General practice 13005 - Phone call (advice about patient in community care)

General Info

Billing Amount: $15.16

Description

This fee may be claimed for advice by telephone, fax or in written form about a patient in community care in response to an enquiry initiated by an allied health care worker specifically assigned to the care of the patient.

Notes:

Community Care comprises Residential, Intermediate and Extended care and includes patients receiving Home Nursing care, Home support or Palliative care at home.

Allied health care workers are defined as: home care coordinators, nurses, (registered, licensed practical, public health, and psychiatric), psychologists, mental health workers, physiotherapists, occupational therapists, respiratory therapists, social workers, ambulance paramedics, and pharmacists (not intended for prescription renewal).

iv) Claims should be submitted under the personal health number of the patient and should indicate the time of day the request for advice was received.
v) Dates of services under this item should be documented in the patient’s record together with the name and position of the enquiring allied health care worker and a brief notation of the advice given. Alternatively the original of a fax or a copy of written advice will suffice to document these services.
vi) This fee may not be claimed in addition to visits or other services provided on the same day by the same physician for the same patient.
vii) This fee may be billed to a maximum of one per patient per physician per day.
viii) This fee may not be claimed for advice in response to enquiries from a patient or their family.
ix) This fee may not be claimed by physicians who are on third party call to a facility or applicable to calls about doctor of the day patients to a physician who is on-call for doctor of the day at the time of the request for advice. Similarly the fee does not cover advice provided by doctors who are on-site, on-duty in an emergency department, who are being paid at the time on a sessional basis, or who are working at the time as hospitalists.x) This fee item is not billable by physicians receiving non fee-for-service compensation to provide coverage at continuing care facilities during normal business hours.