General practice 14023 - Gp with spec training tele patient mgmt-follow up

General Info

Billing Amount: $20.00

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Notes:

General Practitioners with Specialty Training Telephone Advice Fees:
Eligibility:
• 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.

This fee applies to two-way direct telephone communication (including other forms of electronic verbal communication) between the GP with specialty training and patient, or a patient’s representative. Not payable for written communication (i.e. fax, letter, e-mail).

This fee is only payable for scheduled telephone appointments with the patient.

i) This fee applies to two-way direct telephone communication (including other forms of electronic verbal communication) between the GP with specialty training and patient, or a patient’s representative. Not payable for written communication (i.e. fax, letter, e-mail).
ii) Access to this fee is restricted to patients having received a prior consultation, office visit, hospital visit, diagnostic procedure or surgical procedure from the same GP with Specialty training, within the 6 months preceding this service.
iii) Telephone management requires two-way communication between the patient and physician on a clinical level; the fee is not billable for administrative tasks such as appointment notification.
iv) No claim may be made where communication is with a proxy for the physician (e.g.: office support staff).
v) Each physician may bill this service four (4) times per calendar year for each patient.
vi) This fee requires chart entry as well as ensuring that patient understands and acknowledges the information provided.
vii) Not payable in addition to another service on the same day for the same patient by the same physician.
viii) Out-of-Office Hours Premiums may not be claimed in addition.
ix) Cannot be billed simultaneously with salary, sessional, or service contract arrangements.