Exercise therapists must apply for accreditation with the WCB. Learn about accreditation, authorization to treat, billing, payments, reporting to the WCB and what forms you need.
Before you can provide services to WCB customers and bill the WCB directly for those services, you must be accredited by the WCB.
To apply for accreditation with the WCB:
Make sure all documentation is included. Note: The WCB cannot process incomplete applications.
Our health care services department will review your application after receiving it. We will:
You can only bill for services from all the clinics you listed on your application. If you want to add a clinic to your portfolio or if a clinic changes location, you must submit a separate accreditation request for that clinic before you begin treating customers there. We cannot issue payment for care at a clinic where the provider is not accredited prior to that care being provided.
Authorization to treat is not required for exercise therapy where treatment meets Section B of the Practice Standards for Exercise Therapy Service Providers and the Primary Chiropractic and Physical Therapy Soft Tissue Treatment Guidelines.
Summarize all services provided during the billing period using the Physiotherapists billing form (PHYS).
Payment can only be issued if the invoice meets the criteria. The following information is required:
If the WCB receives an application for payment after a 12-month period from the time the medical aid is provided to an injured worker, the WCB will not pay any account rendered by a physician, surgeon, hospital or other health care professional or institution. See WCB procedure, Medical Aid Billings – Payment (PRO 53/2006).
By submitting WCB invoices online, they will be processed through an automatic payment process. This means your invoices will be paid sooner than if you fax or email them to us.
Online submission methods:
Keep a 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), an adjustment/addition needs to be made to your original invoice.
Write “Adjustment/addition” on the top right-hand corner of your invoice.
To make an adjustment to a fee code that was already paid, the WCB needs to reverse the number of units you indicated on the original invoice, then reissue the correct amount of units. To do this:
See a billing adjustment example.
Email the adjustment/addition to the WCB to email@example.com or fax it to 1.888.844.7773.
If you use your WCB online account to retrieve your original invoice:
Save time and give your users the ability to upload invoices online.
Eliminate entry duplication by uploading invoices from your system to the WCB website. Here is the document with instructions on how to update your software: Everything a vendor needs to know.
Here are the files needed for updating your system to be compatible with the medical invoice batch submission process:
If you have any questions with the batch submission process or are ready to test your system with us, please contact the webmaster.
Vendors who are already capable of uploading batch invoices:
|Accuro/QHR Techologies||CBS Navicert Software|
The WCB issues payments to care providers weekly and provides statements to confirm the payments were issued. These statements may include explanatory codes to provide details regarding specific services.
Care providers, like employers and workers, are required to report to the WCB any work-related injury that requires medical attention, whether or not the worker needs time off work beyond the day of the injury. Prompt reporting allows the WCB to arrange timely payment of benefits to injured workers.
Under legislation, care providers do not require a signed release from an injured worker to provide medical information to the WCB because:
Reporting exercise therapy will be communicated as part of the biomechanical practitioner’s regular process reporting (CHI/PTI; CHP/PTP).
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 Therapy Service Providers.
Return to work should generally be part of each worker’s treatment plan. For more information, see our recovery and return to work page.
When treating WCB customers, exercise therapists will:
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