for uninsured services - Saskatchewan Medical Association

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SECTION A2:THIRD PARTY SERVICES AT RATES NEGOTIATED WITH THESASKATCHEWAN MEDICAL ASSOCIATION199 Hospital Management ..........................................................................................................$119.00Billed by most responsible physician (MRP) and/or physician completing dischargesummary, for inpatient hospital stays. Includes discussion with patient regardingexpectations for recovery and return-to-work. Billed at or near time of discharge,with notation in patient’s chart. Per hospital stay.MEDICAL BOARDSTraumatic Brain Injury Consultation89 - Chair ...................................................................................................................................$942.001189 - Actual time spent in excess of 2.5 hours (per hour) .......................................................$377.00189 - Member ................................................................................................................................$753.001089 - Actual time spent in excess of 2.5 hours (per hour) .......................................................$301.00Cardiac (per hour)42 - Chair ....................................................................................................................................$377.00142 - Member ................................................................................................................................$301.00Cardiopulmonary – Medical Consultation5 - Chair ..................................................................................................................................$1130.001150 - Actual time spent in excess of 3 hours (per hour) ..........................................................$377.00150 - Member ................................................................................................................................$903.001050 - Actual time spent in excess of 3 hours (per hour) ..........................................................$301.00Medical Review Panel15 - Chair .................................................................................................................................$1,506.001115 - Actual time spent in excess of 4 hours (per hour) ..........................................................$377.001015 - Member .............................................................................................................................$1205.001215 - Actual time spent in excess of 4 hours (per hour) ..........................................................$301.00Medical Board190 - Member ................................................................................................................................$753.001190 - Actual time spent in excess of 2.5 hours (per hour) .......................................................$301.0085 Chaperone Fee (per 15 minutes) ............................................................................................$75.30Submit to: Workers’ Compensation Board200-1881 Scarth StreetRegina, SK S4P 4L1Toll-free Fax: 1-888-844-7773Note: The Workers’ Compensation Board reserves the right to withhold payment for incomplete or illegible reportsreceived.SMA Fee Guide A 13April 1, 2012
SECTION A2:THIRD PARTY SERVICES AT RATES NEGOTIATED WITH THESASKATCHEWAN MEDICAL ASSOCIATIONE. SASKATCHEWAN POWER800A Completion of Saskatchewan Power Practitioner’s Report Form P148 ...................................$40.00Please return forms and submit claims to:Submit to: Saskatchewan PowerReturn to Work10 SE, 2025 Victoria AvenueRegina, SK S4P 0S1Telephone: (306) 566-2416Fax: (306) 566-2406SMA Fee Guide A 14April 1, 2012
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Hand Surgery AppendixFeeAnaeTenolys
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