Section B: Fees for Non-Admitted Patients
5.Compensable Non-admitted Patient Fees
Fee Schedule 1
| Service Provided |
Session |
Item Number |
Fee for Service ($) From 1 Nov 08 to 31 Oct 09 |
Fee for Service ($) From 1 Nov 09 to 31 Oct 10 |
|
| Chiropody/Podiatry |
Individual (15min) |
PUB41A |
$18.15 |
$18.75 |
|
| |
Individual (30min) |
PUB41B |
$36.25 |
$37.40 |
|
| |
Individual (45min) |
PUB41C |
$54.40 |
$56.15 |
|
| |
Individual (60min) |
PUB41D |
$72.50 |
$74.80 |
|
| Dietitian |
Individual (15min) |
PUB17A |
$18.15 |
$18.75 |
|
| |
Individual (30min) |
PUB17B |
$36.25 |
$37.40 |
|
| |
Individual (45min) |
PUB17C |
$54.40 |
$56.15 |
|
| |
Individual (60min) |
PUB17D |
$72.50 |
$74.80 |
|
| Hydrotherapy |
Individual (15min) |
PUB23A |
$18.15 |
$18.75 |
|
| |
Individual (30min) |
PUB23B |
$36.25 |
$37.40 |
|
| |
Individual (45min) |
PUB23C |
$54.40 |
$56.15 |
|
| |
Individual (60min) |
PUB23D |
$72.50 |
$74.80 |
|
| |
Group (15min) |
PUB22A |
$11.00 |
$11.35 |
|
| |
Group (30min) |
PUB22B |
$22.00 |
$22.70 |
|
| |
Group (45min) |
PUB22C |
$33.00 |
$34.05 |
|
| |
Group (60min) |
PUB22D |
$44.00 |
$45.40 |
|
| Occupational Therapy |
Worksite / Home Inspection (15min) |
PUB67A |
$19.95 |
$20.60 |
|
| |
Worksite / Home Inspection (30min) |
PUB67B |
$39.90 |
$41.20 |
|
| |
Worksite / Home Inspection (45min) |
PUB67C |
$59.80 |
$61.70 |
|
| |
Worksite / Home Inspection (60min) |
PUB67D |
$79.75 |
$82.30 |
|
| |
Individual (15min) |
PUB20A |
$18.15 |
$18.75 |
|
| |
Individual (30min) |
PUB20B |
$36.25 |
$37.40 |
|
| |
Individual (45min) |
PUB20C |
$54.40 |
$56.15 |
|
| |
Individual (60min) |
PUB20D |
$72.50 |
$74.80 |
|
| |
Group (15min) |
PUB19A |
$11.00 |
$11.35 |
|
| |
Group (30min) |
PUB19B |
$22.00 |
$22.70 |
|
| |
Group (45min) |
PUB19C |
$33.00 |
$34.05 |
|
| |
Group (60min) |
PUB19D |
$44.00 |
$45.40 |
|
| Orthoptics |
Individual (15min) |
PUB42A |
$18.15 |
$18.75 |
|
| |
Individual (30min) |
PUB42B |
$36.25 |
$37.40 |
|
| |
Individual (45min) |
PUB42C |
$54.40 |
$56.15 |
|
| |
Individual (60min) |
PUB42D |
$72.50 |
$74.80 |
|
| Orthotist/Prosthetist |
Individual (15min) |
PUB70A |
$18.15 |
$18.75 |
|
| |
Individual (30min) |
PUB70B |
$36.25 |
$37.40 |
|
| |
Individual (45min) |
PUB70C |
$54.40 |
$56.15 |
|
| |
Individual (60min) |
PUB70D |
$72.50 |
$74.80 |
|
| Orthotist/Prosthetist - Manufacture |
time to manufacture (per hour) Greater than 1 hour should be charged pro-rata at hourly rate |
PUB608 |
$82.20 |
$84.80 |
|
| |
Minor Repair (Prosthesis). Total cost of consumables, materials, consultation and manufacturing time (Minor repairs are any repairs up to $250) |
PUB610 |
Depends on the total cost of the repairs or change of prescription costs |
Depends on the total cost of the repairs or change of prescription costs (<$250) |
|
| |
Major Repair (Prosthesis). Total cost of consumables and materials only. Consultation and/or manufacturing time to be billed separately under corresponding item numbers (Major repairs are any repairs above $250 inclusive of consumables) |
PUB614 |
Depends on the total cost of the repairs or change of prescription costs |
Depends on the total cost of the repairs or change of prescription costs (<$250) |
|
| |
New prostheses or change of prescription. Total cost of consumables and materials only. Consultation and/or manufacturing time to be billed separately under corresponding item numbers |
