By discipline: Physical Therapy
To apply for accreditation:
- Read the WCB Physical Therapy Practise Standards carefully.
- Complete the Accreditation Request – Primary Level Services form, print and sign it.
- Attach evidence of your educational credentials.
- Attach evidence of current licensure with your licensing body.
- Attach evidence of additional educational credentials if you are applying for aerobic assessment and treatment accreditation.
- Make sure all documentation is included and fax it to us.
Please note: We cannot process incomplete applications.
Our Health Care Services department will:
- Review your credentials against the requirements listed in the WCB Physical Therapy Practise Standards.
- Add your name to the our Approved Providers List, if you are eligible.
- Notify you by mail as to whether your accreditation request has been accepted or rejected.
- Provide you with a WCB billing number by mail.
Accreditation is non-transferable
We will accredit you for work in all the clinics you list on your application. However, you must submit a separate accreditation request if you add a clinic to your portfolio or if a clinic changes location. We cannot issue payment for care at a clinic where the provider is not accredited prior to that care being provided.
Your physiotherapy license includes a direct access provision, therefore you can treat customers without referral by a licensed provider. However, within three days of commencing treatment, you need to send in a Physiotherapist’s Initial Report (PTI) form detailing your initial findings. We will contact you if funding cannot be granted and will pay for services to the date of that advice. See PTI User Manual.
Please bill us directly for services provided. To direct bill, you require a WCB billing number, which will be issued to you once your accreditation application has been approved. We will not pay for treatment provided prior to your accreditation date or for treatment provided at a clinic for which you have not been accredited.
You are responsible for confirming in advance that we will fund treatment for a customer by submitting a PTI form to the WCB according to the standards of care for your profession. Unless the WCB discontinues funding, you may treat up to ten sessions.
- Summarize all services provided during the billing period using the Physiotherapist’s Billing (PHYS) form.
- Follow the fee schedule agreed to by your professional association.
- Forward the completed PHYS form to the WCB.
Payment can only be issued if the invoice meets our criteria. The following information is required:
- Worker’s name
- Worker’s address
- Provincial health number
- Date of birth
- Billing Period*
- Care provider number
- Clinic number
- Physical Therapist’s name
- Physical Therapist’s address
- Physical Therapist’s Phone and fax number
- Fee code(s)
- Fee code amount
- Number of units
*Note: Follow the guidelines for the billing period:
- 1st of the month to the end of the month (i.e. Jan. 1 – Jan. 31/18)
- 1st of the month to the 15th of the month (i.e. Jan. 1 – Jan. 15/18)
- 16th of the month to end of the month (i.e. Jan. 16 – Jan. 31/18)
- Always use 1st of the month regardless of holidays and weekends.
- Please maintain consistency with the method you choose.
- If the primary start date is within the billing period, then the beginning of the billing period should be the primary start date.
- i.e. Primary start date is Mar. 3/18, billing period is then Mar. 3/18 to Mar. 15/18, or Mar. 3/18 to Mar. 31/18, depending upon the billing period chosen from the above examples.
WCB will not pay any account rendered by a physician, surgeon, hospital or other health care professional or institution for medical aid service if application for payment is received by Operations or Medical Accounts after twelve-month period from the time the medical aid is administered to an injured worker. See Procedure PRO53/2006.
Retain your daily record of the service you provide to our customers in case an audit is required.
If you have submitted an invoice that does not have the correct amount of units (too many/not enough) in this case an adjustment/addition needs to be made to your original invoice.
How to make an adjustment/addition to an invoice:
Write Adjustment/Addition on the top right hand corner of your invoice
Adjustment (Note: Amending a fee code that has already been paid)
In order to make an adjustment to a fee code that was already paid, WCB needs to reverse the number of units you indicated on the original invoice, then reissue the correct amount of units. See the example and follow the next 4 steps:
- Print off original invoice that you need to adjust
- Bracket the fee code, number of units and extended total for each line you want reversed.
- To show your adjustment; at the bottom of your invoice indicate the fee code, the new number of units, and the new total for each fee code you want paid
- Provide the new invoice total you expect to get paid.
Addition (Note: this is for a fee code that has not been billed on your original)
- Print off original invoice that you need to adjust
- To show your addition; at the bottom of your invoice indicate the new fee code, the number of units, and the new total you want paid
- Provide the new invoice total you expect get paid.
If you use our Online Service, follow these instructions to retrieve your original invoice:
- Log into Online Services
- Click on Health Care Providers
- Click on Review Submitted invoices
- Find the form you need to adjust
- Click on Action icon, view the PDF invoice
- Your invoice will appear
- Follow the instructions above to manually make adjustments/additions. See the example.
Submit to WCB by emailing email@example.com or fax 1.888.844.7773.
