for uninsured services - Saskatchewan Medical Association

SECTION A2:THIRD PARTY SERVICES AT RATES NEGOTIATED WITH THESASKATCHEWAN MEDICAL ASSOCIATIOND. WORKERS' COMPENSATION BOARD (rates retroactive to April 1, 2012)Payments are made for certain services not listed in the MSB Payment Schedule:Reports650 - Initial (PPI) .............................................................................................................................$56.50651 - if submitted electronically by PPI template or typed clinical notescontaining similar information .........................................................................................add $11.90660 - Progress (PPP)......................................................................................................................$35.10661 - if submitted electronically by PPP template or typed clinical notescontaining similar information .........................................................................................add $11.90Complicated Consultations - (Specialists Only)119 a) conditions involving more than one area of the body, orb) chronic clients (those with injuries older than 12 weeks) .............................................add $90.30Special Opinion, on request97 (relationship of percentage of functional impairment) .....................................................add $226.00Research Fee (when requested by WCB) (per 10 minutes)178 - specialist ................................................................................................................................$45.20177 - general practitioner ................................................................................................................$40.70Telephone Consultations - initiated by the WCB or a health care provider currentlytreating the injured worker. Synopsis of the consultation to be included in patient’s chart.a) First 10 minutes:126 - specialist ...........................................................................................................................$45.201126 - general practitioner ...........................................................................................................$40.70b) 10 to 15 minutes:128 - specialist ...........................................................................................................................$60.201128 - general practitioner ...........................................................................................................$54.00c) Each additional 15 minutes:164 - specialist ...........................................................................................................................$60.201164 - general practitioner ...........................................................................................................$54.00179 RHCS4 – Treatment Implementation ....................................................................................$31.50Note: If received by the WCB within five days of the report request, an additional $26.00will be automatically added to the payment for this form.640 Counselling ............................................................................................................................$43.00- For patient counselling regarding early return-to-work, and/or completion ofreturn-to-work plan for work injuries expected to have temporary restrictions.- Billable for counselling sessions occurring at initial visit and maximum of onceevery 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.SMA Fee Guide A 12April 1, 2012