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 Refer to our useful hospitals forms and brochures page

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Forms and brochures

 Refer to our hospital reporting and forms page for more informaiton.

Continence equipment prescription and order form: Hospital discharge Summary: 

For hospital continence nurses – use this form to request continence and related equipment for patients transitioning to the community. You will need to provide a summary of the continence issues and routine, along with suggested goals re their bowel and/or bladder movement.

The form should also be completed when a major review of the continence equipment requirements is conducted (usually every two years) or when there has been a change to the current continence regime.

For help completing this form, see the separate notes document.


Outpatient Rehabilitation plan form Summary: 

For rehabilitation facilities – complete this form to prepare your client for their outpatient therapy program. It sets goals for the client and outlines the action plan that will help them achieve these aims.

For help completing this form, see the separate notes document.


Victorian Paediatric Rehabilitation Services (VPRS) discharge summary Summary: 

For VPRS – complete this form when our client, of child or adolescent age, is being discharged from VPRS care. The form records the client’s ongoing care and rehabilitation plans.


VPRS and TAC Communication Guidelines Summary: 

The TAC and the Victorian Paediatric Rehabilitation Services (VPRS) provide support to children in different ways after a transport accident. This document aims to help the two entities to work together.


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, for accidents that happened before 14 February 2018, 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 the fee schedule please visit www.health.vic.gov.au/feesman

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

Payee details

TAC payee number

Payee billing address

Payee ABN

Payee payment address (if different to the payee billing address)

Payee facility name (for hospitals that have different campuses)

Patient details

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

Patient's address (invoices are unable to be paid without this information)

Invoices are unable to be paid without the full patient details above included on the invoice.

Service details

Invoice number

Date of admission

Date of discharge

Total amount charged

ICD-10-AM code(s) for each injury and condition

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 an ED facility fee).

Inpatient type:

  • Intensive care unit - ICU
  • Coronary care unit - CCU
  • High dependency unit - HIG
  • Acute ward - ACU
  • Psychiatric care - PSY
  • Rehabilitation - REH
  • Transitional living unit - TLS
  • Independent living unit

Theatre date(s), item numbers, qty and the amount for each service

Outpatient item number(s) (eg. PUB90)

Description of medication(s) including name, stranght and quantity (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 associated time code (for example, PUB20A = 15 mins, PUB20C = 45 mins, PUB20D = 1 hour).

Services which are subject to GST must be submitted on a GST compliant invoice

ICD-10-AM codes

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

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