for uninsured services - Saskatchewan Medical Association

SECTION B:GENERAL PRACTICEFeeHospital Care(Payable on day of admission)25B -- first 10 days, per day $50.4026B -- 11-20 days, per day $50.4027B -- 21-30 days, per day $50.4028B -- thereafter, per day $42.60Note: for hospital discharge by physician, see code 725A.Payable on day of admission.25B may be billed for short term acute care patients who areadmitted to a Health Centre in the same manner as an acutecare hospital. Physicians may not use this option to covernew admissions for long term care patients.Supportive CareSupportive Care is billable by the patient's family physicianfor inpatient visits to patients formally admitted to hospitalunder a specialist where it is necessary and/or prudent forthe family physician to visit the patient to:-- promote continuity of care;-- reassure the patient and liaise with the family;-- become aware of the specialist's current and futuretreatment recommendations;-- facilitate the continuing management of the patient inthe community following discharge.Note: This service must be documented in the patient'sfile (hospital chart). This service is not payable in additionto a case conference billed for the same patient on the sameday or in conjunction with any surcharge or premium. Caseswhere the patient has spent less than 24 hours as a hospitalin-patient will only be paid if this service has not been paidin the preceeding 30 days. Services in excess of six per yearper patient are to be billed by report.Services in excess of six per discrete hospital admissionper patient are to be billed by report which means the claimmust be accompanied by a detailed explanation of thecircumstances. Payment will be assessed on the basisof the explanation.52B Initial Visit (to be billed once per $58.30admission - otherwise 53B)53B Subsequent Visits - to be billed during $58.30the patient's stay as a hospital in-patientup to a maximum of once per week(i.e. 53B is not billable within 6 days ofanother 53B)METHADONE - Monthly stipend for overseeingmethadone management60B First 3 months - per patient (lifetime $74.60maximum)61B Second 3 months - per patient (lifetime $55.90maximum)62B Thereafter - per patient $37.40-- No restarts in the payment program, i.e. if the patient leaves theprogram and then at a later date re-enters the program, his paymentwould resume at the same level as when he/she opted out.-- Only one physician will be paid the monthly stipend. Change ofphysician does not affect level of payment.SMA FEE GUIDE - B3 - October 1, 2011