Progressive Sports Medicine FAQ’s

Can I cancel at any time?

Yes you can cancel or “self-discharge” from your physiotherapy treatments at any time. You may also be discharged by the Physiotherapist if your issues are resolved prior to the completion of your recommended treatment plan.

Can you bill my insurance directly?

No. Currently we are unable to provide direct billing.

Can I pay as I use the sessions?

Yes, of course you may. However, the majority of our patients prefer to pay at the end of each month for treatments and assessments performed.

Why are my physiotherapy assessments not eligible for reimbursement?

Reimbursement depends on your workplace benefits package.  Not all insurance companies reimburse for assessments as their plans only cover the cost of treatments.

What happens if I miss a session?

If a scheduled treatment is missed and less than 24 hours notice is given there may be a late cancellation or “no show” fee charged

Why are my reimbursement amounts always different?

Your reimbursement is determined by the receipt you submit.  Receipts are based on the number of treatments that you had in the period of one month.  The amount may vary month to month depending on how many times you were treated.

Can I see my personal trainer more than the recommended times per week?

Your treatment plan is determined by your Physiotherapist and may not be adjusted by support personnel. If you feel your treatment plan needs to be reviewed prior to a scheduled re-assessment you may ask your support personnel to discuss your progress and treatment plan with your Physiotherapist. Or, you may book an assessment to discuss your concerns with your Physiotherapist directly.

Is this legal? Is this ethical?

An Ontario Registered Physiotherapist is a primary health care provider and as such has  the authority to determine who qualifies for their services and also has the right to delegate treatment based on their assessments to approved support personnel.

 

The scope of practice of Physiotherapy:

The practice of physiotherapy is the assessment of neuromuscular, musculoskeletal and cardiorespiratory systems, the diagnosis of diseases or disorders associated with physical dysfunction, injury or pain and the treatment, rehabilitation and prevention or relief of physical dysfunction injury or pain to develop, maintain, rehabilitate or augment function and promote mobility.

Please Google “Bill 179, The Regulated Health Professions Act Statute Law Amendment Act” for more information go to : http://www.health.gov.on.ca/english/public/legislation/regulated/compendium_regulated_health.pdf

Physiotherapist Support Personnel

Group 1:

Individuals who have successfully completed and fulfilled all the requirements of a post secondary program designed to educate the participants in acquiring the knowledge,  skills and abilities required to assist a physiotherapist in the delivery of a physiotherapy treatment plan. This group most usually has a designation as a Physiotherapist Assistant (PTA).

Group 2:

Individuals who have completed on-the-job training that is Physiotherapy Specific. This may include individuals who may have a diploma or degree in a health- related field such as athletic therapy, individuals who are internationally educated in physiotherapy and  have not yet completed their registration process, or workers with no health care background.

What happens if my insurance company starts to question how much I’m spending?

You have the right to use your benefits as your policy allows.Your insurance provider has the right to request more information from you as well as the Physiotherapist at any time.

Can I get in trouble?

If the Physiotherapist has determined that you qualify for Physiotherapy your treatment and billing is in accordance with the College of Physiotherapists and your Insurance provider then there should be no issues at all.

 

I feel like I’m ripping off my insurance co.  “I don’t feel like I need physio” or “I don’t feel like I really qualify just because I’m over weight”. (or similar)

Traditionally people have viewed Physiotherapists as professionals you visit after a car accident etc. for rehabilitation of an injury and that is still the case. However, the scope of practice for Physiotherapists has evolved and they are able to assist you in a number of other ways for a myriad of issues. Please see above for a brief description of the Physiotherapy scope of practice.

I feel better, shouldn’t I stop coming now?

As mentioned above you have the right to self discharge from Physiotherapy at anytime.

Do I pay my fitness club first then get reimbursed from my insurance company?

Prior to receiving a receipt to submit to your insurance provider you must have paid at your clinic location for the services you are being billed for.

How do I get my receipt?

You may receive a receipt at the clinic location for payments made at the reception desk. If you have opted to be billed at the end of the month for services rendered. Your receipt will be emailed to you on the first day of the month after your payment has been processed for all treatments undergone in the previous month.  If you are unable to access your email receipt a hard-copy may be printed for you at the clinic location by your intake personnel.

How often do I see the physiotherapist?

You will see the Physiotherapist a minimum of every 8 weeks or as you or your Physiotherapist feel is necessary.

Why can’t I use my own physiotherapist?

The support personnel at our clinic location have been screened and approved by our Physiotherapist. If you have a Physiotherapist that you are currently seeing and choose to continue to see that Physiotherapist at their clinic you are entitled to do so.

 


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