for uninsured services - Saskatchewan Medical Association

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SECTION A2: THIRD PARTY SERVICES AT RATES NEGOTIATED WITH THE SASKATCHEWAN MEDICAL ASSOCIATION D. WORKERS' COMPENSATION BOARD Payments are made for certain services not listed in the MSB Payment Schedule: Reports 650 - Initial (PPI) .............................................................................................................................$47.30 651 - if submitted electronically by PPI template or typed clinical notes containing similar information .........................................................................................add $10.00 660 - Progress (PPP)......................................................................................................................$29.40 661 - if submitted electronically by PPP template or typed clinical notes containing similar information .........................................................................................add $10.00 Complicated Consultations 119 a) conditions involving more than one area of the body, or b) chronic clients (those with injuries older than 12 weeks) .............................................add $75.60 Special Opinion, on request 97 (relationship of percentage of functional impairment) .....................................................add $189.00 Research Fee (when requested by WCB) ( per 10 minutes) 178 - specialist ................................................................................................................................$37.80 177 - general practitioner ................................................................................................................$34.10 Telephone Consultations - initiated by the WCB or a health care provider currently treating the injured worker. Synopsis of the consultation to be included in patient’s chart. a) First 10 minutes: 126 - specialist ...........................................................................................................................$37.80 1126 - general practitioner ...........................................................................................................$34.10 b) 10 to 15 minutes: 128 - specialist ...........................................................................................................................$50.40 1128 - general practitioner ...........................................................................................................$45.20 c) Each additional 15 minutes: 164 - specialist ...........................................................................................................................$50.40 1164 - general practitioner ...........................................................................................................$45.20 179 RHCS4 – Treatment Implementation ....................................................................................$26.30 Note: If received by the WCB within five days of the report request, an additional $25.00 will be automatically added to the payment for this form. 640 Counselling ............................................................................................................................$36.00 - For patient counselling regarding early return-to-work, and/or completion of return-to-work plan for work injuries expected to have temporary restrictions. - Billable for counselling sessions occurring at initial visit and maximum of once every four weeks thereafter that patient not engaged in return-to-work plan. - Must be documented in patient’s chart. Per 10 minutes or major portion. Saskatchewan Medical Association - A12 - June 1, 2011 Guide to Fees
SECTION A2: THIRD PARTY SERVICES AT RATES NEGOTIATED WITH THE SASKATCHEWAN MEDICAL ASSOCIATION 199 Hospital Management ..........................................................................................................$100.00 Billed by most responsible physician (MRP) and/or physician completing discharge summary, for inpatient hospital stays. Includes discussion with patient regarding expectations for recovery and return-to-work. Billed at or near time of discharge, with notation in patient’s chart. Per hospital stay. MEDICAL BOARDS Traumatic Brain Injury Consultation 89 - Chair ...................................................................................................................................$788.00 1189 - Actual time spent in excess of 2.5 hours (per hour) .......................................................$315.00 189 - Member ................................................................................................................................$630.00 1089 - Actual time spent in excess of 2.5 hours (per hour) .......................................................$252.00 Cardiac (per hour) 42 - Chair ....................................................................................................................................$315.00 142 - Member ................................................................................................................................$252.00 Cardiopulmonary – Medical Consultation 5 - Chair ....................................................................................................................................$945.00 1150 - Actual time spent in excess of 3 hours (per hour) ..........................................................$315.00 150 - Member ................................................................................................................................$756.00 1050 - Actual time spent in excess of 3 hours (per hour) ..........................................................$252.00 Medical Review Panel 15 - Chair .................................................................................................................................