Workers' Compensation and Rehabilitation (Scales of Fees) Amendment Regulations 2000 (WA)
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WESTERN 7623 AUSTRALIAN
GOVERNMENT
| PERTH, THURSDAY, 21 DECEMBER 2000 No. 278 | SPECIAL |
PUBLISHED BY AUTHORITY JOHN A. STRIJK, GOVERNMENT PRINTER AT 3.30 PM
WORKERS’ COMPENSATION AND REHABILITATION
ACT 1981
_________
WORKERS’ COMPENSATION
AND REHABILITATION
(SCALES OF FEES)
AMENDMENT REGULATIONS
21 December 2000] GOVERNMENT GAZETTE, WA 7625
Workers' Compensation and Rehabilitation Act 1981
Workers' Compensation and Rehabilitation
(Scales of Fees) Amendment Regulations 2000
Made by the Governor in Executive Council, on the recommendation of the Commission, under section 176(1a).
1. Citation
These regulations may be cited as the Workers' Compensation
and Rehabilitation (Scales of Fees) Amendment Regulations
2000.
2. The regulations amended
The amendments in these regulations are to the Workers'
Compensation and Rehabilitation (Scales of Fees) Regulations
1998*.[* Published in Gazette 13 October 1998, pp. 5711-25. For amendments to 29 November 2000 see 1999 Index to
Legislation of Western Australia, Table 4, p. 344.]
3. Regulation 6 amended
Regulation 6 is amended by deleting “$135.50” and inserting —
“ $138.65 ”.
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Regulations 2000
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4. Regulation 8 amended
Regulation 8 is amended by deleting “$100.00” and inserting —
“ $102.30 ”.
5. Schedule 1 amended
(1) Schedule 1 Part 1 is amended by deleting from the start of that
Part to the end of the Specialists item headed
“ANAESTHETISTS” and inserting —
“
Type of service/by whom Fee $ GENERAL PRACTITIONER
CONSULTATIONS
Surgery Consultation: In Hours
Content based $
Minor Service (Level A) 17.90 Specific Service (Level B) 37.95 Extended Service (Level C) 67.55 Comprehensive Service (Level D) 97.20
Time based $
up to 5 mins 26.10 5-15 mins 33.25 15-30 mins 64.45 30-45 mins 96.20 45-60 mins 130.95
Surgery Consultations: Out of hours
For attendances between the hours of 6pm and 8am on a weekday or
between 12 noon on Saturday and 8am on the following Monday, and
Public Holiday
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Content based $
Minor Service (Level A) 27.45 Specific Service (Level B) 56.90 Extended Service (Level C) 101.30 Comprehensive Service (Level D) 147.35
Time based $
up to 5 mins 47.10 5-15 mins 55.25 15-30 mins 84.95 30 + mins 116.65
VISITS
Consultations at a place other than the
Consulting Rooms $ in hours
Minor Service (Level A) 45.35 Specific Service (Level B) 65.40 Extended Service (Level C) 94.15 Comprehensive Service (Level D) 122.80
out of hours $
Minor Service (Level A) 54.85 Specific Service (Level B) 83.30 Extended Service (Level C) 126.85 Comprehensive Service (Level D) 173.95
TELEPHONE CONSULTATIONS
Time based $
up to 5 mins 15.05 5-15 mins 18.80 15-30 mins 39.30 30 + mins 58.95
7628 GOVERNMENT GAZETTE, WA [21 December 2000 Workers' Compensation and Rehabilitation (Scales of Fees) Amendment
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CASE CONFERENCES, discussions with employers/insurers,
rehabilitation providers, workplace assessments etc
per hour $169.20 TRAVELLING FEES
Outside the metropolitan area
Rate per kilometre $3.00 PHYSICIANS, OCCUPATIONAL & REHABILITATION
PHYSICIANS
PHYSICIANS
CONSULTATIONS
Professional attendance at consulting rooms
