Orthopedic Massage

Regain and Sustain Your Groove
Through A Whole Movement System, Outcome-Informed Approach.

Orthopedic Massage

Orthopedic massage is a whole movement system approach used to formulate a plan customized to the unique needs of each individual.  Through thorough assessments, we can establish a better baseline picture of the system, measure progress, and adjust approach as necessary.  Good assessment and treatment plan formulation can be the difference between temporary and longer lasting relief. 

Pain, by itself, is not a reliable indicator of where the primary contributory factors are located within the movement system. The body is a dynamic system where all parts interrelate with each other.  Poor posture, past injuries/ trauma, and repetitive activities can all change how stress is distributed throughout the movement system. The redistribution can lead to postural and movement compensations that can increase the risk for pain, injury and functional limitations. This is why consideration of the whole system can help minimize the chance of missing important contributors to a person's pain or range of motion constraints.

Dan’s approach is primarily influenced by orthopedic massage (academyofclinicalmassage.com), sports massage (crossfunctionacademy.com), structural integration (anatomytrains.com), and soma-neuromuscular approaches (tragerapproach.us/).  Key techniques that may be used are:  massage cupping, myofascial release, passive and active movement,  trigger point therapy, instrument assisted soft tissue mobilization (IASTM), facilitated stretching, and rhythmic oscillations/ rocking.

Dan will target whatever tissues show signs of need.  All levels of tissue, from superficial to deep, contribute to the function of the movement system.  Different tissue types need different treatment approaches such as muscle, fasciae, ligaments, and nerve tissue. We use both direct and gentle approaches, static and active movement techniques, and target different tissue depths. The goal here is to help you regain and maintain the best soft tissue and movement health possible.  

After the session, Dan may suggest self-care strategies to try at home towards the maintenance and improvement of progress achieved during appointments.  Any suggestions offered are educational in nature and not medical prescription.

We offer 2 massage therapy options:  Regular and Sports.  Regular massage includes the client disrobing to their comfort level and beneath sheets.  Sports massage includes client wearing a tank top and shorts.  Both experiences are effective.  Sports massage may include a few minutes more hands-on time as there is no disrobing step.  Sports massage may feel more like a physical therapy visit.  More stretching can be done with sports massage as the nature of a disrobed client and sheets make many stretches not feasible.  Hybrid sessions can also be done.

What is orthopedic massage?

The key element of orthopedic massage is the emphasis on functional/ movement assessment and clinical reasoning to help formulate and direct the therapeutic plan. The techniques and modalities used by an orthopedic massage therapist will differ based on the skillset of the practitioner. Orthopedic massage, clinical massage, and sports massage are all terms that can used synonymously.

We used the term sports massage (above) to refer to the setting of care, shirt and shorts vs the more common sheet drape setting. However, it can be used to describe this approach to care. Some places will use the term sports massage to refer to both the approach and setting. It might also refer to athletic event massage.

Rates

First Visit (Cash/ ATOS):  $65/ 60 minutes

Regular Rates:

  • 75 minute: (Cash/ At Time of Service):  $125
  • 60 minutes: (Cash/ At Time of Service):  $100
  • 30 minutes: (Cash/ At Time of Service) $50 
  • Auto Accident (PIP):  $175/ 60 minutes
  • Workplace Injury (L&I): $175/ 60 minutes

Times include both bodywork and intake.  Bodywork time varies depending on intake and functional assessments that may be performed prior (typically 5-10 minutes).  

Peak Function Health gladly accept Cash/ Credit Card, HSA, and FSA. We also accept Auto Accident (PIP) primary insurance. And, we are in-network providers with Kaiser Permanente.

We ask for 24-hour notice for cancellations.  Fees apply for late cancel ($50) and No-show ($85).

First Visit (Cash/ATOS)

Dan first priority is to get acquainted with you, and discover how he can best help you to realize your health goals.  Extra time is worked into the first visit for that purpose.  Please plan for up to 75 minutes for this appointment. 

Auto Accident

The first appointment includes a comprehensive intake and assessment. With subsequent visits, the intake-assessment time is usually shorter.  

For your first appointment, please plan for up to 90 minutes. 

We accept 1st party Personal Injury Protection (PIP/ Auto Insurance) policies only.

Insurance

Peak Function Health accepts 1st party PIP Insurance (Automobile Accident). We do not accept 3rd party policies.
We also accept Kaiser Permanente Health Insurance. We are an in-network provider for Kaiser Permanente HMO and PPO plans.  

Insurance Policies

For motor vehicle accident (PIP) claims, we need your:

  • Company Name
  • Policy Number
  • Maximum Amount of Coverage & Current Status (PIP)
  • Adjuster Name 
  • Adjuster’s Phone Number and Email Address
  • Mailing Address to Send Claims
  • Date of Accident/ Event 
  • Referral from a Qualifying Medical Provider such as a Medical Doctor, Chiropractor, or Physical Therapist. 
  • Referral needs to include Diagnosis Codes

We cannot begin massage therapy without these items received and confirmed.  

For more information, please us at dan.godbout@peakfunctionhealth.com.  We will respond with an HIPPA level encrypted email where you can securely send your information for us confirm and help get you on the road to recovery.

The client is responsible for any denied claims. A signed agreement acknowledging and confirming this responsibility is required before your first massage appointment.

Major Medical Insurance

We are in-network with Kaiser Permanente HMO and PPO plans only.

Other than Kaiser, we do not accept any major medical insurance.  If you have Out-of-Network benefits for massage therapy, direct reimbursement from your insurance company may be possible.

For all services rendered, payment is required at time of service (ATOS).  Afterwards, we can provide you with a Superbill for you to submit to your insurance company.  A Superbill is a special itemized receipt of services performed that can used to submit a claim. You will need to contact your insurance company to find out how to submit a claim.

We can also send your claim on your behalf called Courtesy Billing.   In both cases, services are paid upfront. Courtesy billing is a convenience service for superbill submission. Services are still paid at the time for which they are rendered.

We cannot guarantee that your insurance company will reimburse you for services rendered.  Claims are frequently denied for various reasons.  Follow-up with Insurance pertaining to a denial is the responsibility of the client.    

Information you will need have with you for Superbill or Courtesy Billing is:

Referral for Massage Therapy by a qualifying medical provider such as a Primary Care Physician, Chiropractor, or Physical Therapist.

Diagnosis Codes need to be included in the referral.  Even if your insurance policy doesn’t require a preauthorization for massage therapy, diagnosis codes are required for any claim submissions.  Massage Therapists are not allowed to diagnose any condition.  Therefore, diagnosis codes require a referral from a qualifying medical provider.

We need the following information from you.

  • Referral with Diagnosis Codes
  • Insurance Company Name
  • Policy Number
  • Group Number (if applicable)
  • Modifier codes for claims, if your insurance company requires them.  You will need to inquire.  Failure to provide required modifier codes will result in a denial.  

You should inquire about the following information to help minimize unwanted surprises.   

Do you have out-of-network benefits for Massage Therapy?

How much coverage do you (Out-of-Network)?  What is your deductible and what is its status?

Can massage therapy be rendered by a massage therapist?  Some policies will only cover massage therapy services rendered by Physical Therapist or Chiropractor.  

Is it a combined or solo benefit?  Some policies combine services from multiple specialties under one benefit.  Physical Therapy and Chiropractic are commonly grouped with Massage Therapy.  If you are receiving care from multiple specialties that are covered by the same benefit, the max visit/ coverage allowed will be exhausted faster.

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