The kinesitherapy prescription
Standardized medical prescription: Content and number of sessions
The prescription of the treatment is done by means of a standard physiotherapy prescription which informs in particular on the type of treatment, the number of sessions and their frequency as well as the prescribed treatment.
The number of maximum sessions supported by prescription varies according to the type of treatment, ie 8 in case of a common pathology, 64 in case of a heavy pathology, up to 24 for manual lymphatic drainage and 32 in case of post-surgical rehabilitation.
The heavy diseases are defined in appendix G of the statutes of the National Health Fund and are also posted on the back of the standardized order. Any pathology that does not appear on this list, with the exception of post-surgical rehabilitation, is considered a common pathology.
Foreign orders must contain all the mandatory information as provided for in the standardized order and must be in French, German or English. Prescriptions prescribed in another language are returned because they can not be processed by the CNS services.
It is possible for foreign doctors to download and fill out a standardized prescription in order to avoid any refusal. This one can be downloaded right here:
The prescription must be validated with the CNS. Generally, the insured person gives the prescription to his physiotherapist during his first session, who then takes care of the necessary administrative procedures. If the administrative conditions are met, the CNS validates the order. Validation must be requested within 31 days of the date of establishment of the medical prescription.
Title of care
Validation consists in the issue of a title of care by the CNS.
The title of care provides information on the maximum duration of treatment and the number of sessions, as well as the rate of care.
The treatment must be started at the latest within thirty days of the establishment of the title of care.
Travel expenses of the physiotherapist can be supported in the form of a package provided that:
- The doctor indicates on the prescription that it is medically necessary for the physiotherapist to move to the insured person’s home to perform the care.
- The trip takes place on Luxembourg territory. A move beyond the border is not supported.
These conditions fulfilled, the travel allowance is taken care of at the same rate as that applied to the deed issued during the trip.
Our physiotherapists provide residences in the municipalities of Bascharage, Hautscharage, Petange, Differdange, Linger, Sanem, Schouweiler, Niederkorn, Limpach, Bettange-sur-Mess, Rodange, Clemency, Fingig, Hivange, Dahlem, Dippach …
Third party payment system
In this case the insured person pays the physiotherapist only the part at his own expense because the physiotherapist sends at the end of the treatment an invoice to the CNS, to receive the part of the expenses of the health insurance. The physiotherapist then returns the prescription to the insured and gives him a bill of fees on which the party in his charge and the dependent part of the CNS are clearly indicated.
The third-party payment system applies only if the request for validation comes directly from the physiotherapist and if the physiotherapy care is provided in the Grand Duchy. In the event that the insured himself requests validation of the prescription from the CNS or if the physiotherapy care is provided outside the Grand Duchy of Luxembourg, the care must always be paid in full and the dependent part the cashier is then refunded upon request.
Please note that for cross-border workers, the care received in the country of residence is the responsibility of their local bank.
Advance of expenses by the insured
In this case the physiotherapist presents at the end of the treatment an invoice to the insured taking back the total amount to be paid, that is to say the share to load of the fund as well as the possible share to the load of the insured . After payment, the insured himself asks his competent fund (CNS or public health insurance fund) for reimbursement of his share.
To benefit from the reimbursement of a physiotherapy bill, the bill must:
- Enter the insured’s number, surname and first name and the number of the title of care;
- To be validly acquitted;
- Be accompanied by the medical prescription.
The rate of assumption of expenses is fixed at 70% for the acts related to a current pathology.
Treatments in the context of a heavy pathology or a post-surgical rehabilitation, as well as the treatment of children under 18 years are supported 100%.
Warning: some supplements for which the physiotherapists’ convention provides billing are not supported (such as a non canceled appointment).
Conduct of a Consultation in Physiotherapy
The first session or BDK:
The first session of physiotherapy consists of making contact with the patient. It usually lasts 20 to 30 minutes of tests and techniques then 20 to 30 minutes of physiotherapy / relaxation / exercises.
It is during this session that the masseur-physiotherapist creates your patient file, analyzes your complementary examinations (radiography, MRI, …), carries out the anamnesis to try to understand the reasons for your visit taking into account your antecedents (current health problems, allergies, medical history, medical tests performed, list of your medications, etc.) and by performing various physical tests, such as the range of motion or flexibility of a gesture. It will lead you to clarify your symptoms and the limitations that hinder you in your daily life. All this will make it possible to constitute a Kinesitherapeutic Diagnosis Report or BDK (in agreement with the medical prescription).
The purpose of this assessment is twofold:
- Establish a rehabilitation program according to your needs, which can begin at this first session or at the next session
- Choose the acts of physiotherapy allowing the care of the patient. The physiotherapist makes sure of the permanent adhesion of the patient to the proposed treatment; if this is not the case, the physiotherapist adapts using other techniques.
The physiotherapy session:
After the initial assessment, the treatment itself can begin. There are several approaches that are commonly used in physiotherapy and these are based on scientific evidence that the physiotherapist best adapts to the needs of the patient.
Among these we find:
- The massage consists of a manual manipulation of the soft tissues of the body and more particularly the muscles. Massage can be effective in reducing inflammation and relieving muscle tension and stiffness. It has been proven that massage can, for example, speed up recovery for sports injuries.
- Manual lymphatic drainage (DLM) techniques are very effective in reducing water retention (edema) in body tissue. These edema can accumulate after an injury or an operation but can also be caused by heart problems or a series of diseases (cancer most often).
- Exercises and stretches that are designed to increase strength and mobility are also practiced during treatment. When we experience pain, our first reaction is often to keep the area motionless and move it as little as possible. However new uses put forward by scientific evidence indicate that we must try, as far as possible, to move a maximum. Indeed, immobilization leads to muscular deconditioning. These weaken which causes a stiffness likely to delay healing. Your physiotherapist in Bascharage will be able to tell you which exercises are most effective in order to regain your form as quickly as possible. These exercises allow for example to treat balance disorders (ataxia), muscle wasting (muscular dystrophy), muscle strength, motor disorders, cognitive disorders (associated with motor disorders and to work in multidisciplinary). You will find in our office many machines allowing you to work during your rehabilitation.
- Electrotherapy : it consists of the use of electricity for a therapeutic purpose.
- Shock waves : they consist in emitting high intensity extracorporeal acoustic waves. They are characterized by a sudden increase in pressure, followed quickly by a negative pressure phase. There are radial or focal shock waves.
- Ultrasound : they consist of emitting an ultrasonic signal strong enough to cause a heating to create a defibrosante action, an analgesic action or an anti-inflammatory action.
- Thermotherapy : it consists of treatment with heat.
- Cryotherapy : it consists of cold treatment.
- Lasers : it essentially characterizes by the effects of cellular bio stimulation and its properties: healing, analgesic and anti-inflammatory.
The after-session follow-up:
At the end of your sessions, your physiotherapist in Bascharage will be able to advise you, if necessary, in hygiene and dietetics and guide you in terms of prophylaxis (stretching, targeted exercises, rest) for your results to persist between sessions.
Cards including detailed exercises or stretching will be given to you so you can continue working at home and maintain your health in the best conditions.