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:
- 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...
"Bridging the Gap: How Medical Exercise Professionals Can Forge Profitable Partnerships with Healthcare Providers"
Medical Relations Post 1
Understanding the Value of Collaboration
Developing relationships with healthcare providers can initially seem challenging for medical exercise professionals. However, these connections are vital for offering comprehensive care to clients with medical conditions. Healthcare providers, with their expertise in anatomy and pathology, complement the skills of exercise professionals who design safe and effective exercise programs.
Start with Existing Connections
Begin by leveraging the healthcare providers of your current clients. When clients experience visible progress through your exercise programs, use this as a conversation starter. Sharing these progress reports not only educates healthcare providers about the benefits of exercise but also positions you as an invaluable resource in post-treatment care.
Effective Communication is Key
Regular communication through progress reports is essential. These reports help maintain a connection and keep healthcare...