Policies that relate to you
Other policies you may use
- Blood Drainage - Reinfusion
- Bone Growth Stimulation
- Breast Implant Replacement Surgery
- Exercise Physiology
- External Prostheses and Orthoses
- Functional Electronic Stimulation (FES or Neuro Muscular Electrical Stimulation) - Surgically Implanted (Internal)
- Hip Replacement Surgery
- Hire Charges (Surgical Equipment)
- Implantable Pain Therapy
- Implantable Therapy for Neurological Disorders (ITND)
- Infusion Therapy for Pain Management
- Network Pain Management Programs and Pain Management Services
- Osteogenic Protein Device (also referred to as OP-1 or BMP-7)
- Post Acute Support for Accidents on or after 1 January 2005 policy
- Post Hospital Support Payments
- Pregnancy (Termination of)
- Radiofrequency Denervation (RFD)
- Spinal Injection Therapies
- Treating Health Practitioner (Medical) Reports not requested by the TAC
- Weight Loss Treatment and Services
Refer to our helpful range of clinical resources when treating your patient
Hospitals play an critical role in the intital treatment of a person injured in a transport accident. Part of this involes appropriate discharge planning to ensure we can then appropriately support the TAC client and their injury type.
To help us do this we rely on the hospital to provide a discharge plan that includes screening in the following areas: self care, care for others, equipment, return to work and transport. If support services are required in any of these areas, please contact the TAC to discuss eligibility, medical certification and coordination. In addition, it is expected that discharge medication, follow-up appointments and referrals, discharge summary and patient information are arranged for the TAC client prior to discharge.
For clients who are assessed by the TAC as requiring the specific expertise of a case manager, the TAC can authorise the provision of case management services as an authorised disability service. Services must be delivered by a provider of case management services in accordance with the TAC Case Management Model.
All case management services require prior approval in writing to the TAC. Refer to the TAC's Case Management Policy for additonal information.
Forms and brochures
Refer to our hospital reporting and forms page for more informaiton.
Hospitals must use this form to directly order from the TAC's contracted equipment suppliers up to $500 per item of equipment, required in order to facilitate the effective discharge of the TAC client. Only the items listed on the 'Hospital Direct Order Equipment list ' can be ordered using this form. TAC clients must have an accepted claim before orders can be made by hospitals.
The equipment listed in the 'Hospital Direct Order Equipment list are commonly required to ensure a patient's safe discharge. Requests for other equipment not on the list or over $500 need to be made in writing to the TAC. Please follow the instructions provided in the Hospital Direct Order Form notes to ensure that orders can be processed and delivered without delay.
Outpatient Rehabilitation plan form Summary:
This form is to be completed by a client's treating team within the rehabilitation facility they're staying to prepare for their outpatient therapy program. It sets goals for the client and outlines the action plan that will help them achieve these aims. The separate 'notes' document in this section provides additional instructions and clarification to help complete the form.
Urgent psychiatric admission: Request for funding form Summary:
This form is to be completed by a registered medical practitioner to request urgent psychiatric admission for TAC clients. It requires a clinical diagnoses of the client's condition and an explanation of why the admission is needed urgently.
Guidelines for the TAC and hospitals (Independence clients only) Summary: This document is a resource tool designed to assist hospitals work with the TAC to support clients severely injured in transport accidents.
Hospital Charter - Hospitals working together with TAC Summary: This is the TAC service charter specifically for working with hospitals
How to invoice the TAC
As a minimum requirement, accounts sent to the TAC must display the information set out below, to ensure prompt payment. Please keep this information handy so you can refer to it when billing the TAC.
Before submitting an account, please ensure your client has an accepted TAC claim and has met the medical excess, where relevant. Only the original account will be accepted. Only one patient may appear on each account. Duplicate accounts, statements or facsimiles will not be processed.
Accounts must be addressed to the TAC (not to the client). Please do not issue the TAC with receipts.
Billing the TAC
For more information and to view your fee schedule please refer to your TAC agreement.
The following information must appear on accounts sent to the TAC. All accounts sent to the TAC must be marked 'tax invoice'. For further details on tax invoice requirements please visit www.ato.gov.au
TAC payee number
Payee billing address
Payee payment address (if different to the payee billing address).
Payee facility name (for hospitals that have different campuses).
Patient's TAC claim number, eg. 04/12345
Patient's family name and given name(s).
Patient's date of birth and date of transport accident.
Invoices are unable to be paid without the full patient details above included on the invoice.
Date of admission
Date of discharge
Total amount charged
ICD-10-AM code(s) in order of classification for each injury and condition (if ICD codes are not in order this will affect the Inpatient Rate(s)).
Inpatient stay (to and from dates).
Please note: an emergency department facility fee is not payable with an inpatient stay (for example, if the patient is admitted to hospital the TAC will pay the inpatient stay, not the facility fee. Please check the patient wasn't admitted prior to invoicing the TAC for a ED facility fee).
Inpatient type: during the hospital stay please advise if the patient was in:
- Intensive care unit - ICU
- Coronary care unit - CCU
- High dependency unit - HIG
- Acute ward - ACU
- Psychiatric care - PSY
- Rehabilitation - Refer agreements
- Transitional living unit - TLS
- Independent living unit
Theatre date(s), item numbers, qty and the amount for each service including theatre band(s) if applicable.
Outpatient item number(s) with the treating service provider name (for example, 99913 Donna Smith Physio). Outpatient item numbers without treating provider details will not be paid.
Description of medication(s) including name, strength, qty (for example, Paracetamol, 500mg x 20)
For pharmacy items, the date of supply and if this was during an inpatient stay or at discharge.
Prosthesis date(s) of service and billing code.
Paramedical service with the treating service provider name (for example, 99913 Donna Smith Physio). Paramedical item numbers without treating provider details will not be paid.
Services which are subject to GST must be submitted on a GST compliant invoice.
ICD-10-AM codes must be assigned by a clinical coder and be based on documentation in the medical record.
For rehabilitation episodes/admissions
Must follow ACS 2104.
A code for the primary reason for rehabilitation must be sequenced immediately after Z50.
For acute episodes/admissions
If the principal diagnosis is a Z code, an additional ICD-10-AM code is required to identify the original injury for which the care was required.
The following items are unable to be submitted via EDI and must be submitted to the TAC manually:
- Prostheses codes
- 999 numbers
What to do if your account is not paid
If you have a query about an unpaid or returned account please call the TAC Customer Service Centre on 1300 654 329 (local call) or Ph: 1800 332 556 (toll-free outside the Melbourne metropolitan area).