Active Release Technique
Clinical Massage Therapy
Active Release Technique
What is Active Release Technique (A.R.T.)?
– Active Release is a patented manual hands-on therapy that corrects soft tissue problems and injuries. Muscles, tendons, fascia and nerves can all benefit from this therapy. Many types of injuries are treated using this technique. Some of the specific injuries that are treated include repetitive strains, nerve compression, muscle pain and joint dysfunction.
– The ART® practitioner finds the exact tissue that is injured or causing the problem and then physically works that tissue back to its normal texture, tension and length.
– The ART® practitioner also finds muscles and other tissues that have developed adhesions within or between them. An adhesion, which is basically like scar tissue that builds up between the muscle layers, can act like a glue restricting the normal sliding motions of the various tissue layers. ART® is used to break apart these adhesions and allow the muscles and nerves to move freely once again. Restoring proper nerve and muscle movement allows the body to perform at its most efficient level.
– The manual technique used by the ART® provider is not invasive, it is very specific, and provides excellent results.
How many treatments will I need with ART® to get better?
– The best thing about ART is that if it is going to work it will usually work quite quickly. Usually a patient will see significant results within just a few visits…typically reaching resolution within 4 to 6 visits. The actual time to become fully healed will differ between each patient. Generally the more chronic or severe the problem is the more treatments you will need to reach resolution. However, almost all patients will know within the first 4 or 5 visits if the technique is helping them in the right direction or not.
Is ART® like a massage?
– ART is hands on like a massage but is a very specific method that utilizes patient motions. Massage can be very beneficial if done by a good provider as well though. Due to the differences between the techniques, we will sometimes combine ART with massage methods done by one of our certified massage therapists, or with other myofascial release techniques.
Do the doctors at Active Body Chiropractic have much experience doing ART?
– All of our doctors are full body certified ART providers and have taken advanced courses in ART.
– Please see our web page entitle ‘Your Doctors’ for a more detailed breakdown of each of our doctor’s training
Do ART treatments hurt?
– The treatments are very deep and can be intense, but most people find that they actually feel good.
– Treatments are always done to the tolerance level of each individual to maximize their benefit in the quickest possible time-frame.
What kinds of things can ART help?
– ART is great at helping hundreds of different soft tissue problems throughout the body. The doctors have treated muscle and nerve injuries in all regions of the body. Whether it’s a nerve impingement in your arm (such as Carpal Tunnel Syndrome), a chronic tension headache, or Plantar Fascitis…ART can help it.
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What type of treatments do the chiropractors do at Active Body Chiropractic?
– All of the chiropractic physicians at our clinic use traditional chiropractic manipulations of the joints. These manipulations or ‘adjustments’ help restore normal joint function throughout the spine and body.
– The actual adjusting technique used by our chiropractors is ‘Diversified Technique’
– All of our chiropractors combine their adjusting techniques with ART® and other techniques
Isn’t it dangerous to get your ‘bones cracked’, especially in the neck region?
– Chiropractic manipulations are extremely safe and incredibly effective at relieving pain. Our doctors are very specific in the joints they target to improve joint motion and they use the minimum force necessary to achieve the adjustments.
– A good example that shows the safety of Chiropractic manipulations is by looking at the malpractice insurance levels that chiropractors pay compared to other medical providers. The malpractice insurance companies make providers pay premiums based on how risky the procedures are that they perform and those companies are very effective at measuring the risks associated with procedures. Chiropractors pay the lowest malpractice insurance of any medical providers…they only pay around a quarter of what the average Dentist pays!
What exactly is that ‘cracking noise’ when someone gets manipulated by a chiropractor?
– The chiropractor finds the joints that are not moving correctly in your spine and then uses a gentle manipulation to restore normal joint motion. That ‘popping or cracking’ noise is simply the sound of the pressure being released from a joint that is being moved. It is similar to a champagne bottle being opened…there is a lot of pressure in there and when the pressure is released it makes a little ‘popping’ noise.
Where did the Chiropractors at Active Body go to school and receive their training?
– Dr. Drynan and Dr. Heddles are graduates of the National University of Health Sciences (formerly the National College of Chiropractic) in Lombard, Illinois. Dr. Verchota is a graduate of Palmer Chiropractic College in Davenport, Iowa. Dr Ford graduated from Logan College of Chiropractic in St. Louis, MO
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What is Graston Technique?