PUB612 |
Depends on the total cost of the repairs or change of prescription costs |
Depends on the total cost of the repairs or change of prescription costs |
|
| |
Prosthetic Management Review Form - lower extremity or upper extremity. Total cost for completion of Form |
PUB618 |
$41.75 |
$43.10 |
|
| |
Orthosis (purchase) - to be used when submitting invoice for payment for orthotic equipment, aids & appliances - not to be used for clinical or manufactoring services. |
EQ035 |
Depends on the total cost of the orthosis. |
Depends on the total cost of the orthosis. |
|
| Physical Education |
Individual (15min) |
PUB58A |
$18.15 |
$18.75 |
|
| (Not applicable for WorkCover patients) |
Individual (30min) |
PUB58B |
$36.25 |
$37.40 |
|
| |
Individual (45min) |
PUB58C |
$54.40 |
$56.15 |
|
| |
Individual (60min) |
PUB58D |
$72.50 |
$74.80 |
|
| |
Group (15min) |
PUB59A |
$11.00 |
$11.35 |
|
| |
Group (30min) |
PUB59B |
$22.00 |
$22.70 |
|
| |
Group (45min) |
PUB59C |
$33.00 |
$34.05 |
|
| |
Group (60min) |
PUB59D |
$44.00 |
$45.40 |
|
| Physiotherapy |
Individual (15min) |
PUB13A |
$18.15 |
$18.75 |
|
| |
Individual (30min) |
PUB13B |
$36.25 |
$37.40 |
|
| |
Individual (45min) |
PUB13C |
$54.40 |
$56.15 |
|
| |
Individual (60min) |
PUB13D |
$72.50 |
$74.80 |
|
| |
Group (15min) |
PUB14A |
$11.00 |
$11.35 |
|
| |
Group (30min) |
PUB14B |
$22.00 |
$22.70 |
|
| |
Group (45min) |
PUB14C |
$33.00 |
$34.05 |
|
| |
Group (60min) |
PUB14D |
$44.00 |
$45.40 |
|
| |
Worksite / Home Inspection (15min) |
PUB66A |
$19.95 |
$20.60 |
• † |
| |
Worksite / Home Inspection (30min) |
PUB66B |
$39.90 |
$41.20 |
• † |
| |
Worksite / Home Inspection (45min) |
PUB66C |
$59.80 |
$61.70 |
• † |
| |
Worksite / Home Inspection (60min) |
PUB66D |
$79.75 |
$82.30 |
• † |
| Psychology |
Individual (15min) |
PUB08A |
$32.25 |
$33.30 |
|
| |
Individual (30min) |
PUB08B |
$64.40 |
$66.45 |
|
| |
Individual (45min) |
PUB08C |
$96.60 |
$99.65 |
|
| |
Individual (60min) |
PUB08D |
$128.80 |
$132.90 |
|
| |
Group (15min) |
PUB07A |
$19.45 |
$20.10 |
|
| |
Group (30min) |
PUB07B |
$38.80 |
$40.05 |
|
| |
Group (45min) |
PUB07C |
$58.20 |
$60.05 |
|
| |
Group (60min) |
PUB07D |
$77.55 |
$80.00 |
|
| Social Work |
Individual (15min) |
PUB40A |
$18.15 |
$18.75 |
|
| |
Individual (30min) |
PUB40B |
$36.25 |
$37.40 |
|
| |
Individual (45min) |
PUB40C |
$54.40 |
$56.15 |
|
| |
Individual (60min) |
PUB40D |
$72.50 |
$74.80 |
|
| Speech Therapy |
Individual (15min) |
PUB29A |
$18.15 |
$18.75 |
|
| |
Individual (30min) |
PUB29B |
$36.25 |
$37.40 |
|
| |
Individual (45min) |
PUB29C |
$54.40 |
$56.15 |
|
| |
Individual (60min) |
PUB29D |
$72.50 |
$74.80 |
|
| |
Group (15min) |
PUB30A |
$11.00 |
$11.35 |
|
| |
Group (30min) |
PUB30B |
$22.00 |
$22.70 |
|
| |
Group (45min) |
PUB30C |
$33.00 |
$34.05 |
|
| |
Group (60min) |
PUB30D |
$44.00 |
$45.40 |
|
| Chemist |
|
PUB005 |
$17.75 |
$18.35 |
|
| Facility Fee |
|
PUB100 |
$65.35 |
$67.45 |
|
| Interpreting |
First 2 hours |
PUB10 |
$98.70 |
$101.85 |
|
| |
per hour after initial 2 hours |
PUB11 |
$34.00 |
$35.10 |
|
| Vocational Counselling (WorkCover patients only) |
Individual (15min) |
PUB53A |
Fees to be advised by the Victorian WorkCover Authority |
Fees to be advised by the Victorian WorkCover Authority |
|
| |
Individual (30min) |
PUB53B |
|
| |
Individual (45min) |
PUB53C |
|
