Services

Revised: 02/25/2024

Please take notice of our COVID-19 information under the Patients tab.

Manchester Bedford Myoskeletal LLC provides specialized Myoskeletal Alignment and other therapeutic services to the public. Please click links below for information about each service. Comprehensive rate tables are located on our Rates and Fees page.

Changes:

Please note the following:

  • Our non-medical “Urgent Care After Hours” service is schedulable online. Payment for this service must be made in full at time of booking.
  • Our pricing structure and rates changed now resemble medical billing systems you may be familiar with. Follow the link for more details on the new price structure or please call (603) 622-1112 for more information.

Ready to Schedule?

Quick Links to Scheduling:

Services: (Click to learn more)

Before booking an appointment, please be sure to read our Office Accessibility page for important information.

Which service to choose?

When scheduling, new patients simply choose “New Patient Assessment”. Returning patients schedule “Office Visit, Treatment” and appropriate time. For example: “Office Visit, Treatment – 60 mins”. New VA referred patients, please call (603) 622-1112 to set up your first appointment. Returning veterans choose “Veteran Massage” and time based on your referral.

Hours of Operation

DayOpenClose
SundayClosed
Monday10:00 AM5:00 PM
Tuesday8:00 AM3:00 PM
Wednesday10:00 AM5:00 PM
Thursday10:00 AM5:00 PM
Friday8:00 AM3:00 PM
SaturdayClosed

Need to Waitlist?

You can now waitlist! If your desired date/time for an appointment is already taken, you can now send a waitlist request form through our online scheduler. Up to three patients may waitlist per day on a first come first served basis. Online scheduler users can cancel their appointments themselves 4 or more hours prior to their appointment. However, for cancellations of less than 4 hours prior, our waitlist call may be very short notice, perhaps only 30 minutes before the available time or less. If you wish to receive a short-notice call (1 hour or less before the available opening), be sure to check the “Short Notice” box near the bottom of the waitlist request form.

Telephone Consultation – No charge

We screen new patients calling for an appointment to ensure they are a candidate for myoskeletal work and that no physician referral is necessary before we proceed further. This way, the patient doesn’t waste time and money. The telephone consultation takes 5 to 15 minutes depending on the complexity of patient’s conditions, symptoms, medical history, nature and extent of injury, etc.

A candidate for treatment may be referred to their physician or one of our suggestion for any of the following reasons:

  • Request for diagnosis
  • Diagnostic testing (X ray, CT, MRI, etc.)
  • Determination of contraindications or restrictions of care
  • Medically relevant unusual findings
  • Medical file
  • Insurance information
  • Other type of treatment prior to or in lieu of being seen here

Patient may also be referred after their Assessment for the same reasons.

In-Office Consultation – $30

Note: This service is not a covered benefit for insured patients.

Our in-office consultation service is offered to prospective patients to meet our Master Myoskeletal Therapist, view the clinic, and to discuss a patient’s condition and concerns face-to-face. Bring any diagnostic imaging and radiology reports you may have with you. We also use this time to determine what level our therapies may help an individual or, if not appropriate or indicated for an individual’s condition, where to refer them.

Important: Assessments will not be conducted during this visit.

Physician-Referred Consultation

A doctor may wish to send a patient of theirs for a provider-to-specialist consultation and/or assessment as part of the patient’s plan of care. In this case, the person does not become a patient of Manchester Bedford Myoskeletal; the visit may be considered more of a second opinion. The physician will usually forward relevant medical history, diagnostic imaging, radiology reports, and other information for us to consider before their patient’s visit with us. Once we review this information, we call the patient to schedule an appointment for them to come in for their consult, which may last from 15 minutes up to 1-1/2 hours, depending on complexity.

We may collect insurance information at that time and the patient will complete a simple personal data form for our records. Depending on the information from the doctor’s office and insurance company, the patient may be required to pay for our out-of-network services or the doctor’s office will be charged as appropriate.

The consultation is followed by a physical exam, which may include specific functional movement, Myoskeletal and orthopedic testing, hands-on soft tissue palpation (therapist will get a feel for anatomical structures and soft tissue texture), and, if the doctor requests it, patient education and results of the visit. After the visit, either a summary or full report will be forwarded to the requesting physician of our findings within 1 to 3 days.

