Guest guest Posted January 4, 2005 Report Share Posted January 4, 2005 Hi all, I have just started my practice, and have a couple of insurance cases. I was wondering what type of terminology everyone was using in his or her initial evaluation forms that are turned into insurance. Not the intake forms. But a separate document that Aetna requires. An associate suggested writing in western medicine terminology. We were taught in school to use purely TCM. I was wondering what would be more successful. Thanks, Heather Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 6, 2005 Report Share Posted January 6, 2005 Heather- You definitely need to use Western terms. Insurances do not understand TCM terms. Ask an experienced practitioner to help you write one up. There are also different books on report writing. I don't know where you are but in CA Kevin McNamee(sp) or Fred Lerner's courses are great for learning the ins and outs of the insurance game. Heather <hvandeburg wrote: Hi all, I have just started my practice, and have a couple of insurance cases. I was wondering what type of terminology everyone was using in his or her initial evaluation forms that are turned into insurance. Not the intake forms. But a separate document that Aetna requires. An associate suggested writing in western medicine terminology. We were taught in school to use purely TCM. I was wondering what would be more successful. Thanks, Heather http://babel.altavista.com/ and adjust accordingly. If you are a TCM academic and wish to discuss TCM with other academics, click on this link Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 6, 2005 Report Share Posted January 6, 2005 We were told in ACup school to use " 729.1, " the term for myofascial pain. Sort of a " catch-all " phrase. JG --- " Todd Larlee L.Ac. " <t_larlee wrote: > > > Heather- > You definitely need to use Western terms. > Insurances do not understand TCM terms. Ask an > experienced practitioner to help you write one up. > There are also different books on report writing. I > don't know where you are but in CA Kevin McNamee(sp) > or Fred Lerner's courses are great for learning the > ins and outs of the insurance game. > > > Heather <hvandeburg wrote: > > Hi all, > I have just started my practice, and have a couple > of insurance > cases. I was wondering what type of terminology > everyone was using > in his or her initial evaluation forms that are > turned into > insurance. Not the intake forms. But a separate > document that Aetna > requires. An associate suggested writing in western > medicine > terminology. We were taught in school to use purely > TCM. I was > wondering what would be more successful. > > Thanks, > Heather To translate this message, copy and paste it into > this web link page, http://babel.altavista.com/ > > > > and adjust accordingly. > > Messages are the property of the author. Any > duplication outside the group requires prior > permission from the author. > > If you are a TCM academic and wish to discuss TCM > with other academics, > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 6, 2005 Report Share Posted January 6, 2005 Oh boy, here we go. Not all L Ac are allowed to make western diagnosis so I would not rely on a catch all like this. Why don't you ask the patient to get the ICD-9 codes from their primary or have patient sign a release so that you can call their primary to get this information. It is a lot easier to get paid in you use this info than go it alone. I am not sure the original question was looking for ICD-9 codes but some sort of form that the insurance company is asking for. I am not sure why and what the insurance company is looking for. Typically a practitioner submits a hcfa 1500 form filled out with procedures, dates and cost of care info. Occassionally, you might get a request for medical records, which you must then copy and send to them (you can charge extra for retrieval and copy of the medical records). I hope this helps. Later Mike W. Bowser, L Ac >John Garbarini <johnlg_2000 >Chinese Medicine >Chinese Medicine >Re: insurance terminology >Thu, 6 Jan 2005 13:14:56 -0800 (PST) > > > >We were told in ACup school to use " 729.1, " the term >for myofascial pain. Sort of a " catch-all " phrase. > JG >--- " Todd Larlee L.Ac. " <t_larlee wrote: > > > > > > > Heather- > > You definitely need to use Western terms. > > Insurances do not understand TCM terms. Ask an > > experienced practitioner to help you write one up. > > There are also different books on report writing. I > > don't know where you are but in CA Kevin McNamee(sp) > > or Fred Lerner's courses are great for learning the > > ins and outs of the insurance game. > > > > > > > Heather <hvandeburg wrote: > > > > Hi all, > > I have just started my practice, and have a couple > > of insurance > > cases. I was wondering what type of terminology > > everyone was using > > in his or her initial evaluation forms that are > > turned into > > insurance. Not the intake forms. But a separate > > document that Aetna > > requires. An associate suggested writing in western > > medicine > > terminology. We were taught in school to use purely > > TCM. I was > > wondering what would be more successful. > > > > Thanks, > > Heather > > > > > > > > > > > > > > To translate this message, copy and paste it into > > this web link page, http://babel.altavista.com/ > > > > > > > > > and adjust accordingly. > > > > Messages are the property of the author. Any > > duplication outside the group requires prior > > permission from the author. > > > > If you are a TCM academic and wish to discuss TCM > > with other academics, > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
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