for uninsured services - Saskatchewan Medical Association

More documents

Recommendations

Info

SECTION A2:THIRD PARTY SERVICES AT RATES NEGOTIATED WITH THESASKATCHEWAN MEDICAL ASSOCIATIONJ. CANADA POST550APhysician’s Modified Work Information Sheet .................................................................... Use 529ASubmit to:Manulife Financial2220 Laurier Avenue West, Suite 400Ottawa, ON K1P 5Z9SMA Fee Guide A 19April 1, 2012
SECTION A2:THIRD PARTY SERVICES AT RATES NEGOTIATED WITH THESASKATCHEWAN MEDICAL ASSOCIATIONK. CANADA PENSION PLAN (effective August 1, 2010)CPP Disability Medical Report Form - The fee for completing the CPP Disability Form is a set fee. Completionof this six page form is paid at $85.00 (effective August 1, 2010). The level of the fee was set by CPP, based ona 40-minute estimated completion time.The Federal government has recently issued a new guideline to assist physicians in responding to a specificrequest from CPP to provide a narrative report in regard to a patient’s claim for disability benefits. The guidelineallows for payment up to a maximum of $150.00 for these reports. The following scale provided by CPP isintended to assist physicians in determining the appropriate fee.Billing for Medical ReportsSubmit invoices for services to CPP. Upon receipt of your invoice, CPP will reimburse you:553A Initial Medical Report .......................................................................................................up to $85.00554A Reassessment Medical Report .......................................................................................up to $25.00555A552A“Scanable Impairment Evaluation” and for the “Medical Report – Recurrenceof the Same Medical Problem” (ISP2525) ............................................................. up to $50.00 eachA very complete and detailed narrative report that involves more extensivechart review and medical report preparation .................................................................up to $150.00Note:• CPP has indicated that a faster payment will result if you note on your bill the time required to comply withthis request.• Physicians may still charge their patients for the difference between the CPP payment rate and thephysician’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 yourreport.• Occasionally, CPP requests independent medical consultations or functional capacity evaluations during theapplication process, or to determine continuing eligibility. CPP pays the specialist or facility directly for theseexaminations.• Fees mentioned in this section are set in consultation with the Canadian Medical Association and are subjectto change.SMA Fee Guide A 20April 1, 2012
Page 1 and 2: SMA Fee Guide (for uninsured servic
Page 3 and 4: INTRODUCTION / PREAMBLEAn understan
Page 5 and 6: INTRODUCTION / PREAMBLE8. Classific
Page 7 and 8: INTRODUCTION / PREAMBLERequests fro
Page 9 and 10: INTRODUCTION / PREAMBLEa) Keep Pati
Page 11 and 12: SECTION A1:UNINSURED SERVICESIICHAR
Page 13 and 14: SECTION A1:UNINSURED SERVICESIIIRES
Page 15 and 16: SECTION A1:UNINSURED SERVICESIVMEDI
Page 17 and 18: SECTION A2:THIRD PARTY SERVICES AT
Page 27: SECTION A2:THIRD PARTY SERVICES AT
Page 31 and 32: SECTION A.4:GENERAL SERVICESProcedu
Page 33 and 34: SECTION A.4:GENERAL SERVICESFeeSpec
Page 35 and 36: SECTION A.4:GENERAL SERVICESFee184A
Page 37 and 38: SECTION A.4:GENERAL SERVICESFeeDopp
Page 39 and 40: SECTION A.4:GENERAL SERVICESIndirec
Page 41 and 42: SECTION A.4:GENERAL SERVICESthe sur
Page 43 and 44: SECTION A.4:GENERAL SERVICESFee626A
Page 45 and 46: SECTION A.4:GENERAL SERVICES278D, 2
Page 47 and 48: SECTION A.4:Pharmacists; Private ca
Page 49 and 50: SECTION A.4:GENERAL SERVICESFeePati
Page 51 and 52: SECTION B:GENERAL PRACTICEGeneral P
Page 53 and 54: SECTION B:GENERAL PRACTICE35B- per
Page 55 and 56: SECTION B:GENERAL PRACTICE15 minute
Page 57 and 58: SECTION C:PAEDIATRICSVisitsFee3C Co
Page 59 and 60: SECTION C:PAEDIATRICSFeeCardiorespi
Page 61 and 62: SECTION D:INTERNAL MEDICINEFee350D
Page 63 and 64: SECTION D:INTERNAL MEDICINEFee Anae
Page 65 and 66: 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 107 and 108:
Page 109 and 110:
SECTION L:GENERAL SURGERYTEF and ce
Page 111 and 112:
SECTION L:GENERAL SURGERYFeeAnaeImp
Page 113 and 114:
Page 115 and 116:
SECTION L:GENERAL SURGERYFeeAnaeInt
Page 117 and 118:
SECTION L:GENERAL SURGERYFee505L --
Page 119 and 120:
SECTION MORTHOPAEDIC SURGERYClassif
Page 121 and 122:
SECTION M:ORTHOPAEDIC SURGERYFeeAna
Page 123 and 124:
SECTION M:ORTHOPAEDIC SURGERY2. Unl
Page 125 and 126:
Page 127 and 128:
Page 129 and 130:
Page 131 and 132:
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
Page 139 and 140:
SECTION N:PLASTIC SURGERYFeeAnaeNos
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 159 and 160:
Page 161 and 162:
Page 163 and 164:
SECTION S:OPHTHALMOLOGYVisitsFee5S
Page 165 and 166:
SECTION S:OPHTHALMOLOGYFee582S Opti
Page 167 and 168:
SECTION S:OPHTHALMOLOGYFeeAnae441S
Page 169 and 170:
SECTION S:OPHTHALMOLOGYFeeAnae98S R
Page 171 and 172:
Page 173 and 174:
Page 175 and 176:
SECTION T:OTOLARYNGOLOGYVisitsFee5T
Page 177 and 178:
SECTION T:OTOLARYNGOLOGYFeeAnaePoly
Page 179 and 180:
SECTION T:OTOLARYNGOLOGYFeeAnae-- e
Page 181 and 182:
SECTION V:LABORATORY MEDICINELabora
Page 183 and 184:
SECTION V:LABORATORY MEDICINESpecia
Page 185 and 186:
Page 187 and 188:
Page 189 and 190:
SECTION W:DIAGNOSTIC ULTRASOUNDTech
Page 191 and 192:
SECTION X:DIAGNOSTIC RADIOLOGYTechn
Page 193 and 194:
SECTION X:DIAGNOSTIC RADIOLOGYTechn
Page 195 and 196:
SECTION X:DIAGNOSTIC RADIOLOGYSpeci
Page 197 and 198:
SECTION X:DIAGNOSTIC RADIOLOGYFeeAn
Page 199 and 200:
SECTION Y:THERAPEUTIC RADIOLOGYThis
Page 201 and 202:
SECTION Z:NUCLEAR MEDICINETechnical
Page 203 and 204:
SECTION Z:NUCLEAR MEDICINETechnical
Page 205:
Hand Surgery AppendixFeeAnaeTenolys
show all

for uninsured services - Saskatchewan Medical Association

Create successful ePaper yourself

Delete template?

Save as template?