for uninsured services - Saskatchewan Medical Association

SECTION A.4:GENERAL SERVICESFee626A Patients in special care home, public nursing $52.60 *homes, respite beds, long term care facilitiesand Level 4 beds in hospital or health centres.Maximum payment of one visit per patient byany physician every 7 days.Where circumstances require that patients needmore than the above numbers of visits it is expectedthat the doctor will bill a partial assessment andfulfill all the requirements of that code. Wherea doctor visits a patient on a special call basis,payment will be at the special call rates dependingupon time of day, see Section A, Out-of-Hours PremiumsPrivate care facilities may be designated equalto the public nursing homes noted in thedescription above by the SMA Tariff Committee.Geriatric Assessment Unit600A Payment for assessment of patients attending $23.80 *Geriatric Assessment/Rehabilitation UnitPhysician must be physically present to consultand review patients as necessary. Documentationrequired for significant change orders only -- twoper patient per 7 day period.Group Counselling (instruction time only)680A Group Counselling of 5 or more patients where $117.00 *the objective is to provide medical expertiseregarding the patients' condition, to be billed inthe name of one patient -- initial 15 minutes.Claim must include a note or comment indicatingthe number of patient involved and the topic.681A -- additional complete 15 minute units (to a maximum of 3 units) $117.00 *Paediatric Age Supplement for Procedural Fees (including all diagnostic, 0, 10or 42 day procedure(s) including applicable section W and X codes but excludingECG's), surgical assistant and anaesthetic payment (codes 94H to 161H, 220Hand 500H to 505H).900A Patients less than 31 days of age, add 50 percent -- maximum of $1,500901A Patients less than 91 days of age but older than 30 days,add 25 percent -- maximum of $1,500902 A Patients less than 1 year of age but older than 90 days,add 10 percent -- maximum of $1,000Note: Paediatric Supplements are based on the value of the diagnostic service, 0, 10, or 42day procedure(s), surgical assist payment and the anaesthetic payment (codes 500Hto 505H only) (excluding all premiums and surcharges).Paediatric Weight Supplement for Procedural Fees-- (including all diagnostic, 0, 10 or 42 day procedure(s) including applicable section Wand X codes but excluding ECG's), in the case of the attending physician;-- the surgical assist payment in the case of the surgical assistant; and-- the anaesthetic payment (codes 500H to 505H only) in the case of the anaesthetist.You are required to submit the following codes to obtain the weight supplement if thehas not been reached by age.SMA FEE GUIDE- A34 -April 1, 2012