for uninsured services - Saskatchewan Medical Association

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SECTION M:ORTHOPAEDIC SURGERYWhen the words 'Fee for Service' or 'By Report' are shownrather than a specific rate of payment, the followingapplies:(a) Fee For Service-- means services are to be biled onthe basis of individual appropriate visit or procedureitems included in the Payment Schedule, at the listedamount, and are subject to the Assesment Rules.(b) By Report -- Means that the claim form must beaccompanied by a detailed explanation of the circumstancesand the services provided. Payment will be assessed on thebasis of the explanation. These claims must be submittedon claim forms.(c) For out of hours premiums see Section A.VisitsFee5M Initial assessment $79.20-- of a specific condition includes:pertinent family history, patienthistory, history of presentingcomplaint, functional enquiry,examination of affected part(s) orsystem(s), diagnosis, assessment,necessary treatment, advice to the patientand record of service provided7M Follow-up assessment $79.20 *-- includes: history review, functionalenquiry, examination, reassessment,necessary treatment, advice to the patient andrecord of service provided9M Consultation $179.00-- includes all visits necessary, historyand examination, review of laboratoryand/or other data and writtensubmission of the consultant'sopinion and recommendations tothe referring doctor10M -- consultation for patients referred for $156.00back pain only11M -- repeat $73.8013M Written advice to referring physician on the $100.00management of a case based upon review ofx-rays by Orthopaedic Surgeon (billableonce per case only)Hospital Care(Payable on day of admission)25M -- first 10 days, per day $44.00 *26M -- 11-20 days, per day $44.00 *27M -- 21-30 days, per day $20.00 *28M -- thereafter, per day $20.00 *Note: for hospital discharge by physician,see code 725A, Section A.SMA FEE GUIDE -M1 - April 1. 2012
SECTION MORTHOPAEDIC SURGERYClassification of Bones for Payment Purposes:Long Short Major Minor Large SmallClavicle x x xHumerus x x xRadius x x xUlna x x xFemur x x xTibia x x xFibula x x xPatella x xMandible x xFacial Bones x xScapula x xPelvis x xVertebra x xOs Calcis x xTalus x xOther TarsalBones x xCarpal Bones x xMetacarpals x x xMetatarsals x x xPhalanges x x xSMAFEEGUIDE -M2- Juriel,2011
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SMA Fee Guide (for uninsured servic
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INTRODUCTION / PREAMBLEAn understan
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INTRODUCTION / PREAMBLE8. Classific
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INTRODUCTION / PREAMBLERequests fro
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INTRODUCTION / PREAMBLEa) Keep Pati
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SECTION A1:UNINSURED SERVICESIICHAR
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SECTION A1:UNINSURED SERVICESIIIRES
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SECTION A1:UNINSURED SERVICESIVMEDI
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SECTION A2:THIRD PARTY SERVICES AT
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SECTION A.4:GENERAL SERVICESProcedu
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SECTION A.4:GENERAL SERVICESFeeSpec
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SECTION A.4:GENERAL SERVICESFee184A
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SECTION A.4:GENERAL SERVICESFeeDopp
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SECTION A.4:GENERAL SERVICESIndirec
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SECTION A.4:GENERAL SERVICESthe sur
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SECTION A.4:GENERAL SERVICESFee626A
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SECTION A.4:GENERAL SERVICES278D, 2
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SECTION A.4:Pharmacists; Private ca
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SECTION A.4:GENERAL SERVICESFeePati
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SECTION B:GENERAL PRACTICEGeneral P
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SECTION B:GENERAL PRACTICE35B- per
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SECTION B:GENERAL PRACTICE15 minute