and issue of certificate (if required) et al $ first attendance 170.75 subsequent attendances 85.45 VISITS
Professional attendance at a place other than consulting rooms and issue of certificate (if required) et al
$
first attendance 202.45 subsequent attendances 118.05
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REHABILITATION PHYSICIANS
CONSULTATIONS
Professional attendance at consulting rooms
and issue of certificate (if required) et al $ first attendance 170.75 subsequent attendances 85.45 VISITS
Professional attendance at a place other than consulting rooms and issue of certificate (if required) et al
$
first attendance 204.50 subsequent attendances 118.05 OCCUPATIONAL PHYSICIANS
CONSULTATIONS
Professional attendance at consulting rooms
and issue of certificate (if required) et al $ first attendance 170.75 subsequent attendances 85.45 VISITS
Professional attendance at a place other than consulting rooms and issue of certificate (if required) et al
$
first attendance 170.75 subsequent attendances 85.45
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TELEPHONE CONSULTATIONS
Time based $
up to 5 mins 22.35 5 to 15 mins 27.65 15-30 mins 57.80 30 + mins 87.30
CASE CONFERENCES, discussions with employers/insurers,
rehabilitation providers, workplace assessments etc
per hour $250.80 TRAVELLING FEES
Outside the metropolitan area
Rate per kilometre $3.00 CONSULTANT PSYCHIATRISTS
CONSULTATIONS
Professional attendance at consulting rooms
and issue of certificate (if required) et al $ Time based
up to 15 mins 50.10 15-30 mins 99.95 30-45 mins 149.70 45-60 mins 200.30 60-75 mins 226.70 75 + mins 253.00
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VISITS
Professional attendance at a place other than consulting rooms and issue of certificate (if required) et al
$
Time based
up to 15 mins 82.25 15-30 mins 132.80 30-45 mins 181.35 45-75 mins 231.95 75 + mins 279.40
TELEPHONE CONSULTATIONS
Time based $
up to 45 mins 68.55 45 + mins 149.70
CASE CONFERENCES, discussions with employers/insurers,
rehabilitation providers, workplace assessments etc
per hour $250.80 TRAVELLING FEES
Outside the metropolitan area
Rate per kilometre $3.00
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SPECIALISTS
SURGEONS
CONSULTATIONS
Professional attendance at consulting rooms
and issue of certificate (if required) et al $ first attendance 97.10 subsequent attendances 50.65 VISITS
Professional attendance at a place other than consulting rooms and issue of certificate (if required) et al
$
first attendance 130.95 subsequent attendances 83.40 DERMATOLOGISTS
CONSULTATIONS
Professional attendance at consulting rooms
and issue of certificate (if required) et al $ first attendance 97.00 subsequent attendances 50.65
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VISITS
Professional attendance at a place other than consulting rooms and issue of certificate (if required) et al
$
first attendance 130.75 subsequent attendances 83.30 TELEPHONE CONSULTATIONS
Time based $
up to 5 mins 22.35 5-15 mins 27.65 15-30 mins 57.80 30 + mins 87.30
CASE CONFERENCES, discussions with employers/insurers,
rehabilitation providers, workplace assessments etc
per hour $250.80 TRAVELLING FEES
Country
Rate per kilometre $3.00 ANAESTHETISTS
CONSULTATIONS
$
Standard pre-anaesthesia 61.85 Referred pre-anaesthesia —
initial attendance 123.70 subsequent attendance 61.85 ”.
