Functional capacity evaluation form - WellSpan Health - wellspan 2025

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The document provides detailed information regarding the Functional Capacity Evaluation (FCE) process at Wellspan Rehabilitation, including location details, preparation guidelines, medical history forms, and a pain scale. It emphasizes the importance of arriving on time, bringing necessary documentation, and adhering to health precautions prior to the evaluation. Additionally, it includes sections for personal medical history, current conditions, medications, social habits, and vocational information.

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Who pays for functional capacity evaluation?

The cost of a functional capacity evaluation can vary depending on various factors. If your doctor refers you for the evaluation, your insurance may cover the cost. However, if insurance coverage is not an option, you may need to pay out-of-pocket for the assessment.

How is a functional capacity evaluation done?

A FCE is a series of tests that help evaluate your physical abilities. The tests have you pull, push, lift and complete other tasks that relate to your job duties. Your physical therapist observes your performance as you complete these tests and records this data in a report.

Does insurance cover functional capacity evaluation?

Its a legal requirement for a professional to perform a functional capacity evaluation. They must be trained and capable of evaluating the movement, strength, and physical capabilities of employees. Some professionals that would qualify for this role are: Physical therapists.

Does insurance cover functional capacity evaluations?

How Much Does a Functional Capacity Evaluation Cost? On MDsave, the cost of a Functional Capacity Evaluation ranges from $871 to $916. Those on high deductible health plans or without insurance can shop, compare prices and save.

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