Lecture Massage therapy review Passing the NCETMB, NCETM, and MBLEx (2e) Chapter 6 Laura A. Abbott

Massage Therapy Review:
Passing the NCETMB, NCETM, and MBLEx

Chapter 6
Professional Standards, Ethics, Business, and Legal
Practices
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6-2

Pre-class Assignment
• Review Chapter 6
of your Massage
Therapy Review
book

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National Certification Board for
Therapeutic Massage and Bodywork
Code of Ethics
• Sincere commitment
• Represent yourself
•
•

•

honestly
Accurately inform
clients
Know your limits,
contraindications,
scope of practice
Provide treatment to
client’s advantage

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6-3

• Continue to improve
•
•
•
•

yourself and your
knowledge
Be honest and
professional
Safeguard client’s
confidentiality
Use proper draping
Client and therapist have
right to refuse treatment

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National Certification Board for
Therapeutic Massage and Bodywork
Code of Ethics, Cont’d

6-4

• Refrain from any and all sexual conduct, activities,
•
•
•

or behavior even if client attempts first
Respect client’s boundaries
Refuse gifts or benefits intended to influence
unjustly
Follow all policies, procedure, guidelines, etc., set
forth by NCBTMB

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6-5

Continuing Education

• 50 CEs every 4 years
– 2 CEs must be roles and
boundaries
– 4 CEs must be
business/ethics related

• See www.ncbtmb.org

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6-6

Professional Considerations
• Interviewing Techniques
– Intake forms
– Potential medical clearance
– Good listener
– Open-ended questions

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6-7

Professional Considerations,

Cont’d
• Communication
Techniques
– Verbal
– Non-verbal

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6-8

Verbal Skills
• Paraphrasing

• Client: “I’m concerned

– Restating what the
client said in order to
confirm
understanding

that I will be running
late today for my
appointment.”

• Therapist: “So, are you
thinking you will not
make it in time and

want to reschedule?”

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6-9

Verbal Skills, Cont’d
• Summarizing
– Consolidating all the
statements the client
has said to confirm
understanding

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• “In conclusion…”
• “So, to sum it up…”
• “Let’s review the
highlighted points…”

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6-10

Verbal Skills, Cont’d
• Minimal Encouragers
– Brief words that let your

client know you are
listening and
encouraging the client to
continue

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• “aha…”
• “So, what happened
•
•

next?”
“I see.”
“hummm…”

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6-11

Verbal Skills, Cont’d
• Probing
– An attempt to gain
more information.
– Trying to find out
what has not been
said.

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• “Let’s talk about that.”
• “What exactly do you
mean?”

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6-12

Verbal Skills, Cont’d
• Clarifying
– An attempt to
understand what has
been said

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• “I’m confused about
what you are saying….”

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6-13

Verbal Skills, Cont’d
• Confronting

• “It seems that you have

– Mild or strong
feedback when
dealing with a
situation that needs to
be corrected

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missed your last two
payments. Let’s sit
down and discuss a
solution that will work
for the both of us.”

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6-14

Record Keeping
• Subjective
• Objective
• Assessment or
•
•

Application
Plan or Progression
HIPAA

– Health Insurance
Portability and
Accountability Act

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6-15

Planning Single and Multiple
Sessions
• Current Condition
• Goals
• Effort of the Client and
•
•

Therapist
Frequency of Sessions
Referrals

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6-16

Contractor vs. Employee
• Contractor
– Sets own hours
– Can work for
competitors
– Has control over fees
– Is paid per client
– Must pay selfemployment taxes
– Purchases own supplies
– Uses own vehicle
– No benefits
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• Employee
– Cannot work for company
competitors
– Has a set schedule
– Paid hourly/salary
– Company must offer
benefits
– Company can offer to cover
CE and recertification costs
– Falls under company
liability
– Company provides basic
supplies
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6-17

Types of Business Entities
• Sole Proprietorship
• Partnership
• S-Corporation

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6-18

Sole Proprietorship
• Advantages

• Disadvantages

– Easy to set up
– Possession of profits
– Control of decisions
– Simple financial
record keeping

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– You are a contractor
– Self employment
taxes and
quarterly/annual

income taxes
– Schedule C form
– Increased liability

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6-19

Partnership
• Advantages
– Government
regulations fairly
minimal
– Financial record
keeping not as
complicated
– FIN/EIN
– K-1 report
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• Disadvantages
– You can be held
personally
responsible for debts
and legal issues, even
if they were made
without your consent
by your other
partner(s)

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reserved


6-20

S-Corporation
• Advantages

• Disadvantages
– Can be complicated
to structure
– Requires attorney to
incorporate
– Need stock
certificates,
shareholders,
meetings, officers
– Form 1120-S filed
annually
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– Separation of business
from personal
– Business can continue
if owner leaves or dies
– Reduction for double
taxation
– Can declare business
losses on individual

tax returns

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6-21

Accounting Terms
•
•
•
•

Accounts Payable
Accounts Receivable
Assets
Cash Flow

•
•
•
•

Depreciation
Gross Income
Inventory
Net Income

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6-22

• Licenses, Permits,

• Insurance Needs

and Registrations
– Provisional License
– Occupational or
Business License
– Sales Tax Permit
– Registration of Business
Name

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–
–
–

Professional Liability
General Liability
Business Personal
Property
– Health Insurance
– Disability Insurance

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