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What Should You Do?

On occasion, the College hears from physiotherapists who’ve had their name and College registration number used for billing by others. It can be quite distressing.

The College only oversees the practice of physiotherapists and as such, the only way the College can make further inquiries is if the clinic where your name and registration were misused is owned by a physiotherapist.

If this is the case, you can file a formal complaint about this physiotherapist.

If the clinic is owned by another type of regulated healthcare provider, you can file a formal complaint with their respective College.

See a list of the health regulatory Colleges and their contact information.

We encourage you, regardless of if your registration number was misused by a regulated healthcare provider, or someone else, to forward us an overview of any information you received from the insurer, along with any related correspondence about your number being misused.

The College will open a file and we have it on record that another person or organization used your name and registration number for billing purposes without your consent. To open a file we need you to email the following to investigations@collegept.org:
  • your name and contact information
  • the name and address of the clinic
  • the name of the clinic owner and/or manager (including contact information), if available
  • the dates you worked at the clinic
  • the name and contact information of the insurer who contacted you, and
  • any other information you believe would be helpful

You could also consider doing some or all of the following.

If the fraudulent claims are associated with MVA Patients:

  • Contact the Insurance Bureau of Canada (IBC) – call or submit a tip online
  • Contact the Canadian Life and Health Insurance Association (CLHIA) – call or submit a tip online
  • Contact the Financial Services Commission of Ontario (FSCO) for additional information and/or to submit a tip online.
  • Contact the College Practice Advisor at practiceadvice@collegept.org or call 647-484-8800 or 1-800-583-5885 and ask for your name and registration number to be run through the Professional Credential Tracker software. She can pull a report showing when it was for your reference. Please be aware that the report only covers clinic billing related to MVA patients. At this time there is no similar report for clinics accessing monies through extended healthcare benefits.

If the fraudulent claims are associated with extended healthcare benefits: 

If the inappropriate claims are related to physiotherapy care funded through the Ministry of Health and Long-Term Care:

You can also:

  • Contact your local police
  • Send the clinic owner a ‘cease and desist’ letter. Contact the insurer first to see if taking this action would compromise an active investigation of the clinic. You may be asked not to contact the clinic directly. 

The College also has a number of resources available to assist physiotherapists who are entering practice, starting practice or leaving practice.

Access these resources on the College’s website:

There are a few things you can do to help prevent fraud in the future.

  • Periodically audit the claim forms that a healthcare facility submits using your name and registration number. This requirement is set out in the Fees, Billing and Accounts Standard.
  • Be aware of the conditions, billing codes (e.g. for MVAs) and dollar amounts being billed for your professional services.
  • Never sign blank treatment plans/forms.
  • Be cautious when asked to provide an electronic signature. Understand how it will be used and who will have access to it.
  • When you leave a practice, ensure you update your Public Register information as soon as possible (within 30 days), as required.
  • Before signing a new contract, discuss your professional obligations to monitor and understand the business’s billing practices. Be clear that your name and registration number should not be used for care or services you do not provide.
  • Be selective about the jobs you accept. You could be exposed to inappropriate business practices by clinic owners who put up barriers to meeting your professional obligations.
  • If the job is offering a huge sum of money for minimal work, then it is likely too good to be true. Be cautious and don’t hesitate to ask questions.