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. We see patients at their Home, at Skilled Nursing Facilities, Rehabilitation Hospitals, Assisted Living Facilities, Independent Living Facilities, Adult Day Health Centers and Group Homes, Day-Habs.

NOW YOU CAN SUBMIT ORDERS ONLINE

Online Skilled Nursing Facility / Rehab Hospital Submission

Step 1. Please complete the online intake form along with required documentation (Face Sheet & MD Orders). Choose the SNF Skilled Setting below.

Step 2. Please upload a copy of the patients Face Sheet, MD Orders and submit with intake.

The Physician Orders Should State:

Dysphagia Consultation Including MBSS and Esophageal Assessment to the Stomach.

*If your facility uses an EHR please upload History & Physical when you submit the intake.

A Physician Order is required. You can submit the FACILITY PHYSICIAN PHYSICIAN ORDER FORM or you can download the generic PHYSICIAN ORDER FORM and have it signed by the MD/PA/NP.

You can also FAX MD ORDERS with a fax cover sheet to 978.279.1066.

SNF Telephone Orders (TO):

MTI accepts SNF/Rehab Telephone Orders. Once the MD has signed the TO it must be faxed to us. TO should read: Dysphagia Consultation including, MBSS and Esophageal Assessment to Stomach.

Once TO is signed, please fax to 978.279.1066.

Online ordering is currently unavailable.

Online Outpatient / Home Health Submission

Step 1. Please complete the online intake form along with required documentation (Face Sheet/Demographic Sheet & MD Orders). Choose Outpatient/Home Health Setting.

Step 2. Please upload a copy of the patients Face Sheet/Demographic Sheet, MD Orders and submit with intake. Please also submit History & Physical and current medication list with intake form. If available submit copies of insurance cards.

The Physician Orders Should State:

Dysphagia Consultation Including MBSS and Esophageal Assessment to the Stomach.

A Physician Order is required. The MD can submit their own order. You can also download the generic PHYSICIAN ORDER FORM and have it signed by the MD/PA/NP.

You can also FAX MD ORDERS with a fax cover sheet to 978.279.1066.

Online ordering is currently unavailable.

DOWNLOAD ORDER FORMS TO FAX /SCAN

FAX # 978.279.1066

mbssonline@massteximaging.com

Order Forms for SNF/Rehab Hospitals

SNF/Rehab Scheduling Instructions Packet

SNF/Rehab Scheduling/Order Form

SNF/Rehab Billing Rules

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 and MD Offices

Outpatient Scheduling Instructions Packet

Outpatient Scheduling/Order Form

Home Health Consent

Facilities with Electronic Medical Charts

Upon ordering a dysphagia consultation, please fax or submit online the following information:

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

Managed Care FAQ

Guidelines for Information When There is an Electronic Medical Chart at the Facility

See what you can't see at bedside with MassTex Imaging's X-Ray vision.

NOW YOU CAN SUBMIT ORDERS ONLINE

Online Skilled Nursing Facility / Rehab Hospital Submission

Step 1. Please complete the online intake form along with required documentation (Face Sheet & MD Orders). Choose the SNF Skilled Setting below.

Step 2. Please upload a copy of the patients Face Sheet, MD Orders and submit with intake.

The Physician Orders Should State:

Dysphagia Consultation Including MBSS and Esophageal Assessment to the Stomach.

*If your facility uses an EHR please upload History & Physical when you submit the intake.

A Physician Order is required. You can submit the FACILITY PHYSICIAN PHYSICIAN ORDER FORM or you can download the generic PHYSICIAN ORDER FORM and have it signed by the MD/PA/NP.

You can also FAX MD ORDERS with a fax cover sheet to 978.279.1066.

SNF Telephone Orders (TO):

MTI accepts SNF/Rehab Telephone Orders. Once the MD has signed the TO it must be faxed to us. TO should read: Dysphagia Consultation including, MBSS and Esophageal Assessment to Stomach.

Once TO is signed, please fax to 978.279.1066.

Online Outpatient / Home Health Submission

Step 1. Please complete the online intake form along with required documentation (Face Sheet/Demographic Sheet & MD Orders). Choose Outpatient/Home Health Setting.

Step 2. Please upload a copy of the patients Face Sheet/Demographic Sheet, MD Orders and submit with intake. Please also submit History & Physical and current medication list with intake form. If available submit copies of insurance cards.

The Physician Orders Should State:

Dysphagia Consultation Including MBSS and Esophageal Assessment to the Stomach.

A Physician Order is required. The MD can submit their own order. You can also download the generic PHYSICIAN ORDER FORM and have it signed by the MD/PA/NP.

You can also FAX MD ORDERS with a fax cover sheet to 978.279.1066.

DOWNLOAD ORDER FORMS TO FAX /SCAN

FAX # 978.279.1066

Order Forms for SNF/Rehab Hospitals

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 and MD Offices

Facilities with Electronic Medical Charts

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.

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

Frequently Asked Questions