Workers Rehabilitation and Compensation (Scales of Medical and Other Charges) Variation Regulations 2006 (SA)
South Australia
Workers Rehabilitation and Compensation (Scales of Medical and Other Charges) Variation Regulations 2006
under the Workers Rehabilitation and Compensation Act 1986
Contents
Part 1—Preliminary
Short title
Commencement
Variation provisions
Part 2—Variation of Workers Rehabilitation and Compensation (Scales of Medical and Other Charges) Regulations 1995
Variation of regulation 3—Interpretation
Insertion of regulation 8A
8AScales of charges—chiropractors
Insertion of Schedule 6
Schedule 6—Scales of charges—chiropractors
Part 1—Preliminary
1—Short title
These regulations may be cited as the Workers Rehabilitation and Compensation (Scales of Medical and Other Charges) Variation Regulations 2006.
2—Commencement
These regulations will come into operation on 23 January 2006.
3—Variation provisions
In these regulations, a provision under a heading referring to the variation of specified regulations varies the regulations so specified.
Part 2—Variation of Workers Rehabilitation and Compensation (Scales of Medical and Other Charges) Regulations 1995
4—Variation of regulation 3—Interpretation
Regulation 3(1)—after the definition of Act insert:
chiropractor means a person registered as a chiropractor under the law of this State;
5—Insertion of regulation 8A
After regulation 8 insert:
8A—Scales of charges—chiropractors
Pursuant to section 32(11) of the Act, the scales of charges set out in Schedule 6 are, subject to modification under regulation 9, prescribed as scales of charges for the purposes of section 32 for the provision of services by a chiropractor.
6—Insertion of Schedule 6
After Schedule 5 insert:
Schedule 6—Scales of charges—chiropractors
This Schedule supersedes the scale of charges for medical services delivered by a registered chiropractor fixed by notice under section 32 of the Act and published in the Gazette on 29 September 1994 at pages 887 to 895.
This Schedule must be read in conjunction with the Chiropractic Fee Schedule Guidelines.
Item No
Service description
Maximum charge
(excl GST)
Consultations
Consultation by a chiropractor involving the chiropractor's attendance on the client.
The initial consultation may involve 2 separate attendances on the same day. For example, a second attendance might be required for the interpretation of test data (such as x-rays).
Initial consultation
C0001
Initial consultation, involving review of medical history and examination but no treatment, of more than 15 minutes duration but not more than 30 minutes duration
$50.00
C0002
Initial consultation, involving review of medical history, examination and treatment, of more than 15 minutes duration but not more than 30 minutes duration
$60.00
Subsequent consultation
C0005
Subsequent consultation and treatment, of not more than 15 minutes duration
$36.50
C0006
Subsequent consultation and treatment, of more than 15 minutes duration but not more than 30 minutes duration
$50.00
C0007
Subsequent consultation and treatment involving re-examination with treatment, of more than 30 minutes duration but not more than 45 minutes duration
$83.35
After hours consultation
If a consultation takes place on a public holiday, a Sunday, a Saturday before 8am or after 1pm, or on any other day before 8am or after 8pm, the following charge applies instead of the charges listed above.
C0008
After hours consultation of more than 15 minutes duration but not more than 30 minutes duration
$66.65
Independent clinical assessment
Services provided by a chiropractor other than the treating chiropractor comprising—
(a) a review of the worker's medical history; and
(b) a clinical assessment; and
(c) an evaluation of the worker's functional capacity; and
(d) preparation of a report,
for the purpose of providing a different diagnosis or making recommendations in relation to treatment goals, the worker's return to work or any other relevant matters.
The report may be requested in writing by—
(a) a claims agent or self-insured employer; or
(b) a worker or worker's representative.
C0078
Independent clinical assessment
$146.00 per hour
Travel
Travel authorised by a claims agent or self-insured employer by a treating chiropractor for the purposes of—
(a) a case conference; or
(b) a home, hospital or worksite visit; or
(c) a consultation where the client is otherwise unable to attend the chiropractor's clinic or rooms.
There is no charge for travel from 1 clinic or rooms to another clinic or rooms.
C0900
Travel time
$146.00 per hour
Telephone calls
Calls of a specific nature made by a chiropractor to, or received by a chiropractor from, the worker's referring/treating medical expert, worker's employer, rehabilitation provider, claims agent or self-insured employer, WorkCover provider consultant or worker's representative, excluding—
(a) calls made during a consultation; and
(b) calls of a duration of 3 minutes or less.
There is no charge for a telephone call to or from a worker.
C00R3
Telephone calls greater than 3 minutes
$2.43 per minute
Reports
Report by chiropractor, other than a report of an independent clinical assessment, requested by a claims agent, self-insured employer, worker or worker's representative.
Comprehensive reports
A report will be taken to be comprehensive when re-examination of the patient is a prerequisite for the preparation of the report.
The consultation should be charged in accordance with the appropriate item.
A comprehensive report is chargeable on an hourly basis with a maximum time chargeable of 1.5 hours.
C00R4
Comprehensive reports
$146.00 per hour
Standard reports
A report will be taken to be standard when re-examination of the worker is not required and the report is based on a transcription of existing clinical records.
A standard report is chargeable on an hourly basis with a maximum time chargeable of 1 hour.
C00R5
Standard reports
$146.00 per hour
Case conference
Case conference, attended by a chiropractor and authorised by a claims agent or self-insured employer, for the purpose of determining—
• details of limitations/recommendations relating to a sustainable return to work
• options for management of a worker’s recovery
• other related information.
A case conference may be requested by—
• a treating medical expert
• an employer
• a worker or worker’s representative
• a claims agent or self-insured employer
• a rehabilitation provider contracted by WorkCover.
C00R6
Case conference
$146.00 per hour
The hourly rate excludes travelling time from rooms or other appropriate departure point to the venue and return. Travel may be charged separately.
Radiological services (including interpretation by chiropractor)
C0011
Cervical spine
2 views
$113.30
C0013
Thoracic spine
2 views
$96.30
C0015
Lumbo-sacral spine
3-6 views
$132.90
C0016
Sacro-coccygeal area
2 views
$80.30
C0027
Hip joint
$86.50
C0028
Pelvic girdle
$109.20
Non-scheduled services
A service (other than a radiological service) of a kind not listed above provided by a chiropractor and authorised by a claims agent or self-insured employer prior to the delivery of the service as being necessary, appropriate and reasonably required.
C9999
Non-scheduled services
$146.00 per hour
Note—
As required by section 10AA(2) of the Subordinate Legislation Act 1978, the Minister has certified that, in the Minister's opinion, it is necessary or appropriate that these regulations come into operation as set out in these regulations.
Made by the Governor's Deputy
following consultation as required under section 32(13) of the Workers Rehabilitation and Compensation Act 1986 and with the advice and consent of the Executive Council
on 12 January 2006
No 2 of 2006
05WKC014CS
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