Hi, I was wondering if anyone had tips or suggestions on how they bill dry needling with workers comp patients. My clinic currently uses the model where we use dry needling as a cash based option either as an adjunct to therapy for a certain price, and at an added price if the session is for dry needling alone. However, my clinic deals with a high incidence of patients who are under the umbrella of workers comp. I was wondering how you approach dry needling with these patients and if the process is any different than our normal commercial or Medicare patients who will sign an ABN, consent form, and pay the cash based fee. 

To add another layer to this, 2 days in the week I work at a factory on-site and do therapy there as well. Many of the patients have UE injuries from the elbow and further distal that I think would have great benefits from needling. Again, my question is should I treat these patients just like my commercial and Medicare patients? Or is there a different method that I should take when approaching my work comp patients with needling. 

Thank you for the help,

Oakley