Medical reports (non-TAC requested) fees: independent examinations and reports

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The fees below outline the reimbursement rates for Independent Examinations & Reports that are not requested by the TAC.

The TAC is no longer liable to pay for the costs of medico-legal exams performed after 1 July 2014 under Section 60(2F) unless they have been arranged by the TAC or Jointly arranged between the TAC and the client's solicitor. Please refer to the Medical Reports (TAC Arranged) Independent Examinations and Reports fee schedule or the Joint Medical Examinations and Reports fee schedule.

  

Effective 1 December 2013 - 30 June 2014

Service Description TAC Item Number TAC FEE GST 2013/2014 Maximum Payment Rate
Independent Examinations & Reports
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 $824.96 $82.50 $907.46
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 $748.53 $74.86 $823.39
Examination and Report: General Practitioner 9194 $523.42 $52.35 $575.77
Supplementary Report: All Specialists **
  • 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 $224.05 $22.41 $246.46
Supplementary Report: General Practitioner ** 9196 $158.22 $15.83   $174.05

** A supplementary report obtained subsequent to an Independent examination/report is interpreted as a report sought for the purposes of requesting clarification of additional information not available at the time of the original examination.

 

Effective 1 December 2012 to 30 November 2013

Service Description TAC Item Number TAC FEE GST 2012/2013 Maximum Payment Rate
Independent Examinations & Reports
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 $792.70 $79.27 $871.97
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 $719.26 $71.93 $791.19
Examination and Report: General Practitioner 9194 $502.95 $50.30 $553.25
Supplementary Report: All Specialists **
  • 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 $215.29 $21.53 $236.82
Supplementary Report: General Practitioner ** 9196 $152.03 $15.20   $167.23

** A supplementary report obtained subsequent to an Independent examination/report is interpreted as a report sought for the purposes of requesting clarification of additional information not available at the time of the original examination.