The rents were predictably much higher than what I have been paying (a fact I have always appreciated), and the spaces were uninspiring, despite being in beautiful old buildings. I went to check out a new building in SODO and my gut sat up a bit, got lighter, more curious, despite the awkwardness of the location and the smaller size of the room. How strange.

So, I am leaving Pioneer Square. My gut told me to, and we are tight like that. I don’t know what is in store for me, and I doubt that my new space in SODO will be mine for more than a couple of years, but I have a feeling that this move is the beginning of something good, the “next thing”, potentially amazing.

I have one more week here as I write, and I am enjoying the creaking floors, the terrible noise bleed, the comfort and familiarity of it all. I have grown up here, and I will always be grateful for the opportunities that the Maud Building has provided.

Onward!

Health Savings Account/Flexible Spending Account

Tuesday, January 14th, 2014

One of the trends I have noticed over the past couple of years is the rise in Health Savings Accounts (HSA’s). More companies seem to be choosing high-deductible insurance plans and contributing some money to attached HSA’s for their employees as health care costs rise and insurance premiums become unwieldy.

Massage therapy and bodywork is not specifically listed as an “eligible expense” on IRS Publication 502 describing tax deductible Medical and Dental expenses, but neither is it listed as “ineligible”. From what I can gather, a “letter of medical necessity” or a prescription from your physician would push my services into the “eligible” category.

Flexible Spending Accounts (FSA’s) work in the same way.

If you use your HSA/FSA without the safeguard of a prescription or a letter of medical necessity and are audited by the IRS, they could decide that your treatment was not properly documented as a qualified medical expense and that the money you spent is subject to income taxes and a 20% penalty.

The good news is that the threshold for determining medical necessity seems to be relatively low– your physician simply needs to explain it, and that should be sufficient. Here is a sample letter of medical necessity from my own HSA. Check the website from your HSA manager to find the form they prefer.

Medical Necessity

Monday, January 6th, 2014

To get your massage covered by your insurance, you will need a prescription from your doctor, even if your insurance plan says you don’t. This ensures that your massage is “Medically Necessary”, which keeps me out of trouble. It is outside of my scope of practice to diagnose your injury, and yet I must have a diagnosis code to bill with– thus, a prescription.

Additionally, you should be aware that insurance companies are pretty rigid in their definition of “Medical Necessity”:

“Benefits for inpatient and outpatient rehabilitation therapy services (such as massage therapy) are provided when such services are medically necessary to either restore and improve a bodily or cognitive function that was previously normal but was lost as a result of injury, illness or surgery.

Loss of function generally means a joint that doesn’t have full range of motion or full strength, or pain that prevents you from your activities of daily living.

Insurance companies are less interested in treating chronic pain syndromes; in my experience, they want to see results. If the treatment isn’t working within 6 -10 sessions, then it must be the wrong treatment. (See previous post.)

 

Pre-Authorization

Monday, January 6th, 2014

Regence Blue Shield has recently begun to require pre-authorization for physical medicine services, including massage therapy. If your plan is administered by Regence, but independent of them (ex. King Care, UMP) this does not affect you.

I am still learning how this works, but it is supposed to go like this:

  • You come in for an initial assessment and treatment.
  • I submit for a pre-authorization online.
  • If you have not yet received any physical medicine treatments for the year, you get four sessions automatically, to be used within three months. This includes the initial treatment and assessment.
  • After four sessions, if you still feel that you need treatment, I then submit an updated treatment request showing changes you have made since the start of care, and outlining how we are going to quickly and efficiently get you healed within, say, another four sessions.
  • If you have already received some physical medicine treatments, including Physical Therapy, other Massage Therapy, and possibly Chiropractic care, I’m not even sure what we have to do. I haven’t jumped that hurdle yet, and as you may know, getting answers from insurance companies can be tricky.

Here is a chart showing their progress expectations:

I will update this post as I learn more about how this works in practice.

In the meantime, if you are a Regence client (not a King Care or UMP subscriber) and have had some physical medicine treatment already this calendar year, I will need you to contact me before you make your appointment so we can try to set the gears in motion.

Thanks.