Graston technique is a patented form of instrument-assisted soft tissue mobilization. The specially designed stainless steel Graston tools are used to detect and treat areas of the body that exhibit soft tissue fibrosis or scar tissue. The tools gently break up adhesions and scar tissue that has built up in the muscles and fascia. If you break down the scar tissue it can get rid of pain and improve strength and range of motion.
Graston is a technique that has been made popular by athletes though it actually works great for anyone who suffers from the tight stiff muscles we get from repetitive motion injuries or even bad posture. See this infographic for more details.
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Clinical Massage Therapy
What about massage therapy, how much does that cost?
– Our therapists charge $50 for a half hour or $100 for an hour. We do also have special rates that can further reduce the cost.
Can I use my insurance to cover clinical massage?
– Depending on your insurance company and your benefits, you may have coverage for deep tissue / clinical massage. You must, however, first be a patient of one of the clinic’s chiropractors to be eligible since deep tissue work can only be covered if it is part of a therapeutic treatment plan and working towards a specific treatment goal. Ask one of our billing specialists or one of our doctors about eligibility for coverage of clinical massage therapy.
What type of massage do the therapists utilize at Active Body?
– Our massage therapists are myofascial release specialists. They all excel at therapeutic deep tissue and sports massage but can also do purely relaxation massages as well. Each of their styles are very different but all of them are deep. You will not be disappointed!
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What other treatments do you offer?
In addition to Active Release Techniques, Graston Technique, Chiropractic care, and Massage Therapy we also provide other rehabilitation methods to create an incredibly powerful combination of treatments to heal the human body.
Selective Functional Motion Assessment (SFMA)
Reflexive Performance Reset (RPR)
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Payments and Insurance
What is the cost of treatment at Active Body Chiropractic?
– The cost of treatment depends on the services that are rendered that day and whether the patient is self-paying, using their health insurance, or has been in a personal injury case involved with either an automobile or litigation. Please see which of the following sections below best describe your circumstances within our payment policies and :
- ‘In’ or ‘Out’ of network refers to whether Active Body has a signed agreement with the respective company.
- ‘Accepting Assignment’ means that we would accept direct payment from an insurance company.
- A patient is only responsible for a copay at the time of service if we accept assignment but is still responsible for deductibles and non-covered services. If we do not accept assignment payment is due in full at the time of service.
- Flex and HSA plans can all be used at our clinic for services.
ABC is currently ‘in-network’ with Blue Cross Blue Shield (PPO). We are also ‘in-network’ with Medicare but this is a special case (see Medicare section below). We will make a copy of your card and collect any co-pay that is due. We will submit your claims and assist you in any way we reasonably can to help ensure that those claims are paid. Your insurance company may need you to supply certain information to them directly. It is your responsibility to comply with their requests. After hearing back from your insurance company, we will send you a statement if there is a balance that we are to collect. We strongly advise that you contact your insurance company to discuss your benefit coverage for chiropractic services (such as CPT code 98941) and physical medicine / physical therapy services (such as CPT 97110). Knowing your insurance benefits is your responsibility. Insurance coverage for these services varies greatly from plan to plan. We are always happy to help you with questions in determining your coverage but ABC cannot be held responsible if ultimately the insurance does not pay for services or provides false benefit information. Please be aware that some insurance plans may require pre-certification for chiropractic care. Make sure you understand your plan’s benefits before you come in for treatment.
We are Out-of-Network with Aetna, Cigna, Humana, United Healthcare, and all other insurance companies, however, any of these companies may still re-reimburse you for your services at our clinic. You will need to contact your insurance company to see if they will reimburse you for visiting an out of network provider. We do not accept assignment from out-of-network insurance companies which means that you will be responsible for providing payment at the time of service and ABC can assist you by submitting these charges to your insurance company so they can reimburse you directly. ABC can send all claim forms directly to your out-of-network insurance on your behalf for free if your insurance company accepts electronic claim submission. Alternatively, ABC can provide a superbill with diagnosis and procedure codes directly to you for your own claim submission. This is the extent of the aid ABC can be expected to give in helping to bill any out-of-network insurance company. If you request that ABC spend any extra time or effort in the future, in any manner, to assist you in the reimbursement process other than submitting an electronic claim or providing you a superbill, an additional compensation must be paid by the patient to ABC. Compensation for the additional times spent are at the rate of $25 per hour.
