By discipline: Exercise Therapy

 

To apply for accreditation with the WCB:

  1. Read the Practice Standards for Exercise Therapy Service Providers.
  2. Complete, print and sign the Accreditation Request form.
  3. Attach copies of your educational credentials (degree in exercise physiology or equivalent and your Certified Exercise Physiology or CEP designation).
  4. Attach copy of your current membership registration with the Canadian Society for Exercise Physiology.
  5. Fax your accreditation package to the WCB’s Health Care Services department to the fax number on the form.

Note: The WCB can not process incomplete applications.

Health Care Services will review your application after receiving it. You will be notified by mail if your accreditation request was accepted. If accepted, the WCB will add your name to their Approved Providers List and will mail your WCB billing number to you.

Your accreditation is non-transferable; you can only bill for services from clinics you listed on your application. If you want to add a clinic to your portfolio, submit a separate accreditation request for that clinic before you begin treating customers there.

WCB customers can only receive exercise therapy in accredited facilities with certain staff/customer supervision ratios, as listed in the Practice Standards.

Authorization to treat an injured worker is obtained on a file-by-file basis. Do not rely on customers’ belief they have prior approval for treatment.

The injured worker’s case must be referred to you by a licensed practitioner who identifies the medical diagnosis, contraindications, and objectives of the treatment.

You must include this referral, along with a completed Primary Authorization to Treat form to the customer’s WCB representative before any treatment begins. If treatment is approved, the WCB representative will sign the form and fax it back to you.

Note: If you don’t receive approval before treatment, any services you provide may not be paid for by the WCB.

First, you will conduct an intake biomechanical examination of the injured worker during the initial visit. Subsequent visits will follow the guidelines found in the Practice Standards for Exercise Therapists.

Return to work should generally be part of each worker’s treatment plan. For more information, see our Recovery and Return to Work brochure.

Under provincial legislation, care providers do not require a signed release from an injured worker in order to provide medical information to the WCB.

Report to the WCB using the following TX coded forms:

Information about the worker’s functional ability may be given to the employer so a return-to-work plan can be created.

When treating WCB customers, health care providers assume certain roles and responsibilities. The WCB relies on all health care providers to ensure that:

  • All workplace injuries requiring medical aid are promptly.
  • All treatment is necessary and consistent with established agreements.
  • All invoices accurately reflect the services provided.

When treating WCB customers, you should:

  • Know and follow the Practice Standards for Exercise Therapy Service Providers.
  • Follow the fee schedule created for exercise therapists.
  • Show ethical practice standards on a day-to-day basis. This includes informing any potential WCB customer of business relationships you may have with their employer, so the worker can decide whether they want to choose you as a care provider.
  • Avoid mentioning in either your clinic’s advertisements or personal advertisements that you treat WCB customers or you are affiliated with the WCB in any way.

Directly bill the WCB for approved services provided to WCB customers. Do not bill the worker, employer or other insurance plans for amounts in excess of the fee schedule. (Note: The WCB will not pay for treatment given before your accreditation date or for treatment provided at a clinic not listed on your accreditation form.)

To submit your bills:

  • Retain your daily record of the services you provide to our customers in case an audit is required.
  • Summarize all services provided during the billing period using the Therapist’s Billing (THER) form. Fill in all fields listed in the form and submit it to the WCB. Incomplete invoices will be returned to you to complete and resubmit for payment.
  • If you prefer to use a different format, make sure to include all the information requested on the sample form.
  • You can make adjustments to previous billing periods using the THER form.

If a claim is subsequently denied following approval for treatment, the WCB will only pay for approved treatment given to date of notice of termination. The WCB will also pay reporting fees to date of the termination notice.

The WCB issues payment to caregivers weekly and provides vouchers to confirm that the payments that were issued. These vouchers may include explanatory codes to provide detail regarding specific services. The WCB will also provide a monthly summary of all payment made to you by cheque or direct deposit.

You are encouraged to register for a secure @WCB Online Services account, which will allow you to view medical documents and your cheque history.