Workers Rehabilitation and Compensation (Scales of Charges—Medical Practitioners) Variation Regulations 2008


Completion of the asthma cycle of care



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Completion of the asthma cycle of care


02664

Note: Benefits are payable for only one service included in Subgroup 3 or a18, Subgroup 3 in a 12-month period, unless a further Asthma Cycle of Care is clinically indicated. At a minimum the Asthma Cycle of Care must include: - at least 2 asthma related consultations within 12 months for a patient with moderate to severe asthma (at least 1 of which (the review consultation) is a consultation that was planned at a previous consultation) - documented diagnosis and assessment of level of asthma control and severity of asthma - review of the patient's use of and access to asthma related medication and devices - provision to the patient of a written asthma action plan (if the patient is unable to use a written asthma action plan - discussion with the patient about an alternative method of providing an asthma action plan, and documentation of the discussion in the patient's medical records - provision of asthma self-management education to the patient - review of the written or documented asthma action plan surgery consultations (Professional attendance at consulting rooms) standard consultations of more than 5 minutes duration but not more than 25 minutes duration and which completes the minimum requirements of the Asthma Cycle of Care

N/A

02666

Long consultation of more than 25 minutes duration but not more than 45 minutes duration and which completes the minimum requirements of the Asthma Cycle of Care

N/A

02668

Prolonged consultation of more than 45 minutes duration and which completes the minimum requirements of the Asthma Cycle of Care

N/A

02673

Out-of-surgery consultations (Professional attendance at a place other than the consulting rooms) standard consultation of more than 5 minutes duration but not more than 25 minutes duration and which completes the minimum requirements of the Asthma Cycle of Care

N/A

02675

Long consultation of more than 25 minutes duration but not more than 45 minutes duration and which completes the minimum requirements of the Asthma Cycle of Care

N/A

02677

Prolonged consultation of more than 45 minutes duration and which completes the minimum requirements of the Asthma Cycle of Care

N/A

Group A20 - GP mental health care

GP mental health care plans


02710

Preparation by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician) of a GP mental health care plan for a patient (not being a service associated with a service to which items 2713 or 734 to 779 apply). A rebate will not be paid within twelve months of a previous claim for the same item, within twelve months of a claim for a 3 former Step Mental Health Process (items 2574, 2575, 2577, 2578 and 2704, 2705, 2707, 2708) or within three months following a claim for item 2712, except where there has been a significant change in the patient's clinical condition or care circumstances that requires the preparation of a new GP Mental Health Care Plan

$242.20

02712

Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician) to review a GP mental health care plan prepared by that medical practitioner (or an associated medical practitioner) to which item 2710 applies or to review a psychiatrist assessment and management plan to which item 291 applies (not being a service associated with a service to which items 2713 or 734 to 779 apply). A rebate will not be paid within three months of a previous claim for the same item or within four weeks following a claim for item 2710, except where there has been a significant change in the patient's clinical condition or care circumstances that requires the preparation of a new review of a GP Mental Health Care Plan

$161.50

02713

Professional attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician) involving taking relevant history, identifying presenting problem(s), providing treatment, advice and/or referral for other services or treatments and documenting the outcomes of the consultation, on a patient in relation to a mental disorder and lasting at least 20 minutes (not being a service associated with a service to which items 2710 or 2712 apply). Surgery consultation (Professional attendance at consulting rooms)

$106.60

Focussed psychological strategies


02721

Medical practitioner attendance (including a general practitioner, but not including a specialist or consultant physician) associated with provision of focussed psychological strategies Note: These services may only be provided by a medical practitioner who is registered with Medicare Australia as having satisfied the requirements for higher level mental health skills for the provision of the service. The medical practitioner must provide the service in a general practice participating in the pip or which is accredited. Focussed psychological strategies are specific mental health care management strategies, derived from evidence based psychological therapies, that have been shown to integrate the best external evidence of clinical effectiveness with general practice clinical expertise. These strategies are required to be provided to patients by a credentialled medical practitioner and are time limited; being deliverable, in general, in up to 12 planned sessions comprising two groups of up to six sessions. In exceptional circumstances, following review by the practitioner managing either the former 3 Step Mental Health Process, the GP Mental Health Care Plan or the Psychiatric Assessment and Management Plan, up to a further 6 sessions may be approved in a calendar year to an individual patient. Medical practitioners must be notified to Medicare Australia by the General Practice Mental Health Standards Collaboration that they have met the required standards for higher level mental health skills. A session should last for a minimum of 30 minutes. fps attendance Professional attendance for the purpose of providing focussed psychological strategies (from the list included in the Explanatory Notes) for assessed mental disorders by a medical practitioner registered with Medicare Australia as meeting the credentialling requirements for provision of this service, and lasting at least 30 minutes to less than 40 minutes. Surgery consultation (Professional attendance at consulting rooms)

$108.30

02723

Out-of-surgery consultation (professional attendance at a place other than consulting rooms)

Derived fee: The fee for item 02721 ($108.30), plus $29.70 divided by the number of patients seen, up to a maximum of 6 patients. For 7 or more patients - the fee for item 02721 plus $2.00 per patient



DF

02725

Fps extended attendance professional attendance for the purpose of providing focussed psychological strategies for assessed mental health disorders, by a medical practitioner registered with Medicare Australia as meeting the credentialling requirements for provision of this service, and lasting at least 40 minutes. Surgery consultation (professional attendance at consulting rooms)

$140.00

02727

Out-of-surgery consultation (professional attendance at a place other than consulting rooms)

Derived fee: The fee for item 02725 ($140.00), plus $29.70 divided by the number of patients seen, up to a maximum of 6 patients. For 7 or more patients - the fee for item 02725 plus $2.00 per patient



DF

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