Case of the month: WSIB
Scenario
A kinesiologist recently received a referral about a patient/client who was injured on the job and whose health care costs may be covered by the Workplace Safety and Insurance Board (WSIB).
Question
Can a kinesiologist treat a patient/client covered by WSIB and bill WSIB for this treatment and related services? What are the kinesiologist’s next steps?
Correct response
Kinesiologists, as regulated health care professionals with a scope of practice that relates to some types of workplace injuries, may deliver some WSIB programs of care.
A kinesiologist must apply to the WSIB to deliver programs of care before providing the care. Kinesiologists who are approved by the WSIB to deliver one or more programs of care must ensure that they comply with all WSIB policies, guidance and regulations that cover the program(s) of care that a kinesiologist may deliver. Kinesiologists should be aware that, in some circumstances, they may not deliver the program of care without a referral from a primary care provider (such as a medical doctor, nurse practitioner, chiropractor, or physiotherapist).
It's also important to ensure that any invoices, billing activity, and fee schedules are compliant with WSIB standards, as well as the College’s Practice Standard – Fees and Billing.
The ability to deliver WSIB programs of care under the appropriate circumstances is one way that kinesiologists can contribute to the health and well-being of workers in Ontario.