What is the correct billing procedure to be followed by a licensed massage therapist (LMT) when billing for services rendered to No-Fault patient?
• Ans: The Insurance Department has not established a fee schedule applicable to a massage therapist. However, the amount a massage therapist can charge is controlled by Regulation No. 83, Section 68.5 (b), which allows massage therapists to bill at the prevailing rate in the geographical area of the provider. Note that an insurer can review a bill and possibly reduce it if the insurer believes that the bill is not consistent with charges for similar procedures in an established fee schedule adopted by the Superintendent of Insurance. Any reduction by an insurer to the charges billed by a health care provider must be denied and can be resolved through arbitration or litigation.