New Patient In-Office Assessments and Consultations (97161 – 97163-3)

We prefer to treat by treatment plan. During this visit, we seek to identify gross compensation strain and pain patterns and postural concerns. The New Patient Assessment includes the following:

  • Clinic intake
  • Consult
  • Relevant health and medical history
  • Review of radiology reports and diagnostic imaging
  • Functional movement assessment
  • Related orthopedic tests and hands-on soft tissue palpation
  • Our Myoskeletal Assessment
  • A debriefing of findings and general discussion
  • Patient education, Q&A

After the visit, a treatment plan will then be created based on patient’s complaints and analysis of assessment. Those opting to purchase the appropriate comprehensive assessment report and treatment plan are welcome to share the report with their physician.

Important: When scheduling a New Patient Assessment, please understand not everyone’s complaints and conditions have the same level of complication or difficulty. Anticipate that our assessments may take up to 75 minutes to complete. If a patient’s condition is less complex, we may offer a treatment session for the remaining time and charge the appropriate assessment level and treatment codes or end the session and simply charge for the appropriate assessment level.

For each assessment level, office visits include the evaluation and management of new patients and coordination of care with referring physician, if any, consistent with the assessment of the problem and patient’s needs. Family may attend if desired and must attend if patient is a minor. Duration of visit is spent face-to-face with patient.

Cost of assessment is based on the following procedure code guidelines:

  • 97161 – Office visit for the assessment and management of a new patient, which involves an appropriate history and/or examination and straightforward treatment decision. Duration 15-25 mins.
  • 97162 – Office visit for the assessment and management of a new patient which involves an appropriate history and/or examination and straightforward treatment decision. Duration: 26-35 mins.
  • 97163-1 – Office visit for the assessment and management of a new patient which involves appropriate history and/or examination and low level treatment decision making. Duration 36-50 mins. Comprehensive written assessment and treatment plan can be requested and will be billed separately for $90.
  • 97163-2 – Office visit for the assessment and management of a new patient which involves an appropriate history and/or examination and moderate level treatment decision making. Duration: 51-60 mins. Comprehensive written assessment and treatment plan can be requested and will be billed separately for $105.
  • 97163-3 – Office visit for the assessment and management of a new patient, which involves appropriate history and/or examination and high level treatment decision making. Duration: 61 mins or more. Comprehensive written assessment and treatment plan can be requested and will be billed separately for $120.

Established Patient In-Office Assessment / Re-Assessment

Established Patient Assessments are not schedulable directly online. Please schedule Office Visit, Treatment and inform your therapist about any new condition or complaint at check-in. These assessments conform with procedure code 97164 and are in-house graded 1-5 based on time and/or complication. Service may not be covered for government insured patients.

Note: We briefly re-assess each patient during every office visit before starting a treatment session as a matter of course. These re-assessments are not the same as those described below and are not charged separately but are a routine part of all treatment visits.

For each of the following assessment levels, office visits include the evaluation and management of established patients and coordination of care with referring physician, if any, consistent with the assessment of the problem and patient’s needs. Family may attend if desired. We are face-to-face with patient throughout the visit.

Categories of Established Patient Assessments are:

  • 97164-1 – Office visit for the assessment and management of an established patient, where presenting problem(s) are minimal. Duration: 5-9 mins
  • 97164-2 – Office visit for the assessment and management of an established patient, which involves an appropriate history and/or examination and straightforward treatment decision. Duration: 10-19 mins
  • 97164-3 – Office visit for the assessment and management of an established patient, which involves an appropriate history and/or examination and low level treatment decision. Duration: 20-29 mins
  • 97164-4 – Office visit for the assessment and management of an established patient, which involves an appropriate history and/or examination and moderate level of treatment decision. Duration: 30-39 mins
  • 97164-5 – Office visit for the assessment and management of an established patient, which involves an appropriate history and/or examination and high level of treatment decision. Duration: 40-54 mins

Examples of reasons for performing Established Patient Assessments:

  • #1: A regular patient previously seen for neck and shoulder pain for several visits and one day develops a clicking sensation in the hip.
  • #2: A patient has had four treatment sessions and does not recognize any significant change in symptoms, pain intensity, improvement in range of motion, etc.
  • #3: Established patient’s referring doctor (or the patient themselves) requests a reassessment of patient’s original complaints.
  • #4: A physician-referred patient’s scripted visits are ending soon.
  • #5: When in our opinion reassessment warrants.

Office Visit, Treatment – 30 – 120 minutes

Visit may be covered for government insured patients other than Veterans.

Office Visit, Treatment encompasses all treatment for patients of this clinic except Veterans (due to VA scheduling requirements). An assessment is conducted for all new patients and all established patients as needed based on individual complaints, musculoskeletal conditions, and preferences, regardless of simplicity of symptoms. As always, a brief assessment is conducted prior to any treatment and is not charged separately.