- NOTE: Some companies such as Aetna and Cigna may not have updated their websites and may show that some of our doctors are part of their network. Even if their website says we are part of their group we can guarantee you that none of the doctors of our clinic are part of their network and we have no current contracts with them. We have tried to point this out to them but we have no way of forcing them to update their websites.
Self-Paying and Out of Network Insurance Patient Fees:
Active Body Chiropractic is pleased to offer EVERYONE (both insured and uninsured) the option of paying at the time of service to get a slight discount from our typical rates. At this discount level, the prices for our most common services are listed below:
– A new patient first appointment with one of our doctors: $175 (typically an hour visit)
– A typical visit with the chiropractor which includes Active Release Technique or other soft tissue methods: $90
– Chiropractic adjustment only (no soft tissue work): $30
– Hour long clinical massage: $100
– Half hour clinical massage: $50
– We do also offer further discounts if you pay for packages of visits or combine multiple services, ask our front desk for more info.
*Insurance Deductibles and Co-Payments:
A ‘deductible’ is a prearranged dollar amount on your insurance plan that you must pay out of pocket before your insurance benefits take effect. Your insurance company will instruct us when to bill you for this. A ‘co-pay’ is a payment that ABC is required to collect at the time of service. These arrangements are part of your contract with your insurance company. Failure on our part to collect co-payments and deductibles from patients can be considered medical fraud and thus payment of these is expected in a timely manner.
Medicare patients have very limited insurance coverage at ABC. Medicare does not cover or pay for initial exams even though they require by law that these procedures are performed prior to the beginning of care. Medicare ONLY PAYS FOR CHIROPRACTIC ADJUSTMENTS to the spine and NOTHING ELSE. You will be required to pay for any non-covered services (such as Exams, ART, Graston, Myofascial Release) but you are entitled to the time of service discount we offer all patients for these services. We do accept assignment for the chiropractic portion of your visit (covered at 80%) but all other services will need to be paid at the time of service. Medicare supplemental insurance may cover the other 20% of the covered Medicare charge but will still not cover Medicare non-covered procedures. If you have a true secondary insurance you may have coverage for other Medicare non-covered procedures though you should be aware that most people do NOT have secondary insurance, supplemental insurance is the much more common type.
*Insurance Non-covered Services and Payment Denial:
Please be aware that depending on the rules outlined by your insurance company, some – and perhaps all – of the services you receive at our clinic may not be covered or deemed medically necessary. ABC has no way to control this type of judgment by your insurance company. We bill and deal with insurance as a courtesy to you but we have no way to guarantee what your particular insurance plan will do since it is YOUR insurance. You are responsible for payment of any non-covered services and are expected to pay for them in full.
*Insurance and ‘Wellness / Maintenance Care’:
Please note that insurance companies may not pay for wellness / maintenance care. Insurance companies only want to pay for a limited amount of your acute treatment visits with a symptomatic diagnosis. Insurance may also deem care to be unnecessary if therapy is not progressing at what they consider to be a satisfactory rate and will label this as maintenance care. In this case you are entitled to our Time of Service discount if your insurance company refuses payment. You may speak to our billing manager about this.
* If my insurance company refuses payment, what happens?
We will gladly work with you and your insurance company to try to rectify any problems that arise. If ultimately the insurance company does not pay, however, you are responsible for your medical bills at Active Body.
Worker’s Compensation cases:
We may accept Workers’ Compensation (W.C.) cases at our clinic but ONLY if you have an open and accepted Workers’ Compensation case and before scheduling your first appointment with us, you MUST:
1. Ensure that you are following state laws and adhering to any protocols established by your Workers’ Compensation Insurance Company in seeking medical care.
2. Procure complete claim information (including the name and billing address of your Workers’ Compensation insurance company, the name and contact information of your adjuster, your claim number, your accepted date of injury, and the nature/location of the accepted injury). You will be required to present this information at the beginning of your initial appointment.
If you do not have ALL of this information before you arrive for your first visit, you will have to pay for the services in full at time of service.