$1,260.00 1115 - Actual time spent in excess of 4 hours (per hour) ..........................................................$315.00 1015 - Member ............................................................................................................................$1,008.00 1215 - Actual time spent in excess of 4 hours (per hour) ..........................................................$252.00 Medical Board 190 - Member ................................................................................................................................$630.00 1190 - Actual time spent in excess of 2.5 hours (per hour) .......................................................$252.00 85 Chaperone Fee (per 15 minutes) ............................................................................................$63.00 Submit to: Workers’ Compensation Board 200-1881 Scarth Street Regina, SK S4P 4L1 Toll-free Fax: 1-888-844-7773 Note: The Workers’ Compensation Board reserves the right to withhold payment for incomplete or illegible reports received. Saskatchewan Medical Association - A13 - June 1, 2011 Guide to Fees
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Page 57 and 58: SECTION C: PAEDIATRICS Procedures A
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Page 67 and 68: SECTION E: PSYCHIATRY Fee 62E Exami
Page 69 and 70: SECTION E: PSYCHIATRY Psychotherapy
Page 71 and 72: SECTION F: DERMATOLOGY Visits Fee 5
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SECTION F: DERMATOLOGY Fee Intrales
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SECTION G: MEDICAL GENETICS^ Fee Co
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SECTION H: ANAESTHESIA "Standby" fo
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SECTION H: ANAESTHESIA ANAESTHESIA
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SECTION H: ANAESTHESIA - Hysterosoc
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SECTION H: ANAESTHESIA Fee 132H Lum
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SECTION H: ANAESTHESIA 3. Other phy
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SECTION H: ANAESTHESIA Payment is i
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SECTION J: SURGICAL ASSISTANCE 1. C
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SECTION J: SURGICAL ASSISTANCE Surg
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SECTION K: NEUROSURGERY Fee 15K Fol
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SECTION K: NEUROSURGERY Fee Anae De
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SECTION K: NEUROSURGERY Fee Anae Th
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SECTION K: NEUROSURGERY Fee 610K Th
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SECTION L: GENERAL SURGERY Visits W
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SECTION L: GENERAL SURGERY Fee Anae
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SECTION L: GENERAL SURGERY PEG tube
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SECTION M: ORTHOPAEDIC SURGERY SECT
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SECTION M: ORTHOPAEDIC SURGERY Fee
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SECTION M: ORTHOPAEDIC SURGERY 2. U
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SECTION N: PLASTIC SURGERY Visits F
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SECTION N: PLASTIC SURGERY 5. Abdom
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SECTION N: PLASTIC SURGERY Fee Anae
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SECTION P: OBSTETRICS/GYNAECOLOGY V
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SECTION P: OBSTETRICS/GYNAECOLOGY F
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SECTION Q: NEUROLOGY Visits Fee 3Q
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SECTION R: UROLOGICAL SURGERY Visit
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SECTION R: UROLOGICAL SURGERY Fee A
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SECTION R: UROLOGICAL SURGERY Prost
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SECTION R: UROLOGICAL SURGERY Fee A
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SECTION S: OPHTHALMOLOGY Visits Fee
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SECTION S: OPHTHALMOLOGY Fee Anae F
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SECTION S: OPHTHALMOLOGY Fee Anae E
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SECTION S: OPHTHALMOLOGY Fee Anae 2
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SECTION S: OPHTHALMOLOGY Fee Anae O
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SECTION S: OPHTHALMOLOGY Fee Anae 2
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SECTION T: OTOLARYNGOLOGY Fee 430T
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SECTION T: OTOLARYNGOLOGY Fee Anae
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SECTION T: OTOLARYNGOLOGY Fee Anae
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SECTION V: LABORATORY MEDICINE Fee
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SECTION V: LABORATORY MEDICINE Spec
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SECTION V: LABORATORY MEDICINE Spec
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SECTION W: DIAGNOSTIC ULTRASOUND Mu
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SECTION X: DIAGNOSTIC RADIOLOGY Fee
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SECTION X: DIAGNOSTIC RADIOLOGY Tec
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SECTION X: DIAGNOSTIC RADIOLOGY Spe
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SECTION X: DIAGNOSTIC RADIOLOGY Spe
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SECTION Y: THERAPEUTIC RADIOLOGY Th
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SECTION Z: NUCLEAR MEDICINE Technic
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SECTION Z: NUCLEAR MEDICINE Technic
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