10 Reasons You Need an FCE System

[fa icon="calendar'] Feb 3, 2020 2:07:46 PM / by Justin Shepherd

A lot of therapists say they don't like FCEs or steer away from workers' compensation, sometimes without any real experience in this area.   Often FCE's have a negative reputation, but there are more positive reasons to consider this service than you might expect.  Let's look at the TOP 10 reasons you need and FCE system… even if you really don't want to do FCEs.

  1. Establish your clinic as experts in the work comp field.
    • Implement functional training in the treatment process to progress from ther ex to ther act.
    • Accurately document functional progress
    • Improve structured work conditioning programs
    • Perform Return-to-Work mini FCE’s
    • Perform Post Offer/Pre Hire screens
  1. Objectify clinical intuition.
    • A good FCE system will have validated consistency of effort scoring that:
    • Gives clinical know-how on what to look for in patients suspected of giving poor/inconsistent effort.
    • Provides objective, defensible support for your intuitive opinions or that refutes your suspicions and changes your perceptions of the patient.
  1. Improve judgement of functional movement.
    • Know what signs of effort to look for during specific job-related tasks.
    • Understand what variables are used to determine overall level of frequency (Constant, Frequent, Occasional, or Never) for a specific task.
    • Learn how to grade intensity of a deviation between minimal, moderate, and severe.
    • Identify when an activity becomes unsafe.
  1. Defensibility
    • Decrease anxiety about legal aspect of WC and fear of being brought into court.
    • Gain confidence with a validated, peer-reviewed scoring algorithm that stands up in court.
    • Reach out to customer support for education/guidance should you be deposed. 
  1. Confident RTW recommendations
    • Perform a mini-FCE as part of your discharge evaluation comparing the results to the patient’s job demands.
    • Clearly and objectively show whether the patient is ready to return to work.
    • Include a consistency of effort test in the mix, providing some extra support for your feelings about the patient’s level of effort – good or bad.
  2. Improved relationships with occ health docs
    • Provide the MD with functional, not just objective, measures.
    • Collaborate on RTW decisions.
    • Give objective data about consistency of effort or the lack thereof.
    • Justify the need for structured work conditioning when appropriate. 
  1. Patient confidence in returning to work
    • Patient gets a fair shake by providing objective data for this decision with an objective, defensible Return-to-Work Screen.
    • Patient knows they can perform job. Allow patient to perform tasks that represent the 3-4 most difficult aspects of the job with a 30-minute screen that’s just part of your discharge evaluation.
  1. Eliminate employer frustration
    • Reassure employers that the worker is really ready to return.
    • Give confidence that critical job tasks can not only be performed, but performed safely.
    • Critical job tasks can be sustained for 8 hour day or 40 hour week.
    • Provide defensible data for the RTW decision. 
  1. Increased patient satisfaction
    • Help to determine a baseline of performance and show the patient how he is progressing on functional activities throughout treatment.
    • Show the patient that his physical abilities match the job, eliminating a lot of the anxiety and some of the return to work failed attempts.
    • Progress your challenging patients with confidence.
  1. Increased revenue
    • Incorporates a standardized testing protocol that’s easy to administer, with software that guides you through the process.
    • With a user-friendly system, even if you don’t do a lot of them, doing the few that are referred to you will be easy.
    • Assure you won’t lose the revenue. In today’s competitive market, every dollar counts.

If any of these reasons resonate with you, call us. 

We can help you determine how an FCE system can grow your business.

205-879-6447 ext. 218


Topics: Workers' Compensation Costs, Return to Work, "FCE"

Justin Shepherd

Written by Justin Shepherd