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Advisories & Alerts
 

The MTAM publishes this information on our main web site as a courtesy to our members, other therapists and the public for the benefit of the profession and the safety of the public.Disclaimer: We do our best to keep the latest information updated as made available. We are not responsible for the topicality, correctness, completeness or quality of the information provided.

 


INSURANCE AUDITS ARE ON THE RISE IN MANITOBA


CHARTING IS A REQUIREMENT OF YOUR PROFESSION


Charting is a requirement of your Standards of Practice and is expected to be done by all professional RMTs nationally. 

Yet, we hear from many members that the organizations they work for tell them they do not need to chart. We are unsure where this belief comes from, but please know you need to chart. 

Charting improves your skill, your effectiveness, and protects you if you are audited or sued, and allows you to fulfill client requests for their personal healthcare information under the Personal Health Information Act.




WHY ARE THERE MORE AUDITS NOW?


Historically, RMTs direct billed to insurers using paper submissions that were signed by the client each time. That form and signature was proof that the client attended and was given a treatment.

The introduction of electronic submissions changed this process and insurance benefit providers now use an audit process and specifically chart (SOAP) notes to confirm that a massage therapy treatment occurred and when.
 


ARE AUDITS JUST "WITCH HUNTS"?


NO. Employers across Manitoba spend a lot of money to provide benefits for their employees. Those benefits, like massage therapy, are an extremely important way for employers to ensure they have a safe, healthy and productive workforce.

Each year, insurance benefit providers, like Manitoba Blue Cross, uncover fraud, illegitimate claims, over-charging, and abuse of benefits.

They need to confirm healthcare is being given legitimately, appropriately, and non-fraudulenty on behalf of their clients. Fraud and abuse costs everyone (including you) as it stagnates benefit plan improvements and can even reduce the benefits in a plan as the cost to employers increases when fraud and abuse occur.




AGREEMENTS & AUDITS



Review all of your HEALTHCARE PROVIDER AGREEMENTS and know your responsibilities. e.g. Manitoba Blue Cross requires an extended health benefit form be filled out and signed by your client EACH YEAR. Find out how MANITOBA BLUE CROSS AUDITS WORK and what they expect.


MEMBER ALERTS

With tax season approaching, some members are reporting CRA scam letters and phone calls in Manitoba. 

Please be vigilant when you receive, either by telephone, mail, text message or email, a fraudulent communication that claims to be from the Canada Revenue Agency (CRA) requesting personal information.

The most recent letter circulating looks very legitimate and is asking for detailed information of a past employee to be sent back to Employment and Social Development Canada. It asks for banking information --- a red flag that it is not a legitimate letter.

Unauthorized communication may request personal information such as a Social Insurance Number and credit card, bank account and passport numbers and is a sure signal that it is not legitimate.


Please report these scams to the Government and the police as it is the only way they can shut down scammers.

How to report a scam:
http://www.antifraudcentre-centreantifraude.ca/fraud-escroquerie/index-eng.htm

How to Protect yourself and Know what a scam looks like:
https://www.canada.ca/en/employment-social-development/corporate/transparency/service-canada/access-information/prevention-signalement-fraude/unauthorized-communications.html

https://www.canada.ca/en/revenue-agency/corporate/security/protect-yourself-against-fraud.html


Alert: Inappropriate Ads In Southern Manitoba

Alert: Email Scam

Learn more about current Fraud at the Canadian Anti-Fraud Centre:
http://www.antifraudcentre-centreantifraude.ca/fraud-escroquerie/online-enligne-eng.htm

 


Member Advisories