Lauren is an R.Kin who works at a multidisciplinary rehabilitation clinic. After a session with a new client, Lauren is approached by her supervisor to discuss her client’s insurance coverage and billing. Lauren’s supervisor explains that her new client’s insurance plan does not cover kinesiology. Lauren’s supervisor advises that Lauren should bill under physiotherapy as a workaround. Take the quiz below and then scroll down to learn more.Create your own user feedback survey
If a patient/client is not under the direct care or supervision of another regulated health professional, you cannot bill for the services of the other profession, even though the patient/client has coverage for it. It is important for registrants to be transparent to patients/clients and third party payors as to what is being billed and by whom. When billing third party payors, you must always ensure honesty and full disclosure, and compliance with any additional requirements of the third party payor being billed.
If you are ever faced with this situation from an employer, insurance company and/or your patients/clients, it is important that you follow the expectations and standards outlined in the Practice Standard- Fees and Billing and the Practice Guideline- Fees and Billing.
If your patient/client does not have an insurance plan that covers kinesiology services, they may submit out-of-pocket kinesiology expenses on their annual tax return. View the Canada Revenue Agency website.