Schedule a Comprehensive Dysphagia Consultation with our experienced and highly skilled Physicians and Speech Language Pathologists on our Mobile Medical Clinic.
See what you can't see at bedside with MassTex Imaging's X-Ray vision.
Give your patients the MOST Dynamic & Complete Dysphagia Consultation available in New England.
MassTex Imaging meets the needs of the patient and the facility. MTI is mobile, thorough, timely and convenient.
MTI Referral & Scheduling Process
A Dysphagia Consultation includes, the Gold Standard, Modified Barium Swallow Study, MD Consultation & Esophageal Assessment to the Stomach.
1. Submit necessary paperwork including, the “Signed MassTex Imaging (MD/NP/PA) Order/Scheduling Form” with consent, a face sheet and the H&P if electronic chart.
Physician Orders can also be on their letterhead. Please make sure the orders reflect the comprehensive consultation we provide, which consists of three components: Dysphagia consultation, MBSS and esophageal assessment to stomach. (Please note, script pads are not accepted, since they void when faxed.) Send via fax #978.279.1066 or email to mbssonline@massteximaging.com.
2. Receive a confirmation call or text from scheduling team of the submitted Order Form(s) & necessary paperwork. MTI team member will let you know if any documentation is missing.
3. Upon insurance verification –The MTI scheduler will begin to place your patient on the next available Mobile Clinic. The scheduling contact will receive a call and/or text from the MTI team the day before the appointment with the “two hour” time window of the Consultation.
Day of Arrival:
The MTI Medical team will call the listed contact 20 minutes prior to their arrival. If you need more time, please note it on the order form. Clinicians and family members are welcome to come on to observe the consultation and speak directly with the MTI medical team.
Please have the patient up and ready with current height, weight and vitals for the day of visit along with the medical record to be ready to be brought out to the Medical Clinic for MD to review. If EHR, we will have the H&P you faxed. We can accommodate any trials and adaptive feeding equipment when applicable.
The large C-Arm and Mobile Medical Clinic lifts can accommodate up to 600 pounds and wheel chairs (31 inches wide, wheel-wheel) with foot pedals as well as Geri chairs. If vent dependent patient, a respiratory therapist or nursing staff must accompany patient and remain on the clinic during the dysphagia consultation with a backup battery. If portable O2, please set up prior to arrival. We look forward to providing your patients with a quality service and immediate results.
Thank you for choosing MassTex Imaging!
DOWNLOAD ORDER FORMS BELOW
Please FAX or Scan Orders:
FAX # 978.279.1066
Please call with any questions.
800.508.6277 (MBSS)
Order Forms for SNF/Rehab Hospitals
SNF/Rehab Scheduling Instructions Packet
SNF/Rehab Scheduling/Order Form
SNF/Rehab Billing Rules
EXPOSED OR RECOVERED C0VID-19 PATIENT FORMS PAGE
SNF Telephone Orders (TO):
MTI accepts SNF/Rehab Telephone Orders, however the TO must be sent to us upon signature. Once TO is signed, please fax to 978.279.1066.
TO should read: Dysphagia Consultation including, MBSS and Esophageal Assessment to Stomach.
Order Forms for Outpatient:
Home Health Care, Assisted Living, Independent Living, Adult Day Health Centers, Day-Habs, Group Homes, Day-Habs, Schools and MD Offices
Outpatient Scheduling Instructions Packet
Outpatient Scheduling/Order Form
Facilities with Electronic Medical Charts
Upon ordering a dysphagia consultation, please fax the following information: FAX # 978.279.1066
History and Physical (H&P)
Copy of the most recent and complete H&P.
If the patient is a long-term patient that has not had an H&P recently, please send a recent progress note as a second option.
List of all Current Medications.
Any Known Allergies.
Day of appointment, please have the following:
Current vitals, height and weight.
Contact the MTI Scheduling Team
Contact our friendly scheduling team with any questions regarding our services, orders or scheduling at 800.508.6277 or email us at mbssonline@massteximaging.com.
Accepted Insurances
We accept Medicare, Medicaid and we are in-network with Tufts Health Plan and we work with many Major Insurance Plans. We are always happy to help obtain authorization for managed care patients.
Service Agreement Requests for Skilled Nursing Facilities & Rehabilitation Hospitals
Free Dysphagia In-Services Available Upon Request.
Please contact:
Charlene McKenzie, VP of Business Development
800.508.MBSS (6277) or 978.750.0300
charlene@massteximaging.com
Frequently Asked Questions
Guidelines for Information When There is an Electronic Medical Chart at the Facility