Assessments allow for evaluation of gross compensatory muscle strain and pain patterns and for the development of a treatment plan going forward. The treatment plan is discussed with the patient prior to beginning treatment to keep patients aware of the intent and purpose of the overall plan as well as the plan for each treatment session.

Our Massage Therapy service (Remedial Massage) no longer exists as a separate service. Procedure coverage continues for VA-referred veterans as described below. This procedure is NOT a covered benefit for TRICARE patients. TRICARE patients may receive this procedure by self-paying only.

Therapist is male and no female therapist is available. Spa services are not offered in this clinic.

Telehealth Visits

We offer limited telehealth visits for certain patients only. Telehealth visits can be scheduled online or by calling us at (603) 622-1112. Telehealth visits may not be reimbursable for federal or commercial insurance patients. Telehealth visits are via Zoom video meeting only.

Telehealth video meetings may be set up as private or for a group of patients undergoing the same or similar MAT corrective exercises. Telehealth for initial evaluations, re-evaluations, and new complaints are private.

Patients are expected to participate fully during a Telehealth video meeting just as if it were an in-office visit, not simply receive information about the procedure. When the visit is an assessment, the therapist reserves the right to cancel the visit if performing the exam is unacceptable via Telehealth for any reason.

Military Veterans Massage

Note: This service is provided to VA physician-referred patients only.

Remedial massage therapy, Myoskeletal Therapy, manual therapy, neuromuscular re-education, Myoskeletal singular and kinetic pattern corrective exercise modalities are offered to VA physician-referred US military veterans for any condition deemed medically necessary. Treatment length and number of sessions are by referring doctor’s prescription and guidelines of the Department of Veteran Affairs. Veteran patients will complete the appropriate clinic documentation, pay any required co-pay, and receive their treatment. We bill the VA’s third-party payor, Optum, for their visit. There are no other out-of-pocket costs to the patient for VA-referred treatment.

For Veterans with Optum Health Allies health plans, please call (603) 622-1112 for details.

Our therapist participated in the Warrior Hands immersion training program sponsored by Crouse Hospital and Clear Path for Veterans in Syracuse, New York, in 2018 and earned the National Certification Board for Therapeutic Massage & Bodywork’s Specialty Certificate in Military Veterans Massage. He also holds a graduate degree as Master Myoskeletal Therapist in Myoskeletal Alignment Techniques and specialized certification in orthopedic massage.

MAT Urgent Care After Hours – Up to 60 minutes – $115

Services provided during an Urgent Care session are not timed procedures. The service is charged at one flat rate for any amount of time up to one hour. This service is NOT a covered benefit for any government insured patients. Government insured patients may self-pay for this service at a discounted rate.

Note: This service is available to cash patients only. This service is not intended for urgent medical or health emergency conditions. If you are experiencing a medical emergency, please dial 911 or go to your local hospital emergency room.

This service is for non-medical urgent care of patients outside of normal business hours. This visit may take up to one hour and is intended for sudden-onset care only. Examples are sudden muscle strain from lifting an object; exacerbated known musculoskeletal medical conditions such as sacroiliac joint dysfunction; migraine headache; sudden stiff neck (“cricks”); a sport or running incident such as a calf muscle or hamstring cramp, etc.

This service includes a brief assessment, orthopedic testing when required, and treatment. If necessary, referral to another healthcare professional is made. If treatment service is declined due to patient’s presenting or assessed condition being evaluated as a medical problem, a fee of $35 will be charged and remainder of patient’s initial charge at time of scheduling will be refunded. This service may be scheduled online or by telephone. Please call (603) 622-1112.

Insurance:

Please note that Manchester-Bedford Myoskeletal LLC is a non-participating provider with all commercial health insurers because New Hampshire insurers do not contract with Licensed Massage Therapists at this time. However, we continue to make our case known to as many insurers as we can to try to join their networks.

For details about Insurance, go to the menu at the top of any page, click the Patients tab, hover over Insurance, and choose the link appropriate to you.

Patients may be able to file claims with their insurance company directly or we may be able to file on behalf of our patients. To file yourself, please call the Member Services number of your insurance carrier or speak with your benefits representative to determine what information they require to reimburse you and we will provide it to you. Please be aware that we are unable to provide a diagnosis or letter of medical indication. Your physician must provide a script, diagnosis, or letter when required.

We may consider Worker’s Compensation and motor vehicle accident insurance cases on a case-by-case basis.

NPI, CAQH, & DFEC Workers Comp Provider IDs available to appropriate organizations on request