Personal Injury cases:
We do accept Personal Injury (PI) cases at our clinic. Please note, however, that you have to contact our office manager who can then verify the claim in advance of your first visit if you want us to accept assignment and deal directly with your auto insurance. If the PI case has not been verified in advance, then payment for all services rendered at our clinic must be made at the time those services are rendered. If we have not accepted assignment, we will gladly submit itemized bills, complete medical records, and other relevant documentation to your attorney or PI insurance company on your behalf, for a one-time service fee of $25. Alternatively, we can provide all of this information to you, free of charge; which you can then submit to ensure that they are accounted for during your settlement and reimbursement.
Collection Process for Non-Payment:
Please be aware that if your account is over 90 days due, and if we have sent more than 3 bills with no response from you, your account will be subject to an in-house review. If at that time satisfactory payment arrangements have not been established, your account may be forwarded to a collection agency. At that point, any further appointment scheduling will not be allowed until the collection balance is paid in full and any future scheduling will be at the discretion of the clinic.
At ABC we do not like to charge people for missed visits but we have to do this for repeat offenders since we spend a lot of time with each patient and missed visits cost our clinic and prevent other patients from getting in to see us. We reserve the right to charge for missed appointments that are not canceled within 24 hours of the time of treatment. We utilize a ‘3 strikes’ policy on late cancellations and ‘2 strikes policy’ on no-shows: on the third late cancellation in less than 24 hours or on the second no-shows you may be charged. These charges will be your responsibility and will be billed directly to you (insurance does not cover missed appointments). Currently our missed appointment charge is $50 PER HALF HOUR OF SCHEDULED TIME. (i.e. missing a half hour massage and a half hour slot of time with a doctor will incur a $100 missed appointment fee). Missed appointment fees must be paid prior to continuing therapy at ABC. If you miss your first appointment as a new patient, depending on the circumstances we may require a credit card to pay in advance for your next rescheduled appointment. We are understanding and do make concessions for special circumstances. Please help us to serve you better by keeping your regularly scheduled appointment.
Insufficient Funds Checks:
Our policy is to attempt to secure funds from all checks written to us. If they fail then we will charge the patient the fees that were incurred by that check bouncing. If we are not contacted within 3 weeks of a check bouncing, we reserve the right to forward the account on to a collection agency in order to procure payment.
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When is the clinic open?
– Our current hours are posted in the side bar of of our website’s home page. Please note that aach doctor at our clinic has their own specific hours that vary from these general clinic hours.
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Online Bill Payment
How does the online bill payment system work for paying my Active Body medical bills?
– You can pay your Active Body bill directly through our Paypal account. Our website will direct you to the Active Body Paypal account. Paying your bill online through our website/Paypal is very quick, convenient and secure. Enter your patient ID and press the ‘click here to pay’ button and you will be transferred to a Paypal® secure server for the transaction. Once there, just enter the amount you would like to pay and then choose your payment method. To pay by credit card you can use your Mastercard, Visa, American Express, or Discover card. If you have a Paypal® account you can use that to make your direct payment as well.
What is my ‘patient ID’ number? Do I need this to make a payment?
– Your patient ID is a 4 digit number listed on your bill that you received in the mail. This is not critical to payment since you will be entering your name with your payment on the Paypal website. However, if you have the same name as another patient in our clinic it ensures we apply the payment to the right person! (Don’t worry, an error like this is easily fixed later)
Do I have to have a Paypal® account to use the online payment feature?
– No, you do not have to have a Paypal® account. If you wish to pay by credit card you do not need to worry about a Paypal® account.
Does Active Body Chiropractic keep my credit card information or other payment information?
– No, we do not see any of your private credit card information. The only information that is sent to us is that you have made a payment in a certain amount of dollars. Paypal.com is the only company that deals with your credit card details. Paypal is considered to be one of the most reliable internet financial transaction institutions and they ensure the security of your information.
Are there any extra fees for using this feature?
– There are no extra fees. This is just a convenient and secure way for patients to make a payment.
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Can I download the forms I will need to fill out on my first visit to fill them out ahead of time?
– Definitely! This will help to speed up your first visit.
DOWNLOAD ACTIVE BODY INITIAL VISIT FORMS (PDF format)