As an EIM provider will sessions prescribed by a physician be covered by the initail insurance provided?
I am currently a mental health professional. I am working on developing a private practice incorporating my expertise in behavior change with a personal training certification in order to help clients with a vast array of problems. The EIM certification sounds like an excellent means for health care providers to unite. The good old question comes down to finances and whether or not the public will be able to access these services or if it will be limited to the few that can actually afford to pay out of pocket for personal training.
you certainly have a good combination going as a mental health professional and a personal trainer with an Exercise is Medicine certification. As you know, personal training is not covered by health insurance and probably will not be for the foreseeable future.
I doubt whether you will get a definitive answer here as a base for your business decision. Since services by mental health professionals are covered by some insurances, it may be a matter of how the physician's prescription is worded to qualify or not. I would take this question up with an insurance company.
Personally, I regret it myself that my services are only for the 'selected few' who can afford it. Unfortunately, though, if some of our services are provided for free or at very small rates they are often not appreciated. You need to look no further then physical therapy. Many offices had to implement draconian penalties for late cancellations and no-shows because it was not taken seriously by some.
Where I see a major benefit of the EIM credential is that it provides a recognizable and accepted credential created or accepted by the medical profession (AMA) and fitness profession (ACSM). This provides 'referring' physicians with a sense of security in referring their patients to holders of this credential. With a referral in hand to this specific fitness provider, it also gives the referred patient/client a sense of security that the fitness professional meets a certain minimum threshold of knowledge that their physician feels comfortable with. As this 'referral system' continues to grow, I can't help but see a system of health insurance coverage for it in the not too distant future as well.
Good luck with your practice!
I have recently earned my EIM credential. FYI, the purpose of this credential isn't intended to faciliate insurance billing.
The purpose of the credential is to give physicians the ability to refer qualified fitness professionals to their patients. The referrals are based upon the fitness professional's scope of practice. As such a fitness professional that does not have the skills or credentials to work with a physician's patient who is high risk would not receive that referral.
It is possible, however, that an EIM certified professional be in a position to bill for services rendered to a patient. This would be in the case of diabetes education training for the diabetic patient. The fitness professionals would not only need to possess ACSM's RCEP or CES credential but also be a certified diabetes educator and their practice would need to be approved by the ADA. The other instance is if the patients is undergoing cardiac rehabilitation and the program is supervised by a cardiologist who is on site.
Hope this is of help to you.