These guidelines should be read in conjunction with our General provider guidelines.
Who can provide exercise physiology services?
You can provide services if you have obtained accreditation by Exercise and Sports Science Australia as an exercise physiologist.
What we can pay for
We can pay the reasonable costs of your patient’s exercise physiology when it is required as a result of a transport accident injury. We can pay for:
- exercise physiology consultations
- group consultations (between two and six patients being treated in the same treatment sessions)
- costs associated with the monitoring and evaluation of a gym or swimming program
We will review our client’s treatment to ensure it's reasonable, clinically justified, outcome focused and in line with the Clinical Framework. We'll ask you and our client for information during these reviews and may temporarily stop funding treatment if we don’t receive it. When requested, you must complete the Allied health treatment and recovery plan and return it to us.
Reviews help us understand our client’s injuries, treatment needs and goals and how to best support them to get their life back on track. After a review we’ll let you and our client know the decision regarding further treatment.
Other things to note
As an exercise physiologist, you can prescribe basic exercise equipment such as hand weights, therabands, exercise balls, etc. Specialised exercise equipment can only be prescribed by a health or medical professional with relevant experience such as a physiotherapist or occupational therapist.
If your patient has a severe injury, the discussion, referral and approval of services may form part of the independence planning process between the patient's treating team and our TAC coordinator.
If your patient already has an individualised funding package, exercise physiology services may be included as part of that.
Gap in treatment
If our client has not received treatment in 6 months they will need to seek approval from us before we will pay for further treatment. Ask our client for a copy of their approval if you haven’t seen them in 6 months.
How much we can pay
We can pay for services in line with our Exercise physiology fees.
What we cannot pay for
We cannot pay for:
- personal trainers
- gym attire, footwear or additional equipment
- travel time to attend a gym or aquatic centre, as this cost is included in the scheduled fee
- cost of admission to a gym or aquatic centre