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(2) Schedule 1 Part 1 is amended before the heading to Part A,
under the heading “$ VALUE PER UNIT”, by deleting
“$30.23” and inserting instead —“ $30.95 ”. (3) Schedule 1 Parts 2 and 3 are deleted and the following Parts are
inserted instead —
“
Part 2 — Medical procedures
Type of procedure Fee $ GENERAL Localised burns 37.35 Localised burns, including dressing of, under general anaesthetic 106.40 Extensive burns 64.45 Extensive burns, including dressing of, under general anaesthetic 225.10 Dressing of wounds, under general anaesthetic 106.40 Acupuncture, including consultation 49.65
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DISLOCATIONS
‘closed reduction’ means non operative reduction of the
dislocation, and included percutaneous fixation and/or
external splintage by cast or splint
‘open reduction’ means treatment by either closed
reduction and intra-medullary fixation or treatment by
operative exposure of the dislocation including internal orexternal fixation
‘other’ means treatment by any other method and includes
the use of external splintage
[Where injuries are associated with a compound (open)
wound, an additional fee of 50% of the fee listed is to $ apply] Elbow, by closed reduction 200.55 Elbow, by open reduction 266.00 Interphalangeal joint, by closed reduction 85.95 Interphalangeal joint, by open reduction 114.60 Mandible, by closed reduction 71.65 Clavicle, by closed reduction 84.95 Clavicle, by open reduction 171.90 Shoulder, not requiring general anaesthetic 84.95 Shoulder, by open reduction, with general anaesthetic 342.75 Shoulder, other, with general anaesthetic 169.85
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Metacarpophalangeal joint, by closed
reduction 114.60 Metacarpophalangeal joint, by open reduction 153.45 Patella, by closed reduction 128.90 Patella, by open reduction 171.90 Radioulnar joint, by closed reduction 200.55 Radioulnar joint, by open reduction 266.00 Toe, by closed reduction 71.65 Toe by open reduction 95.15 REMOVAL OF FOREIGN BODIES — $
as independent procedure 31.20 superficial 139.15 deep tissue or muscle 388.75 ear, other than by syringing 100.25 nose, other than by simple probing 100.25 cornea or sclera, embedded 102.30
FRACTURES
‘closed reduction’ means non operative reduction of the
fracture, and included percutaneous fixation and/or
external splintage by cast or splint
‘open reduction’ means treatment by either closed
reduction and intra-medullary fixation or treatment by operative exposure of the fracture including internal or external fixation
21 December 2000] GOVERNMENT GAZETTE, WA 7637 Workers' Compensation and Rehabilitation (Scales of Fees) Amendment
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‘other’ means treatment by any other method and includes
the use of external splintage
[Where injuries are associated with a compound (open)
wound, an additional fee of 50% of the fee listed is to $ apply] Distal phalanx of finger or thumb fracture, by closed reduction 128.90 fracture, intra-articular, by closed reduction 149.40 fracture, by open reduction 171.90 fracture, intra-articular, by open reduction 214.85 Middle phalanx of finger
fracture, by closed reduction 194.40 fracture, intra-articular, by closed reduction 219.95 fracture, by open reduction 255.75 fracture, intra-articular, by open reduction 322.25 Proximal phalanx of finger or thumb
fracture, by closed reduction 255.75 fracture, intra-articular, by closed reduction 301.80 fracture, by open reduction 342.75 fracture, intra-articular, by open reduction 429.70
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Metacarpal
fracture, by closed reduction 255.75 fracture, intra-articular, by closed reduction 301.80 fracture, by open reduction 342.75 fracture, intra-articular, by open reduction 429.70 Carpal Scaphoid, by open reduction 572.90 Carpal Scaphoid, other 255.75 Carpus (excluding Scaphoid), by open reduction 358.05 Carpus (excluding Scaphoid), other 143.25 Radius by closed management 286.45 by open management 572.90 Radius or Ulnar, distal end, (Colies’,
Smith’s or Barton’s)by closed reduction 429.70 by open reduction 572.90 Ribs (1 or more), each attendance 65.50 Tibia, plateau of, medial or lateral by closed reduction 516.65 by open reduction 685.45
21 December 2000] GOVERNMENT GAZETTE, WA 7639 Workers' Compensation and Rehabilitation (Scales of Fees) Amendment
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Tibia, plateau of, medial and lateral
by closed reduction 859.35 by open reduction 1150.90 SUTURES $
face or neck, less than 7 cm, superficial 102.30 face or neck, less than 7 cm, deep 155.50 face or neck, more than 7 cm, superficial 155.50 face or neck, more than 7 cm, deep 266.00 except face or neck, less than 7cm, superficial 77.75 except face or neck, less than 7cm, deep 116.65 except face or neck, more than 7cm, superficial 116.65 except face or neck, less than 7cm, deep 255.75 AMPUTATIONS $
Hand, midcarpal or transmetacarpal 388.75 Hand, forearm or through arm 450.15 At shoulder 762.15 Interscapulothoracic 1514.05 One digit of foot 204.60 Two digits of one foot 306.90 Three digits of one foot 414.35 Four digits of one foot 516.65 Five digits of one foot 618.95 Foot, at ankle 450.15 Foot, midtarsal or transmetatarsal 388.75
7640 GOVERNMENT GAZETTE, WA [21 December 2000 Workers' Compensation and Rehabilitation (Scales of Fees) Amendment
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Through thigh, at knee or below knee 664.95 Hand, forearm or arm 450.15 At hip 936.05 ASSISTANCE AT OPERATIONS The fee for assistance at any operation (or series or combination of operations) is to be related to the fee listed for the operation (or series or combination of operations) itself. The fee is 20% of the total fee or the minimum sum of $128.90, whichever is greater.
