Practice Managers Manual - Irish Health Repository

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Palliative Care Claims The scheme provides for a payment to be made to General Practitioners (both GMS & Non-GMS) who provide domiciliary care for the final phase of the following terminal illnesses. Advanced Cancer Terminal H.I.V. Progressive neurological conditions – i.e.: motor neurone disease. Both private and GMS patients are eligible for the scheme. The general practitioner receives a payment when palliative care has ended which is based on the date of the patients death (minus tax). Palliative Care Payment Rates: Date % Increase Rates IR £ EURO € 01.08.93 100 126.97 01.06.94 2 102 129.51 01.06.95 2 104.04 132.21 01.06.96 1.5 105.60 134.09 01.10.96 1.5 107.18 136.10 01.01.97 1 108.26 137.46 01.07.97 2.5 110.96 140.89 01.04.98 2.5 113.74 144.42 01.07.98 2.25 116.30 147.67 01.07.99 1.5 118.04 149.88 01.04.00 1 119.22 151.38 01.10.00 5.5 125.78 159.71 01.04.01 2 128.29 162.90 01.10.01 5.5 135.35 171.86 01.10.02 4 140.76 178.73 01.01.04 3 144.99 184.09 01.07.04 2 187.77 01.12.04 2 191.53 01.06.05 1.5 194.40 01.12.05 1.5 197.32 01.06.06 2.5 202.25 01.12.06 3 208.25 01.06.07 2 212.48 Procedure for claiming payment: When a general practitioner commences palliative care he must complete the notification form (green) and forward to the primary care unit at the address below. When palliative care ends i.e.: on the death of the patient the general practitioner must complete the claim form (blue) and forward to the primary care unit at the address below. Where to obtain forms and send your claim: Primary Care Unit, Health Service Executive. 2 nd Floor Block E, Westland Park, 24 Practice Managers Manual Nangor Road, Dublin 12 Tel: 01 4609667 Fax: 01 4609697
Annual Leave The scheme provides for a payment to be made via the Primary Care Reimbursement Service to General Practitioners in respect of Annual Leave. The entitlement of annual leave days is based on the General Practitioners panel size as outlined in the table below: Panel Size No of entitled Annual Leave Days. 100 14 200 16 300 18 400 20 500 21 600 22 700 23 800 24 900 25 1000 28 1100 29 1200 30 1300 31 1400 32 1500 35 The annual leave year runs from 1 st April to 31 st March each year. In order to submit a claim for annual leave an ALF/1 form must be submitted to the Primary Care Unit. Completion of ALF/1 Form: When applying for sick/study/annual leave: Section A is completed by the GP and then forwarded to Primary Care Unit HSE Dublin Mid-Leinster, 2 nd Floor Block E, Westland Park, Nangor Road Dublin 12. Section B is completed and approved in the Primary Care Unit. On approval of this leave the HSE will retain part 1 and return parts 2, 3, and 4 to the GP. Section C is completed by the named locum Section D is then completed by the GP. The GP retains part 4. GP then forwards parts 2 and 3 to the Primary Care Reimbursement Service, Exit 5 M50, North Road, Finglas, Dublin 11, to process for payment. Please note that the form must be fully completed to include name and signature of Locum Practitioner before payment can be made by the Primary Care Reimbursement Service Practice Managers Manual 25
Page 1 and 2: Practice Managers Manual
Page 3 and 4: Contents Section 1: Claims Procedur
Page 5 and 6: The time that the patients consulta
Page 7 and 8: Electronic Claims Electronic claims
Page 9 and 10: Fees and Allowances under Capitatio
Page 11 and 12: Fees and Allowances Payable Under C
Page 13 and 14: Fees and Allowances under the Fee-P
Page 15 and 16: Patients are deemed ineligible for
Page 17 and 18: Childhood Immunisation Claims Proce
Page 19 and 20: Medical Indemnity Refund Claims Onc
Page 21 and 22: Indicative Drug Budgeting Backgroun
Page 23: Health (Amendment) Act 1996 - Hepat
Page 27 and 28: Sick Leave The General Medical Serv
Page 29 and 30: Practice Support Subsidies - Patien
Page 31 and 32: Nurse Start Up Grant: A once off gr
Page 33 and 34: Medical Card Scheme and Doctor Visi
Page 35 and 36: The European Health Insurance Card.
Page 37 and 38: Drug Payments Scheme This scheme pr
Page 39 and 40: Maternity and Infant Care Scheme: T
Page 41 and 42: Dental & Orthodontic Services Servi
Page 43 and 44: Opthalmic Services Medical Card Hol
Page 45 and 46: Liaison Personnel - HSE Name Elaine
Page 47 and 48: HOSPITALS Hospital Telephone Number
Page 49 and 50: USEFUL NUMBERS ALBA Counselling Ser
Page 51 and 52: Practice Managers Manual 51
Page 53 and 54: Practice Managers Manual 53
Page 55: Practice Managers Manual 55

Practice Managers Manual - Irish Health Repository

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