Insurance Issues

[YEGBoi]

Here are my top 3 suggestions for ensuring our registered RMT's can issue receipts and WE can actually use some of that room on our benefit plans:

1) only obtain a receipt for the amount of time spent. Do not ask for a receipt for tips too.

2) Ensure the receipts have your RMT's registration number on it and no one else's. 600 receipts from the same RMT in too short a time is a major insurance red flag.

3) Check your insurance company's "no-fly" list of massage stores and providers who are no longer eligible to direct Bill or issue valid receipts.

If the bullshit doesn't stop, insurers will stop providing coverage altogether and that isn't good for any stakeholder. This is peoples livelihoods. If they politely say they can't issue a receipt for the amount you are asking, be polite about it.

 

[Albertaman]

On point #2, the best managed places maintain a detailed log book for each RMT associated with that business that is qualified to issue claimable receipts. So even if they have some non RMT therapists, the receipt will be issued against a legit one, with the time block marked off. So when an insurance company makes an audit call (and they do, at random), the specific client by name can be verified for that day against the issuing RMT. When getting receipts, do so only from these carefully managed places.
Ps: the old practice of some Asian RMT issuing hundreds of receipts for a fixed fee per receipt to a whole bunch of spas is damned - only fools would use such receipts.
Also, a well managed spa will often inquire which insurance program you are on. So if they have some challenges with one specific company, they might let you know. However with greater data sharing amongst insurance companies, once a spa has run foul with one insurance agency, chances are that they will be black listed by others.
Take away lesson - best to get receipts only from the places that are non compromised in any way. Plus, why bother sharing personal information with places where you have been pounding away with one or more masseuses? Just not smart. Off topic, but on parallel subject - every hobbyist should have a dedicated burner cell phone, and change it every year. GLTA


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[Love2Massage]

If they have a non registered massage provider and they issue a receipt in anothers RMTs name that is a huge no no also.

Being Registered also means you have liability malpractice insurance, if someone filed a claim for injury it would go to the girl whos name is on the receipt. Also being registered means that its mandatory to keep client history and records/consultation forms. They also do random audits to ensure you are doing proper health record keeping, which brings me to clients wanting receipts but not wanting to fill out forms with real names and addresses....that's another story.

Anyways....my point is if they are claiming to be registered they need to keep proper records of health history, soap notes and receipts issued and only issuing if they did the massage.

I have a hard time believing that this is being done in most cases.

 

[Albertaman]

You can be sure that at almost 99% of Asian spas with RMTs there is zero paperwork maintained except the receipt tracking. And yes, most still issue RMT receipts (one or two on staff) even when the massage is from a non RMT staff member.



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[Spexx]

I haven’t had an issue with receipts from any of the places I’ve reviewed.
The only problem I find is figuring out what the RMT’s first and last name when filling out the online claim. Most have 3 names, for which I assume are; first, middle, and last. But you really can’t tell. Never the less, my insurance carrier hasn’t denied any claims yet.

 

[Albertaman]

I haven’t had an issue with receipts from any of the places I’ve reviewed.
The only problem I find is figuring out what the RMT’s first and last name when filling out the online claim. Most have 3 names, for which I assume are; first, middle, and last. But you really can’t tell. Never the less, my insurance carrier hasn’t denied any claims yet.

The better managed places do manage their receipts well. Current RMT registration number for each qualified staff member, and moderate number of massage receipts per day (no more than 8) against each, and maintain those records to handle calls from insurance companies, well into the future.


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