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If you’ve ever wondered how to bill a sports physical, you’re not alone. Many people are unsure of the process, but it’s actually quite simple. Here’s a quick guide on how to bill a sports physical so you can get started today.
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Introduction
When it comes to billing a sports physical, there are a few things you need to keep in mind. First, you will need to determine whether the physical is being conducted by a certified athletic trainer or not. If so, the physical will be covered by your insurance. However, if the physical is being conducted by a medical doctor, you may be responsible for the bill.
What is a sports physical?
A sports physical is a type of examination that is used to determine whether or not an athlete is healthy enough to participate in a sport. It includes a medical history, physical examination, and sometimes screening tests.
Who needs a sports physical?
Any child or adolescent who wants to participate in a school-sponsored sport or competitive athletic activity needs a sports physical. School districts or individual schools often have their own sports physical forms that must be completed by the athlete’s parent or guardian and signed by the athlete’s physician.
Most physicians will charge a fee for performing a sports physical. This fee is usually separate from the fee for well-child care visits, although some practices may bundle the two services together for a discounted price. Co-pays may apply if the family has insurance.
What is included in a sports physical?
A sports physical is an exam given to athletes by a medical professional such as a doctor, nurse practitioner, or physician assistant. The purpose of the exam is to make sure that the athlete is healthy and fit to participate in their chosen sport. The exam includes a medical history, physical examination, and sometimes tests such as X-rays or blood tests.
How is a sports physical billed?
Most insurance companies will cover a sports physical as a preventive service. That means that you will not have to pay a copay or deductible for the visit. However, some insurance companies may only cover sports physicals every other year or only for certain ages. Be sure to check with your insurance company to see what coverage they provide.
If you do have to pay for your sports physical out of pocket, the cost will vary depending on the provider and the location. Expect to pay anywhere from $25-$50 for the visit.
What if I don’t have insurance?
If you don’t have insurance, you can still get a sports physical. You can either pay out-of-pocket or use a sliding scale fee.
How do I prepare for a sports physical?
It is best to wear loose, comfortable clothing that can easily be removed. You may also be asked to remove jewelry. The examination usually begins with a general assessment of your height, weight and blood pressure. You will then be asked to elaborate on your medical history, including any previous injuries, illnesses or surgeries. Be sure to mention any medications you are taking, as well as any allergies.
What if I have a medical condition?
Before beginning any type of physical activity, it is important to visit your doctor for a sports physical. This is especially important if you have any medical conditions that could be exacerbated by physical activity. Your doctor will be able to give you specific recommendations about how to stay safe and healthy while participating in sports.
What if I have questions?
If you have questions about your sports physical bill, please call our customer service number at 1-800- 555-1234. One of our representatives will be happy to help you.
Conclusion
While there is no single answer to how to bill a sports physical, there are a few general guidelines that can help ensure you are correctly reimbursed for your services. First, check with your payer to see if they have any specific requirements for billing sports physicals. In many cases, you will simply use the same codes that you would use for a regular physical examination. However, some payers may require the use of specific codes or modifiers in order to process the claim correctly.
Next, be sure to document all services rendered during the physical examination. This includes noting any tests or screenings that were performed, as well as anything else that was done in order to assess the patient’s fitness for participation in sports. Be as specific as possible in your documentation in order to avoid any delays in reimbursement.
Finally, remember that billing for sports physicals can be complex. If you have any questions about how to correctly bill for your services, be sure to contact your payer or a coding expert for assistance.
