for uninsured services - Saskatchewan Medical Association

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SECTION A2: THIRD PARTY SERVICES AT RATES NEGOTIATED WITH THE SASKATCHEWAN MEDICAL ASSOCIATION I. CANADA PENSION PLAN (effective August 1, 2010) CPP Disability Medical Report Form - The fee for completing the CPP Disability Form is a set fee. Completion of this six page form is paid at $85.00 (effective August 1, 2010). The level of the fee was set by CPP, based on a 40-minute estimated completion time. The Federal government has recently issued a new guideline to assist physicians in responding to a specific request from CPP to provide a narrative report in regard to a patient’s claim for disability benefits. The guideline allows for payment up to a maximum of $150.00 for these reports. The following scale provided by CPP is intended to assist physicians in determining the appropriate fee. Billing for Medical Reports Submit invoices for services to CPP. Upon receipt of your invoice, CPP will reimburse you: 553A Initial Medical Report .......................................................................................................up to $85.00 554A Reassessment Medical Report .......................................................................................up to $25.00 555A 552A “Scannable Impairment Evaluation” and for the “Medical Report – Recurrence of the Same Medical Problem” (ISP2525) ............................................................. up to $50.00 each A very complete and detailed narrative report that involves more extensive chart review and medical report preparation .................................................................up to $150.00 Note: CPP has indicated that a faster payment will result if you note on your bill the time required to comply with this request. Physicians may still charge their patients for the difference between the CPP payment rate and the physician’s normal charge for a similar service. (See codes 527A/535A) Submit the bill to the patient who is expected to forward it to Health and Welfare Canada along with your report. Occasionally, CPP requests independent medical consultations or functional capacity evaluations during the application process, or to determine continuing eligibility. CPP pays the specialist or facility directly for these examinations. Fees mentioned in this section are set in consultation with the Canadian Medical Association and are subject to change. Saskatchewan Medical Association - A20 - June 1, 2011 Guide to Fees
SECTION A.3 THIRD PARTY SERVICES PAID BY THE MEDICAL SERVICES BRANCH SGI Medical Driver Fitness Review The services paid for listed on this page are paid by M.S.B. on an agency basis for SGI. These codes are not eligible for any additional charges, ( i.e.) premium(s) or surcharges. GP Specialist 70A Telephone call from an SGI Driver Medical $30.00 * $30.00 Review Unit or supervisor, requesting the physician's clarification of a medical condition and affect on the patient's ability to operate a motor vehicle All calls must be recorded on the patient's file chart, including the name of the SGI representative. 71A Written letter or facsimilie requested by $55.00 * $55.00 an SGI Driver Medical Review Unit or supervisor, requesting a brief factual statement of the patient's medical condition and effect on the patient's ability to operate a motor vehicle All reports must be retained in the patient's file. 74A Examination and Report requested by the SGI Driver $75.00 $140.00 Medical Review Unit requesting the physicians's assessment of the patient's ability to operate a motor vehicle All reports must be retained in the patient's file. No additional fee is paid for lab services required for 74A with the exception of 131A. A visit provided on the same day as a 74A is paid by report. 74A includes services described in 70A or 71A. 70A, 71A and 74A are not payable for commercial license renewal. SMA FEE GUIDE - A15 - June 1, 2011
Page 1 and 2: SMA Fee Guide (for uninsured servic
Page 3 and 4: TABLE OF CONTENTS Introduction/Prea
Page 5 and 6: INTRODUCTION / PREAMBLE 4. Third pa
Page 7 and 8: INTRODUCTION / PREAMBLE Surgical Fe
Page 9 and 10: INTRODUCTION / PREAMBLE It is expec
Page 11 and 12: SECTION A1: UNINSURED SERVICES The
Page 13 and 14: SECTION A1: UNINSURED SERVICES 516A
Page 15 and 16: SECTION A1: UNINSURED SERVICES Prov
Page 17 and 18: SECTION A1: UNINSURED SERVICES 572A
Page 19 and 20: SECTION A2: THIRD PARTY SERVICES AT
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Page 33 and 34: SECTION A.4: GENERAL SERVICES The p
Page 35 and 36: SECTION A.4: GENERAL SERVICES Fee 1
Page 37 and 38: SECTION A.4: GENERAL SERVICES Fee C
Page 39 and 40: SECTION A.4: GENERAL SERVICES Fee T
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Page 43 and 44: SECTION A.4: GENERAL SERVICES On oc
Page 45 and 46: SECTION A.4: 893A 894A 895A GENERAL
Page 47 and 48: SECTION A.4: GENERAL SERVICES -- On
Page 49 and 50: SECTION A.4: Only one physician may
Page 51 and 52: SECTION B: GENERAL PRACTICE General
Page 53 and 54: SECTION B: GENERAL PRACTICE Fee 43B
Page 55 and 56: SECTION B: GENERAL PRACTICE Fee 67B
Page 57 and 58: SECTION C: PAEDIATRICS Procedures A
Page 59 and 60: SECTION D: INTERNAL MEDICINE Visits
Page 61 and 62: SECTION D: INTERNAL MEDICINE Fee 14
Page 63 and 64: SECTION D: INTERNAL MEDICINE Fee Ev
Page 65 and 66: SECTION D: INTERNAL MEDICINE Fee 28
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
Page 73 and 74: SECTION F: DERMATOLOGY Fee Intrales
Page 75 and 76: SECTION G: MEDICAL GENETICS^ Fee Co
Page 77 and 78: SECTION H: ANAESTHESIA "Standby" fo
Page 79 and 80: 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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