USE OF PRIVATE THEATRES A theatre fee of $77.75 will be paid to practitioners for the use of their private theatre, but this fee may only be charged if the patient would otherwise have been sent to hospital.
Part 3 — Radiology
Radiographic Examination and Report Fee (with or without fluoroscopy) $ HANDS AND FEET Digits or phalanges - all or any of either hand or either foot 75.70 Hand, wrist, forearm, elbow or arm (elbow to shoulder) 75.70
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Hand, wrist, lower forearm or upper forearm
and elbow or elbow and arm (elbow to
shoulder) 98.25 Foot, ankle, lower leg, upper leg or thigh (femur) 81.85 Foot, ankle, lower leg or upper leg and thigh (femur) 120.75 SHOULDER OR HIP JOINT $ Shoulder or Scapula 98.25 Clavicle 79.80 Hip 92.10 Pelvic Girdle 114.60 Sacroiliac joint 114.60 Femur, internal fixation of neck or intertrochanteric (per trochanteric) fracture 190.30 HEAD $ Skull (Calvarium) 120.75 Sinuses 92.10 Mastoids 151.40 Petrous temporal bones 120.75 Facial bones - orbit, maxilla or malar, any or all 124.85 Mandible 114.60 Salivary calculus 114.60 Nose 92.10 Eye 92.10 Temporo-Mandibular joints 120.75 Teeth - single area (not applicable to dentists) 75.70 Teeth - full mouth (not applicable to dentists) 190.30
7642 GOVERNMENT GAZETTE, WA [21 December 2000 Workers' Compensation and Rehabilitation (Scales of Fees) Amendment
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Palato-Pharyngeal studies with fluoroscopic
screening 114.60 Palato-Pharyngeal studies without fluoroscopic screening 92.10 Larynx 81.85 SPINE $
Spine - cervical 120.75 Spine - thoracic 101.30 Spine - lumbo-sacral 141.20 Spine - sacro-coccygeal 84.95 Spine - functional views of one area 37.85 BONE AGE & SKELETAL SURVEYS $
Skeletal survey involving four or more regions 167.80 THORACIC $
Chest (lung fields) by direct radiography 92.10 Chest (lung fields) by direct radiography with fluoroscopic screening 114.60 Thoracic inlet or trachea 92.10 Chest by miniature radiography 41.95 Cardiac examination (including barium swallow) 114.60 Sternum or ribs on one side 92.10 Sternum and ribs on one side, or ribs on both sides 114.60 Sternum and ribs on both sides 141.20
21 December 2000] GOVERNMENT GAZETTE, WA 7643 Workers' Compensation and Rehabilitation (Scales of Fees) Amendment
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URINARY TRACT
$
Plain renal only 92.10 Drip infusion pyelography 250.65 Intravenous pyelography, including preliminary plain film 225.10 Intravenous pyelography, including preliminary plain film with delayed examination for cysto- uretic reflex 281.35 Antegrade and retrograde pyelography – unilateral including preliminary plain film 184.15 Retrograde cystography or retrograde urethrography 124.85 Retrograde micturating cysto-urethrography 151.40 Retro-Peritoneal pneumogram 98.25 ALIMENTARY TRACT & BILIARY
