Unlocking Insurance Success: The Essential Guide for Medical Exercise Professionals

 

Medical Exercise Training (MET) is rapidly becoming a sought-after service among healthcare providers and clients with medical conditions. However, effectively integrating medical referrals and successfully navigating insurance reimbursement can pose significant challenges if your practice isn't structured properly. In our recent webinar, we reviewed the essential components required to consistently deliver medical exercise services, ensure compliance, and streamline insurance claim submissions.

During this Cracking the Code webinar, we covered critical aspects every medical exercise professional must master:

✅ Scope of Practice & Ethical Compliance – Essential guidelines to remain within legal boundaries while building credibility.

✅ Structured Client Intake System – Standardizing client onboarding, including crucial documentation to protect your practice.

✅ Standardized Assessments & Documentation – Conducting precise assessments that establish medical necessity and functional baselines....

Continue Reading...

12 Core Elements of MET Reimbursement Readiness

Successfully positioning a Medical Exercise Training (MET) practice for insurance reimbursement requires the implementation of structured systems and adherence to professional standards. Without these foundational elements, MET professionals may struggle to demonstrate medical necessity, maintain compliance, and establish credibility with insurance providers and referral sources. The 12 core elements outlined here serve as the fundamental building blocks for creating a reimbursement-ready practice, ensuring smooth operations, effective documentation, and strong professional relationships.


Scope of Practice & Ethical Compliance

A fundamental aspect of a successful MET practice is a clear understanding of scope of practice and ethical compliance. MET professionals must operate strictly within their defined roles, which means assessing functional deficits and implementing structured exercise programs but never diagnosing or treating medical conditions. Any deviation from these guideli...

Continue Reading...

"The Future of Medical Exercise Training: 5 Keys Every MedExPRO Must Know to Succeed"

 

Medical Exercise Training (MET) is changing fast. As more people need help managing chronic conditions and recovering from injuries, the role of Medical Exercise Professionals (MedExPROs) is more important than ever. But success in this field isn’t just about having great exercise knowledge—it’s about building credibility, running a strong business, and staying connected to the healthcare system.

To stay ahead, MedExPROs must focus on five key areas that will shape the future of MET. Mastering these areas will help you grow your practice, get more referrals, and create a long-lasting career in medical exercise training.

1. Use Standardized Guidelines and Track Client Progress

For MET to be taken seriously in healthcare, it must follow clear standards and track client results. Doctors, insurance companies, and other professionals rely on measurable data to decide if a service is effective. If MET lacks proper documentation, it won’t be recognized as an essential part of recovery and ...

Continue Reading...

Billing Do's and Don'ts: How MedExPROs Can Protect Their Practice

 

In the 27th tip from the MET 101 eBook series, Dr. Mike Jones addresses a critical issue for medical exercise professionals: the legality of billing for Medical Exercise (ME) services provided in a client's home when working under a physician not on the premises at the time services are rendered. Medical Exercise Specialists ARE NOT licensed to provide ANY form of physical therapy services.

Key Points:

  1. Direct Supervision Requirement:
  • Dr. Mike stresses that non-licensed professionals cannot provide ME services billed by a physician as therapy services, without providing direct supervision. The law requires the supervising licensed medical professional to be physically present and capable of overseeing the services provided directly. Also, the Medical Exercise Specialist may not provide services listed under the “Physical Therapy Act” for the state or province.
  • Insurance Fraud Risks:
    • Billing exercise services provided in a client’s home as physical therapy treatment is inapp
    • ...
    Continue Reading...
    Close

    50% Complete

    Yes, I want METI Updates

    Please enter your name and email address to receive METI updates and information.