Effective 1 July 2017
| Registered for GST | Not Registered for GST | |||||
|---|---|---|---|---|---|---|
| Service Description | TAC Item Number | 2017/18 Maximum Payment Rate | 2016/17 Maximum Payment Rate | TAC Item Number | 2017/18 Maximum Payment Rate | 2016/17 Maximum Payment Rate |
| In Rooms | ||||||
| Initial Consultation | PY600R | $70.02 | $68.99 | |||
| Standard Consultation | PY602R | $53.35 | $52.57 | |||
| Consultation, with Treatment Notification Plan (TNP) | PY604R | $70.02 | $68.99 | |||
| Out of Rooms (the fees for these items include travel) | ||||||
| Initial Consultation | PY600H | $99.94 | $98.48 | |||
| Standard Consultation | PY602H | $79.96 | $78.79 | |||
| Consultation, with Treatment Notification Plan (TNP) | PY604H | $99.94 | $98.48 | |||
| Worksite / Home /Equipment Inspection and Report# | PY620H*# | $117.28 | $115.57 | PY620F^ | $106.63 | $105.07 |
| Physiotherapy Management Review (PMR) | ||||||
| Completion of PMR (on request of TAC Physiotherapy Consultant) | PY630R* | $58.74 | $57.88 | PY630F | $53.38 | $52.60 |
| #Billed as an hourly rate inclusive of travel | ||||||
| Group (e.g. Pilates) | ||||||
| Two or more patients treated in a class or group session and receive constant overall supervision and intermittent attention for up to 30 minutes at a time | PY602G | $32.38 | $31.91 | |||
| Hydrotherapy (includes pool hire and entrance fees) | ||||||
| Individual | PH602R | $53.35 | $52.57 | |||
| Group (Two or more patients treated in a class or group session and receive constant overall supervision and intermittent attention for up to 30 minutes at a time) | PH602G | $32.38 | $31.91 | |||
| Attendance at TAC Team Meeting (the fee for this item includes travel) | ||||||
| Attendance by treating physiotherapist at meeting where patient is present, where requested by TAC# | PY625H*# | $117.28 | $115.57 | |||
| Extended Consultations | ||||||
| Specific Criteria apply and pre-approval by the TAC required. Refer to the TAC Physiotherapy policy regarding criteria for extended consultations: "Can the TAC fund extended physiotherapy consultations?" For Complex and Multi-site Orthopaedic (CMSO) Injuries, refer also to CMSO criteria. | ||||||
| In Rooms | ||||||
| Between 31 and 40 minutes of direct patient contact time | PY614R | $66.74 | $65.77 | |||
| Greater than 40 minutes of direct patient contact time | PY616R | $106.60 | $105.05 | |||
| Out of Rooms (the fees for these items include travel) | ||||||
| Between 31 and 40 minutes of direct patient contact time | PY614H | $99.94 | $98.48 | |||
| Greater than 40 minutes of direct patient contact time | PY616H | $159.67 | $157.34 | |||
| Travel as a separate fee/item | ||||||
| Specific Criteria apply and pre-approval by the TAC required. Refer to the TAC Physiotherapy policy: "Can the TAC fund physiotherapists to travel as a separate fee/item?" | ||||||
| For rural and regional travel of greater than 30 minutes (by prior approval from the TAC)^ | PY650# | $106.43 | $104.88 | |||
# Billed as an hourly rate inclusive of travel
GST
*The TAC maximum fee includes a 10% allowance for GST for items which TAC believes are taxable supplies. If you are a provider not registered for GST:
- You are not legally permitted to charge GST
- You should indicate on all invoices submitted your status as 'not registered for GST purposes'
- The TAC will only reimburse you an amount which excludes the GST component for items billed where the maximum fee includes a 10% allowance for GST
If you are not registered for GST please state on all invoices the TAC item number listed for providers not registered.