SYSTEM$ Plain abdominal only 92.10 Oesophagus, with or without examination for foreign body or barium swallow 128.90 Barium or other opaque meal of oesophagus, stomach and duodenum, with or without screening of chest 173.95 Barium or other opaque meal of oesophagus, stomach, duodenum and follow through to colon, with or without screening of chest 202.55 Barium or other opaque meal - small bowel series only 151.40 Opaque enema 173.95 Opaque enema, including air contrast study 202.55 Graham's Test (Cholecystography) 137.10 Cholegraphy, operative or post operative 147.35 Cholegraphy - intravenous 202.55 Cholegraphy - percutaneous transhepatic 147.35
7644 GOVERNMENT GAZETTE, WA [21 December 2000 Workers' Compensation and Rehabilitation (Scales of Fees) Amendment
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Cholegraphy - drip infusion 250.65 FOR LOCALIZATION OF FOREIGN
BODIES$
Foreign body in eye (special method, Sweet's or
other) 124.85 Foreign body, localization of and report, not covered by any other item in this Part 37.85 TOMOGRAPHY $
Tomography of any part and report 114.60 STEREOSCOPIC EXAMINATIONS $
Stereoscopic examination and report 23.05 FLUOROSCOPIC EXAMINATION AND REPORT (Fluoroscopic examination and Report not
covered by any other item in this Part - where radiograph is
not taken)$ Examination with general anaesthesia 81.85 Examination without general anaesthesia 52.20 WITH OPAQUE OR CONTRAST MEDIA (Selective coronary arteriography) $ Discography - one disc 124.85 Dacryocystography 92.10 Encephalography 214.85 Cerebral venticulography 167.80 Hysterosalpingography 128.90 Bronchography - one side
190.30 190.30
21 December 2000] GOVERNMENT GAZETTE, WA 7645 Workers' Compensation and Rehabilitation (Scales of Fees) Amendment
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Phlebography - one side 190.30 Splenography 225.10 Myelography - one region 128.90 Sialography - one gland 128.90 Vasoepididymography - one side 41.95 Sinuses and fistulae 92.10 Pneumoarthrography 92.10 Contrast arthrography 151.40 Double contrast arthrography Lymphangiography, including follow up 124.85 radiography 216.90 Peritoneogram (herniography) PREPARATION [“Preparation” for radiological procedure means the injection of opaque or contrast media, or the removal of fluid and its replacement by air, oxygen or other contrast media or other similar preparation.]
$
Encephalography 296.70 Cerebral angiography - percutaneous, one side 230.20 Cerebral angiography - catheter or open exposure, one side 230.20 Cerebral ventriculography 296.70 Dacryocystography - one side 75.70 Bronchography - one or both sides 114.60 Aortography 114.60 Arteriography - peripheral, one artery 116.65 Splenography 92.10 Retroperitoneal pneumogram 92.10 Selective phlebogram 92.10 Selective arteriogram 92.10 Pneumoarthrography 95.15
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Hysterosalpingography 114.60 Drip-infusion pyelography or cholegraphy 56.30 Discography - one disc 75.70 Intra-osseous venography 75.70 Myelography 225.10 Cisternal puncture 151.40 Sinus or fistula, injection into 37.85 Lymphangiography - one side 225.10 Laryngography 114.60 Percutaneous transhepatic cholegram (Cholangiogram) 225.10 Magnetic Resonance Imaging $
Magnetic Resonance Study of one region of the
body or 2 contiguous regions of the body 709.80 Magnetic Resonance Study of 3 or more contiguous regions of the body, or 2 or more separate regions of the body 1419.45 Use of gadolinium 84.40 ”.
