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


Group A28 - Consultant Physician/Specialist



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Group A28 - Consultant Physician/Specialist


00141

Professional attendance at consulting rooms or hospital by a consultant physician or specialist in the practice of his or her specialty of geriatric medicine, where the patient is at least 65 years old and referred by a medical practitioner practising in general practice (including a general practitioner, but not including a specialist or consultant physician), where the attendance is initiated by the medical practitioner for the provision of a comprehensive assessment and management plan. an attendance of more than 60 minutes at consulting rooms or hospital during which: the medical, physical, psychological and social aspects of the patient's health are evaluated in detail, utilising appropriately validated assessment tools where indicated ('assessment'), the patient's various health problems and care needs are identified and prioritised ('formulation'), a detailed management plan is developed ('management plan'), the management plan is explained and discussed with the patient and/or their family and carer(s) where appropriate, and the management plan is communicated in writing to the referring medical practitioner. The management plan should include: the prioritised list of health problems and care needs, short and longer term management goals, recommended actions or intervention strategies to be undertaken by the patient's general practitioner or other relevant health care providers that are: likely to improve or maintain health status, readily available, and acceptable to the patient, their family and carer(s). Not being an attendance on a patient in respect of whom, an attendance under items 104, 105, 107, 108, 110, 116 and 119 has been received on the same day by the same practitioner. Not being an attendance on a patient in respect of whom, in the preceding 12 months, payment has been made under this item or item 145 by the same practitioner

N/A

00143

Professional attendance at consulting rooms or hospital by a consultant physician or specialist in the practice of his or her specialty of geriatric medicine to review a management plan previously prepared by that consultant physician or specialist in geriatric medicine and claimed under item 141 or 145, where the review is initiated by the referring medical practitioner practising in general practice. an attendance of more than 30 minutes duration at consulting rooms or hospital where that attendance follows item 141 or 145 and during which: the patient's health status is reassessed, a management plan provided under items 141 or 145 is reviewed and revised, the revised management plan is explained to the patient and/or their family and carer(s) and communicated in writing to the referring medical practitioner. Not being an attendance on a patient in respect of whom, an attendance under items 104, 105, 107, 108, 110, 116 and 119 has been received on the same day by the same practitioner. Being an attendance on a patient in respect of whom, in the preceding 12 months, payment has been made under items 141 or 145 by the same practitioner, payable no more than once in any 12 month period, except for where there has been a significant change in the patient's clinical condition or care circumstances that requires a further review

N/A

00145

Professional attendance at a place other than consulting rooms or hospital by a consultant physician or specialist in the practice of his or her specialty of geriatric medicine, where the patient is at least 65 years old and has been referred by a medical practitioner practising in general practice (including a general practitioner, but not including a specialist or consultant physician), where the attendance is initiated by the medical practitioner for the provision of a comprehensive assessment and management plan. An attendance of more than 60 minutes at a place other than consulting rooms or hospital during which: the medical, physical, psychological and social aspects of the patient's health are evaluated in detail, utilising appropriately validated assessment tools where indicated ('assessment'), the patient's various health problems and care needs are identified and prioritised ('formulation'), a detailed management plan is developed ('management plan'), the management plan is explained and discussed with the patient and/or their family and carer(s) where appropriate, the management plan is communicated in writing to the referring medical practitioner. the management plan should include: the prioritised list of health problems and care needs, short and longer term management goals, recommended actions or intervention strategies to be undertaken by the patient's general practitioner or other relevant health care providers that are: likely to improve or maintain health status readily available acceptable to the patient, their family and carer(s) not being an attendance on a patient in respect of whom, an attendance under items 104, 105, 107, 108, 110, 116 and 119 has been received on the same day by the same practitioner. Not being an attendance on a patient in respect of whom, in the preceding 12 months, payment has been made under this item or 141 by the same practitioner

N/A

00147

Professional attendance at a place other than consulting rooms or hospital by a consultant physician or specialist in the practice of his or her specialty of geriatric medicine to review a management plan previously prepared by that consultant physician or specialist in geriatric medicine and claimed under items 141 or 145, where the review is initiated by the referring medical practitioner practising in general practice. An attendance of more than 30 minutes duration at a place other than consulting rooms or hospital where that attendance follows items 141 or 145 and during which: the patient's health status is reassessed, a management plan provided under items 141 or 145 is reviewed and revised, the revised management plan is explained to the patient and/or their family and carer(s) and communicated in writing to the referring medical practitioner. Not being an attendance on a patient in respect of whom, an attendance under items 104, 105, 107, 108, 110, 116 and 119 has been received on the same day by the same practitioner. Being an attendance on a patient in respect of whom, in the preceding 12 months, payment has been made under items 141 or 145 by the same practitioner, payable no more than once in any 12 month period, except for where there has been a significant change in the patient's clinical condition or care circumstances that requires a further review

N/A

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