Schedule of Medico Legal Fees for Independent Examinations Performed by Medical Specialists
The fees below outline the reimbursement rates for Independent Examinations & Reports when requested by the TAC
Effective 1 July 2017
| Service Description | TAC Item Number | TAC FEE | GST | 2017/18 Maximum Payment Rate |
|---|
Examination and Report: Psychiatrist / Geriatrician - Inclusive of conducting the examination, report writing, reading time and any incidentals (such as postage, photography and faxing services).
- Diagnostic tests (such as x-rays) carried out as a necessary part of the examination are not included in the first examination and report item code and will be reimbursed in accordance with the TAC's policies, the relevant Medicare Benefits Schedule item code and the TAC's Reimbursement Rates for Medical Practitioners.
|
9153
|
$872.20
|
$87.22
|
$959.42
|
Examination and Report: Other Specialists - Inclusive of conducting the examination, report writing, reading time and any incidentals (such as postage, photography and faxing services).
- Diagnostic tests (such as x-rays) carried out as a necessary part of the examination are not included in the first examination and report item code and will be reimbursed in accordance with the TAC's policies, the relevant Medicare Benefits Schedule item code and the TAC's Reimbursement Rates for Medical Practitioners.
|
9193
|
$791.39
|
$79.14
|
$870.53
|
Cancellation within 4 days of examination and where examiner is unable to fill vacant appointment - Applies where the TAC cancels an examination within 4 business days of appointment and the examiner is unable to fill vacant appointment.
|
9152C
|
$236.88
|
$23.69
|
$260.57
|
Client fails to attend examination - Non-attendance fee is applicable where an IME appointment is cancelled by the TAC on the day of the appointment or where the TAC client does not attend.
|
9152
|
$236.88
|
$23.69
|
$260.57
|
Supplementary Report - Applies where the TAC provides information additional to that initially provided or to answer additional questions not initially asked and the IME has previously examined a TAC client in the past 12 months.
- An IME is not required to conduct a re-examination (or re-contact) the TAC client in order to provide the additional information.
|
9195
|
$236.88
|
$23.69
|
$260.57
|
Effective 1 July 2016 to 30 June 2017
| Service Description | TAC Item Number | TAC FEE | GST | 2016/17 Maximum Payment Rate |
|---|
Examination and Report: Psychiatrist / Geriatrician - Inclusive of conducting the examination, report writing, reading time and any incidentals (such as postage, photography and faxing services).
- Diagnostic tests (such as x-rays) carried out as a necessary part of the examination are not included in the first examination and report item code and will be reimbursed in accordance with the TAC's policies, the relevant Medicare Benefits Schedule item code and the TAC's Reimbursement Rates for Medical Practitioners.
|
9153
|
$857.37
|
$85.73
|
$943.10
|
Examination and Report: Other Specialists - Inclusive of conducting the examination, report writing, reading time and any incidentals (such as postage, photography and faxing services).
- Diagnostic tests (such as x-rays) carried out as a necessary part of the examination are not included in the first examination and report item code and will be reimbursed in accordance with the TAC's policies, the relevant Medicare Benefits Schedule item code and the TAC's Reimbursement Rates for Medical Practitioners.
|
9193
|
$777.94
|
$77.79
|
$855.73
|
Cancellation within 4 days of examination and where examiner is unable to fill vacant appointment - Applies where the TAC cancels an examination within 4 business days of appointment and the examiner is unable to fill vacant appointment.
|
9152C
|
$232.86
|
$23.28
|
$256.14
|
Client fails to attend examination - Non-attendance fee is applicable where an IME appointment is cancelled by the TAC on the day of the appointment or where the TAC client does not attend.
|
9152
|
$232.86
|
$23.28
|
$256.14
|
Supplementary Report - Applies where the TAC provides information additional to that initially provided or to answer additional questions not initially asked and the IME has previously examined a TAC client in the past 12 months.
- An IME is not required to conduct a re-examination (or re-contact) the TAC client in order to provide the additional information.
|
9195
|
$232.86
|
$23.28
|
$256.14
|
Effective 1 July 2015 to 30 June 2016
| Service Description | TAC Item Number | TAC FEE | GST | 2015/2016 Maximum Payment Rate |
|---|
Examination and Report: Psychiatrist / Geriatrician - Inclusive of conducting the examination, report writing, reading time and any incidentals (such as postage, photography and faxing services).
- Diagnostic tests (such as x-rays) carried out as a necessary part of the examination are not included in the first examination and report item code and will be reimbursed in accordance with the TAC's policies, the relevant Medicare Benefits Schedule item code and the TAC's Reimbursement Rates for Medical Practitioners.
|
9153
|
$846.87
|
$84.68
|
$931.55
|
Examination and Report: Other Specialists - Inclusive of conducting the examination, report writing, reading time and any incidentals (such as postage, photography and faxing services).
- Diagnostic tests (such as x-rays) carried out as a necessary part of the examination are not included in the first examination and report item code and will be reimbursed in accordance with the TAC's policies, the relevant Medicare Benefits Schedule item code and the TAC's Reimbursement Rates for Medical Practitioners.
|
9193
|
$768.41
|
$76.84
|
$845.25
|
Cancellation within 4 days of examination and where examiner is unable to fill vacant appointment - Applies where the TAC cancels an examination within 4 business days of appointment and the examiner is unable to fill vacant appointment.
|
9152C
|
$230.00
|
$23.00
|
$253.00
|
Client fails to attend examination - Non-attendance fee is applicable where an IME appointment is cancelled by the TAC on the day of the appointment or where the TAC client does not attend.
|
9152
|
$230.00
|
$23.00
|
$253.00
|
Supplementary Report - Applies where the TAC provides information additional to that initially provided or to answer additional questions not initially asked and the IME has previously examined a TAC client in the past 12 months.
- An IME is not required to conduct a re-examination (or re-contact) the TAC client in order to provide the additional information.
|
9195
|
$230.00
|
$23.00
|
$253.00 |
