General Practitioners with Specialty Training Telephone Advice Fees:
• Must not have billed another GPSC fee item on the specific patient in the previous 18 months.
• Service may be provided when physician is located in office or hospital.
• For the purpose of these telephone advice fee items a General Practitioner (GP) with specialty training who is defined as: A GP who has specialty training and who provides services in that specialty area though a health authority supported or approved program.
• Telephone advice must be related to the field in which the GP has received specialty training.
Payable to a GP with specialty training for two-way telephone communication (including other forms of electronic verbal communication) regarding assessment and management of a patient but without the consulting physician seeing the patient.
Conversation must take place within two hours of the initiating physician’s request. Not payable for written communication (i.e. fax, letter, e-mail).
iii.) Includes discussion of pertinent family/patient history, history of presenting complaint and discussion of the patient's condition and management after reviewing laboratory and other data where indicated.
iv) Not payable for situations where the purpose of the call is to:
a. book an appointment
b. arrange for transfer of care that occurs within 24 hours
c. arrange for an expedited consultation or procedure within 24 hours
d. arrange for laboratory or diagnostic investigations
e. inform the referring physician of results of diagnostic investigations
f. arrange a hospital bed for the patient
v) Not payable to physician initiating call.
vi) No claim may be made where communication is with a proxy for either physician (e.g.: nurse or assistant).
vii) Limited to one claim per patient per physician per day.
viii) A chart entry, including advice given and to whom, is required.
ix) Include start and end times in time fields when submitting claim.
x) Not payable in addition to another service on the same day for the same patient by same practitioner.
xi) Out-of-Office Hours Premiums and Rural Retention Premiums may not be claimed in addition.
xii) Cannot be billed simultaneously with salary, sessional, or service contract arrangements.