for uninsured services - Saskatchewan Medical Association

SECTION B:GENERAL PRACTICE35B- per diem*payable on day of admissionSpinal PathwayThe Spinal Pathway code provides payment to physicians for the time they spendcompleting and recording a spinal assessment algorithm using the approvedSpinal Pathway form.Fee200B Spinal pathways $23.40# physicians that have completed the Saskatchewan Spine PathwaysCourse, "Assessment and Management of Low Back Pain" are eligibleto bill this code. This code may be billed once per acute or chronicepisode that requires completing the Spinal Pathway form and algorithm.Case ConferenceMust be a formal scheduled session. A single conference fee billed in the name ofone patient covers all the patients reviewed at that conference. Use 43B if caseconference is part of Home Care Program. A maximum of two case conferencesper patient per year is billable. The physician should keep appropriatedocumentation of time and place.42B -- per conference (not patient) $136.00first 30 minutes or part thereof43B -- per home care conference (not patient) $136.00first 30 minutes or part thereof44B -- add to 42B or 43B for each additional $61.8015 minutes or part thereofHospital Care*(Payable on day of admission)25B -- first 10 days, per day $61.8026B -- 11-20 days, per day $61.8027B -- 21-30 days, per day $61.8028B -- thereafter, per day $48.60Note: for hospital discharge by physician, see code 725A.*Payable on day of admission.25B may be billed for short term acute care patients who areadmitted to a Health Centre in the same manner as an acutecare hospital. Physicians may not use this option to covernew admissions for long term care patients.Supportive CareSupportive Care is billable by the patient's family physicianfor inpatient visits to patients formally admitted to hospitalunder a specialist where it is necessary and/or prudent forthe family physician to visit the patient to:-- promote continuity of care;-- reassure the patient and liaise with the family;-- become aware of the specialist's current and futuretreatment recommendations;-- facilitate the continuing management of the patient inthe community following discharge.Note: This service must be documented in the patient'sfile (hospital chart). This service is not payable in additionto a case conference billed for the same patient on the sameday or in conjunction with any surcharge or premium. Caseswhere the patient has spent less than 24 hours as a hospitalin-patient will only be paid if this service has not been paidin the preceeding 30 days. Services in excess of six per yearper patient are to be billed by report.SMA FEE GUIDE - B3 - April 1, 2012