To ensure that WCB Physical Therapy Practice Standards are being followed, compliance surveys may be conducted. Treatment centres, clinics and individual practitioners will be notified two weeks before they are to be surveyed and can prepare for the survey by reviewing the survey form and guidelines in advance. Surveys take approximately 1.5 hours and will be conducted by WCB representatives.
When an injury claim has been disallowed or benefits terminated, physical therapists will be notified that we cannot pay for further assessment or treatment. We will only pay for treatment for which authorization was given to date of notice of termination. We will also pay reporting fees to date of notice.
Under provincial legislation, care providers do not require a signed release from an injured worker in order to provide medical information to the WCB. Early and regular care provider reports are important to the worker and the WCB because:
- WCB staff require customers’ medical records to process claims and appeals.
- The WCB may need to provide copies of reports to other health care providers, such as assessment teams, treatment centres and specialists to assist in obtaining the best possible assessments and treatments for injured workers.
You should advise injured workers that their medical records may be made available to their employers or others if their claims are appealed.
Use the following forms to provide information about treatment, functional recovery, and response to treatment. Please fill out reports completely and legibly and fax them to us as quickly as possible. We cannot pay for illegible or incomplete reports.
- Functional Outcome Measures (FOM)
Administer the appropriate Functional Outcome Measures self-report tests to WCB customers as soon as possible to help identify those who may be at risk for prolonged recovery and who would benefit from more intensive treatment. These tests include:
Only the customer’s FOM score should be submitted to the WCB, not the form itself. The score is to be reported on the Physiotherapist’s Initial Report below.
- Physiotherapist’s Initial Report
You are required to submit a Physiotherapist’s Initial Report (PTI), including the appropriate FOM score, for all injuries, including those that do not result in time off work. Where the injured worker loses time from work because of an injury, the PTI provides confirmation of disability, which allows the WCB to arrange timely payment of benefits to injured workers. Prompt reporting is important to prevent financial hardship for the injured worker and family. See PTI User Manual.
- Progress and Discharge Reports
A Physiotherapist’s Progress/Discharge Report (PTP), including the appropriate FOM score, should be completed after each block of 10 treatments unless the worker has been discharged, in which case, the PTP should be completed within 7 days. See PTP User Manual.
- Return-to-Work Report
Once a return-to-work plan has been agreed upon, the physiotherapist will submit a Practitioner’s Return-to-Work Report (PRTW) to us with copies to the primary care provider, the employer and worker to confirm the hours of worker and restrictions.
- Other Reports
Copies of special reports – diagnostic, operative, and so on – should always be forwarded to us. They provide us with relevant information, and save the attending practitioner from preparing a separate report.
Physiotherapists report after every 10 treatment using the forms listed above. Failure to report can seriously delay an injured worker’s claims process and may result in delays or non-payment to the provider.
are paid by us when the care provider invoices the appropriate fee. If more than one report is received in the same day, only one report fee is paid.
There is a two-tier fee for PTI and PTP reports: one for reports that include FOM scores and a lower fee for those that do not include the scores.
View Reports (WCB’s secure online site):
The WCB has a View Client Information application available for primary level chiropractors and physical therapists to use through their WCB Online Account. This application provides you with the ability to easily view medical documents online for an injured worker that you are treating. As soon as a new report comes in for your claim, you will automatically be able to view it.
The View Client Information application will allow you to see medical reports from other care providers, as well as referrals the WCB is making to specialists, diagnostics, assessment teams, etc. Assessment team reports do not appear on the View Client Information application as the assessment team will send a copy of the summary report to all current providers and a copy of the complete report to the primary care provider and surgeon.
You must have a WCB Online Account. You must have an online report submitted before the View Client Information application will be available to you. You also must complete online reporting regularly to use View Client Information.
For soft tissue injuries, refer to the Primary Chiropractic and Physical Therapy Soft Tissue Treatment Guidelines.
If the injured worker’s recovery does not progress, contact the worker’s primary care provider who can request advanced assessment and treatment, or expedited appointments, if required.
Return to work should generally be part of each worker’s treatment plan. For more information, see our Recovery and Return to Work brochure.
We employ a physical therapy consultant to assist external care providers upon request. Contact the consultant at (306) 787-4641 or (306) 787-2322.
When treating WCB customers, health care providers assume certain roles and responsibilities.
We rely on all health care providers to ensure that:
- all workplace injuries requiring medical aid are reported promptly.
- all treatment is necessary and consistent with established agreements.
- all invoices are appropriate.
When treating WCB customers, we ask that you:
- Familiarize yourself with the contents of the WCB Physical Therapy Practise Standards.
- Refer to the Support Package for Chiropractors/Physical Therapists.
- Comply with the practice standards and fee schedule established by the WCB with your professional group and all requirements of your licensing body.
- Demonstrate ethical practice standards on a day-to-day basis, including disclosure to any perspective WCB customer of any business relationship you may have with their employer. This allows the worker to make an informed decision regarding their choice of care provider.
- Refrain from using your affiliation with the WCB in any advertising for your services.