Do you provide kinesiology treatments to customers injured in a car crash? Here are a few things you should know.
You must to be a professional member in good standing of an association whose members provide the health care services of kinesiology in order for ICBC to consider treatment funding.
According to the regulations in the Insurance (Vehicle) Act, "kinesiologist" means a person:
(a) who is a member in good standing of an association whose members provide the health care services of kinesiology, and
(b) whose health care services of kinesiology are overseen by a person who is a member of a health profession as defined in the
Health Professions Act or a similar law of another jurisdiction
Changes to invoicing and reporting
ICBC has simplified the way you request and invoice for treatment through our new web-based application, also known as the Health Care Provider Invoicing and Reporting (HCPIR) application. In order to use the HCPIR, a vendor number is required.
If you have been paid by ICBC before, you likely already have a vendor number. To find out how to locate your vendor number, please visit our Invoicing and reporting page. If you do not already have a vendor number or you need to make changes to your information, visit our Vendor number page.
Reporting requirements and fees have changed. Report templates are available on the Reports page.
Kinesiologists are expected to assess patients and determine their treatment plans in accordance with practice standards.
When treating a patient with an injury listed in sections 3 or 4 of the Diagnostic and Treatment Protocols in the
Minor Injury Regulation made under the
Insurance (Vehicle) Act, a health care practitioner must educate the patient with respect to the following:
(1) (a) if applicable, the desirability of an early return:
a. to the activities the patient could perform before the injury, or
b. to the patient's employment, occupation or profession or the patient's training or education in a program or course;
(b) an estimate of the probable length of time that symptoms will last;
(c) the usual course of recovery;
(d) the probable factors that are responsible for the symptoms the patient may be experiencing;
(e) appropriate self-management and pain management strategies.
(2) When treating a pain syndrome and a psychological or psychiatric condition, a health care practitioner must identify comorbid conditions, if applicable.
Note: Oversight is the responsibility of a health care provider to ensure treatment plans are in alignment with the treatment goals of the primary care provider(s). This may involve sharing of the assessment findings and treatment recommendations with the primary care provider, in accordance with the association's information sharing guidelines.
|Assessment visit & report||$135.00 (billable once)|
|Standard treatment||$78.00 |
|Pre-approved number of treatments||12**|
|Mileage||0.47 per kilometer. ICBC does not pay mileage for providers who operate out of a facility owned, leased or directed by the provider/firm or on their premises. Mileage must be cost shared so that travel time to a location where multiple customers, ICBC or otherwise, are treated, the cost is shared across those clients/claims in an equal manner.|
|Travel time||Actual travel time for treatment purposes is payable at $39.00 per hour, billed to the minute, up to a maximum of 60 minutes total per treatment session. Travel time must be cost shared so that travel time to a location where multiple customers, ICBC or otherwise, are treated, the cost is shared across those clients/claims in an equal manner. ICBC does not pay travel time for providers who operate out of a facility owned, leased or directed by the provider/firm or on their premises.|
|Recreational centre admission||ICBC will fund the drop-in fees at recreational centres up to reasonable market rates. Dated receipts are required and must include the service, facility used and form of payment. ICBC does not pay admission fees for use of a facility owned, leased or directed by the provider/firm or on their premises.|
|Rehabilitation assistance/life skills work||$45/hour|
Sometimes, a kinesiologist is hired to perform rehabilitation assistance services. If the kinesiologist performs rehabilitation assistance only, use the rehabilitation assistance rate, and if the kinesiologist performs rehabilitation assistance services in addition to kinesiology, use the kinesiology rate.
*These fees apply to all treatments administered on or after April 1, 2019, regardless of the date of the accident
**Within 12 weeks of the date of the accident causing the injury
ICBC customers who choose to visit a health care provider that charges a higher rate than what ICBC funds under accident benefits (indicated above), will not be able to recover the user fees from ICBC for claims with a date of loss on or after April 1st. This will mean that the patient is responsible for paying the user fee portion, which they may submit to their private health insurer for consideration of coverage.
Treatments are based on sessions provided and fees reflect fair market rate for a standard industry visit. Treatment frequency will be based on clinical recommendations and should reflect best practice. However, multiple sessions provided by the same discipline, on the same day, will not be funded.
Mileage and travel time example: travel time of 30 minutes to and 30 minutes from the treatment location and a total of 25 kms.Two clients are seen at a local recreation centre. In this case, half of the travel time and half of the mileage is billable to either client. If the second client is not an ICBC customer, the cost sharing must still apply.
In the case of a no-show, the clinic's no-show and cancellation policies should apply. ICBC will not pay for no-show appointments.
You can find out more information about submitting reports and access the initial assessment and reassessment report templates on the Reports page.
To help you navigate through the changes, a webinar for kinesiologists was hosted on Tuesday, March 12, 2019, at 1:30 p.m. The webinar covered fees, invoicing & reporting, contact & support, learning resources, scenarios, and an open Q&A.
If you were unable to attend, you can listen to a recording of the webinar.
If you attended the webinar or watched the recording, please share your feedback with us.
Contact & support
The Health Care Inquiry Unit (HCIU) is available to address questions Monday-Friday, 8:30 a.m.-4 p.m. PST
- Lower mainland: 604-587-7150
- Toll free: 1-888-717-7150
For additional support and information, visit the Support and resources page.