| |
Individual (60min) |
PUB53D |
|
| |
Group (15min) |
PUB54A |
|
| |
Group (30min) |
PUB54B |
|
| |
Group (45min) |
PUB54C |
|
| |
Group (60min) |
PUB54D |
|
| Hand Splints * |
Individual (varied) |
PUB71A |
$35.00 to $190.00 |
$35.00 to $190.00 |
|
| Fee only applies to Workcover patients at present (Not TAC patients). |
Fee only applies to Workcover patients at present (Not TAC patients). |
|
| Outpatient nursing services ** |
Individual (15min) |
PUB09A |
$18.15 |
$18.75 |
|
| |
Individual (30min) |
PUB09B |
$36.25 |
$37.40 |
|
| |
Individual (45min) |
PUB09C |
$54.40 |
$56.15 |
|
| |
Individual (60min) |
PUB09D |
$72.50 |
$74.80 |
|
* Hand Splints, where clinically indicated and fitted
under the supervision of a hand therapists. Medical information may be
required to justify the need for a splint.
** Note that items PUB09A - PUB09D generally relate to the treatment of wound management. A charge for the re-application of plaster for treatment of a fracture can also be raised where this service is performed by a nurse in an outpatient clinic. If another suitably qualified person such as an orthotist or prosthetist performs the task, then the PUB item number listed under that discipline can be billed.
• Includes 10% GST
† If Service is requested by the
TAC only
Vocational counselling is a WorkCover approved service, but only if
provided by occupational rehabilitation providers approved for that purpose.
Approved occupational rehabilitation providers should contact WorkCover
to determine the appropriate fee.
TAC will pay the reasonable cost of custom-made splints provided by
hospital Outpatient Departments. When submitting accounts for these items,
please include a description of the custom-made splint.
TAC and WorkCover insurers require an item number on all accounts for
outpatient services (item numbers are listed in the table above).
Before any rehabilitation treatment is commenced on a TAC outpatient,
both a Rehabilitation Assessment and a Rehabilitation Plan must be completed,
and submitted to the TAC for their approval.
Reference: Circular
No.23/2001 and 25/2001
| Service Provided |
Fee |
Registered Medical Practitioners |
Registered Medical Practitioners providing services
to compensable patients in the Accident and Emergency/Casualty
or Outpatient Departments may charge a consultation fee in accordance
with the Commonwealth Medicare Benefits Schedule. For medical practitioners
who are employees of a hospital, that hospital must invoice the
relevant third party payer (e.g. TAC Insurance or a WorkCover insurer)
for the service. |
|
Specialist & Consultant Physicians with the
right of private practice, may continue to invoice TAC according
to the TAC Schedule of Medical Practitioner Rates. |
Facility Fee |
$65.35 per episode (effective from 1 November 2008) |
The Facility Fee covers the material and administrative costs of providing
the service in an Emergency/Casualty Department only. A facility fee
is not payable when, on the same day, the claimant is subsequently admitted
to hospital (including same day patient admissions). Multiple facility
fees will only be paid where treatment of a time critical condition is
provided. The account must be annotated with a statement of the circumstances
necessitating the subsequent emergency treatment.
References: Circular 6/1996, 3
/1999 , 4/2000 and 23/2001
