Functional Capacity Evaluations
A Functional Capacity Evaluation (FCE) determines an individual’s ability to return to work and perform the tasks related to their occupation. The FCE process compares the individual's health status, and body functions and structures to the demands of the job and the work environment. FCEs are done on a one-on-one basis and take 4 to 6 hours to complete.
Who Can Benefit From an FCE?
What is Determined by an FCE?
People are generally referred for an FCE by physicians, physician assistants, and nurse practitioners; insurance representatives; case managers; employers, human resources personnel, and risk managers; attorneys (for either the plaintiff or defense); other therapists; or chiropractors. Individuals can also self-refer in states that allow direct access to occupational therapy services, but a referral may be required for reimbursement.
FCEs are paid for by workers' compensation insurance plans; self-insured plans; individual insurance plans; federal, state, and/or local agencies; managed care plans; individuals themselves, employers, or legal firms.
Rates can and do change based on geography and overall evaluation time. Precertification of the service and verification of the state fee schedule or reimbursement policy is advised.