21 December 2000] GOVERNMENT GAZETTE, WA 7647 Workers' Compensation and Rehabilitation (Scales of Fees) Amendment
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6. Schedules 2, 3, 4 and 5 replaced
Schedules 2, 3, 4 and 5 are repealed and the following schedules are inserted instead —
“
Schedule 2
(regulation 3)
Scale of fees — physiotherapists
Type of service Fee
1. Standard consultation — Rooms $34.55 2. Standard consultation — Home $51.85 3. Standard consultation — Hospital $43.20 4. Initial (comprehensive) consultation — Rooms $43.20 5. Initial (comprehensive) consultation — Home $60.50 6. Initial (comprehensive) consultation — Hospital $51.85 7. Two distinct areas of treatment per visit $51.85 8. Three or more distinct areas of treatment per visit $69.05 9. Consultation in Rooms outside normal hours $43.20 10. Consultation in Hospital outside normal hours $51.85 11. Consultation in Home outside normal hours $69.05 12. Extended Home visit $69.05 13. Worksite visit (per hour) $98.25 14. Solicitors reports $69.05 15. Travel (per kilometre) $00.60 16. Classes
Max. No. of People 1hr 2hrs
2 $49.10 $98.25 (per person) 4 $24.55 $49.10 (per person) 6 $16.40 $32.75 (per person) 8 $12.30 $24.55 (per person)
7648 GOVERNMENT GAZETTE, WA [21 December 2000 Workers' Compensation and Rehabilitation (Scales of Fees) Amendment
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17. Hydrotherapy
Individual treatment (one to one) $34.55 Group treatment $25.90 (up to 6 patients - individual programmes) Class treatment $17.30 (maximum 10 patients - similar programmes) 18. Specialist consultations
Initial (comprehensive) consultation $98.25 Standard consultation $69.05
[Normal hours: Monday to Friday - 8.00am to 6.00pm*]
*Excluding public holidays
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Schedule 3
(regulation 4)
Scale of fees — chiropractors
Type of service Fee
1. First consultation and examination — Rooms $40.85 2. Standard consultation — Rooms $34.10 3. Standard consultation — Home $50.95 4. Standard consultation — Rooms (out of hours) $40.85 5. Travel (per kilometre) $00.60 6. Fees for X-Ray (and report when requested)
Spine
1 region $78.40 2 regions $120.10 3 regions $149.05 Spot films $30.10 up to 18cm x 24cm $24.15 35cm x 43cm $36.05 35cm x 90cm $60.15
7650 GOVERNMENT GAZETTE, WA [21 December 2000 Workers' Compensation and Rehabilitation (Scales of Fees) Amendment
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Schedule 4
(regulation 5)
Scale of fees — occupational therapists
Type of service Fee 1. Initial comprehensive consultation (up to
½ hour) $62.25 2. Initial comprehensive consultation (½ to
1 hour) $119.70 3.
Short consultation (up to ½ hour) $26.60 4.
Standard consultation (½ hour to •hour) $53.20 5.
Extended consultation (•hour to 1 hour) $79.80 6.
Extended consultation (1 hour or more) $106.40 7. Standard group consultations (½ hour)
2 people $53.20 per person 3 people $37.25 per person 4 people $26.60 per person More than 4 people $21.30 per person 8. Travel costs are to be calculated at the hourly rate by the length of time spent travelling.
NOTE: Consultations that extend beyond the scheduled times are charged as a multiple of the standard consultation fee.
21 December 2000] GOVERNMENT GAZETTE, WA 7651
Schedule 5
(regulation 7)
Scale of fees — speech therapists
Type of service Fee
1. Initial consultation/assessment (up to and including $92.80 1 hour) 2. Initial consultation/assessment (exceeding 1 hour) $130.05 3. Subsequent consultation (1 hour) $74.60 4. Subsequent consultation (•hour) $56.50 5. Subsequent consultation (½ hour) $37.35. ”.
Recommended by the Workers’ Compensation and Rehabilitation Commission on the 14th day of November 2000.
The common seal of the
) )
Workers’ Compensation and
) L.S. ) Rehabilitation Commission ) BRIAN BRADLEY, Chairman.
By Command of the Governor,
M. C. WAUCHOPE, Clerk of the Executive Council.
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