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SECTION C:PAEDIATRICSVisitsFee3C Co
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SECTION C:PAEDIATRICSFeeCardiorespi
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SECTION D:INTERNAL MEDICINEFee350D
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SECTION D:INTERNAL MEDICINEFee Anae
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SECTION D:INTERNAL MEDICINEFee Anae
Page 67 and 68: SECTION E:PSYCHIATRYVisitsFee5E Ini
Page 69 and 70: SECTION E:PSYCHIATRYFee75E Consulta
Page 71 and 72: SECTION E:PSYCHIATRYFee35E Concurre
Page 73 and 74: SECTION F:DERMATOLOGYVisitsFee5F In
Page 75 and 76: SECTION F:DERMATOLOGYFee AnaeIntral
Page 77 and 78: SECTION G:MEDICAL GENETICS^Fee Anae
Page 79 and 80: SECTION H:ANAESTHESIA"Standby" foll
Page 81 and 82: SECTION H:ANAESTHESIAANAESTHESIA CA
Page 83 and 84: SECTION H:ANAESTHESIA- Hysterosocpi
Page 85 and 86: SECTION H:ANAESTHESIAFee Anae132H L
Page 87 and 88: SECTION H:ANAESTHESIA4. If Ventilat
Page 89 and 90: SECTION H:ANAESTHESIALess Intensive
Page 91 and 92: SECTION I:CARDIOLOGYFee Anae105I Fu
Page 93 and 94: SECTION K:NEUROSURGERYFeeHospital C
Page 95 and 96: SECTION K:NEUROSURGERYFeeAnaeNerve
Page 97 and 98: SECTION K:NEUROSURGERY540K -- each
Page 99 and 100: SECTION K:NEUROSURGERYFeeAnae648K R
Page 101 and 102: SECTION L:GENERAL SURGERYFeeAnaeHea
Page 103 and 104: SECTION L:GENERAL SURGERYFeeAnae120
Page 105 and 106: SECTION L:GENERAL SURGERYFeePeriton
Page 109 and 110: SECTION L:GENERAL SURGERYTEF and ce
Page 111 and 112: SECTION L:GENERAL SURGERYFeeAnaeImp
Page 115 and 116: SECTION L:GENERAL SURGERYFeeAnaeInt
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Page 121 and 122: SECTION M:ORTHOPAEDIC SURGERYFeeAna
Page 123 and 124: SECTION M:ORTHOPAEDIC SURGERY2. Unl
Page 133 and 134: SECTION M:ORTHOPAEDIC SURGERYmuscul
Page 135 and 136: SECTION N:PLASTIC SURGERY2. Correct
Page 137 and 138: SECTION N:PLASTIC SURGERYFeeAnaeFun
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Page 141 and 142: SECTION N:PLASTIC SURGERYFeeAnae367
Page 143 and 144: SECTION O:PHYSICAL MEDICINEVisitsFe
Page 145 and 146: SECTION P:OBSTETRICS/GYNAECOLOGYAls
Page 147 and 148: SECTION P:OBSTETRICS/GYNAECOLOGYFee
Page 149 and 150: SECTION P:OBSTETRICS/GYNAECOLOGYFee
Page 151 and 152: SECTION P:OBSTETRICS/GYNAECOLOGYplu
Page 153 and 154: SECTION Q:NEUROLOGYFeeHospital Care
Page 155 and 156: SECTION R:UROLOGICAL SURGERYVisitsF
Page 157 and 158: SECTION R:UROLOGICAL SURGERYFeeAnae
Page 163 and 164: SECTION S:OPHTHALMOLOGYVisitsFee5S
Page 165 and 166: SECTION S:OPHTHALMOLOGYFee582S Opti
Page 167 and 168: SECTION S:OPHTHALMOLOGYFeeAnae441S
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SECTION S:OPHTHALMOLOGYFeeAnae98S R
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SECTION S:OPHTHALMOLOGYFeeAnae138S
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SECTION S:OPHTHALMOLOGYFeeAnae497S
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SECTION T:OTOLARYNGOLOGYVisitsFee5T
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SECTION T:OTOLARYNGOLOGYFeeAnaePoly
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SECTION T:OTOLARYNGOLOGYFeeAnae-- e
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SECTION V:LABORATORY MEDICINELabora
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SECTION V:LABORATORY MEDICINESpecia
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SECTION W:DIAGNOSTIC ULTRASOUNDTech
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SECTION X:DIAGNOSTIC RADIOLOGYTechn
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SECTION X:DIAGNOSTIC RADIOLOGYTechn
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SECTION X:DIAGNOSTIC RADIOLOGYSpeci
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SECTION X:DIAGNOSTIC RADIOLOGYFeeAn
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SECTION Y:THERAPEUTIC RADIOLOGYThis
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SECTION Z:NUCLEAR MEDICINETechnical
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SECTION Z:NUCLEAR MEDICINETechnical
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Hand Surgery AppendixFeeAnaeTenolys
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