Service definitions: Joint Medical Examinations and reports fees

Service description	Service definition and requirements
Examination and report without impairment assessment: medical disciplines	This service relates to (but is not limited to) one or more of the following: assessment of causation, diagnosis, prognosis, treatment, surgery, consequences on activities of daily living, work capacity, multiple injuries, questions related to serious injury/common law, on one or more accidents. This service relates to assessments conducted either in person or via Telehealth. Applies when the specialty required for the Medical Examiner Report is of a Medical Discipline. Inclusive of review of pre-reading material provided by the referring parties of up to 300 pages.
Examination and report with impairment assessment: medical disciplines	This service relates to (but is not limited to) one or more of the following: assessment of causation, diagnosis, prognosis, treatment, surgery, consequences on activities of daily living, work capacity, multiple injuries, questions related to serious injury/common law on one or more accidents. This service relates to assessments conducted either in person or via Telehealth. Applies when the specialty required for the Medical Examiner Report is of a Medical Discipline. The impairment assessment portion includes a clinical evaluation, conducted by an accredited medical practitioner who performs impairment assessments relating to one or more body parts using the American Medical Association Guides (AMA4 Guides). Inclusive of review of pre-reading material provided by the referring parties of up to 300 pages.
Examination and report without impairment assessment: allied health disciplines	This service relates to (but is not limited to) one or more of the following: professional assessment and report by an Allied Health professional to support decisions on treatment, recovery, and services. This may include functional or home assessments and consider multiple injuries or accidents. Common areas covered include liability, recovery, work capacity, treatment needs, equipment, modifications, impairment and care program reviews. This service relates to assessment conducted either in person or via Telehealth. Applies when the specialty required for the Medical Examiner Report is of an Allied Health discipline. Inclusive of review of pre-reading material provided by the referring parties of up to 300 pages.
File review and report	Applies when the referring parties have submitted a formal request to review medical and/or other information and complete a Medical Examiner Report based on the review and questions outlined in the Joint Letter of Instruction. Inclusive of review of pre-reading material provided by the referring parties of up to 300 pages.
Supplementary report	Applies when the referring parties have submitted a request for a Supplementary Report where new information or further commentary was not included in the initial Joint Letter of Instruction nor included in the initial Medical Examiner Report. Inclusive of review of pre-reading material up to 100 pages. Note: No fee is payable where the Medical Examiner has failed to address an issue, has not clearly or adequately answered questions outlined in the initial Joint Letter of Instruction or has not addressed all of the requirements outlined by the referring parties.
Urgent examination and report uplift	Applies when the referring parties have submitted a request for a Medical Examination and Medical Examiner Report to be completed within 4 business days from the date of the appointment. This request will be noted in the referral letter. This services relates to Medical Examinations conducted either in person or via Telehealth.
Reading uplift	Applies where the referring parties have submitted a request for a Medical Examination and Medical Examiner Report to be completed and pre-reading exceeds 300 pages. Note: The reading uplift can be applied seperately within each reading bracket, including 301-600, 601-900, 901-1199 and 1200-1500. A rolling total is then carried forward from one bracket to the next.
Multi-accident uplift	Applies as an uplift (only applied once) in a multi-accident scenario where: the request relates to an impairment assessment; and there are injuries within the examiners discipline across more than one accident, i.e. orthopaedic. Note: Multi-accident relates to TAC accidents only.
Interpreter uplift	Applies as an uplift where a qualified interpreter is required to enable a Medical Examination to be performed. This uplift does not include the cost of the interpreter. Note: Uplift does not apply to a support person(s).
Cancellation of examination	Applies when a scheduled Medical Examination is cancelled within 2 business days before the day of the examination date (excludes cancellations made on the day of the scheduled examination as these are considered non-attendance).
Non-attendance (failure to attend)	Applies when the client failed to attend a scheduled Medical Examination on the day it was booked to occur. Same day cancellations fall under this definition and are classified as a non-attendance.
Radiology review	Applies when the referring party formally requests either: a standalone review of imaging and delivery of a report summarising the findings; or where the request forms part of a supplementary report request. Note: Where the request relates to a supplementary report request, the per hour fee can be applied in conjunction with the supplementary report fee where the review of imaging exceeds 30 minutes. Review of imaging under 30 minutes is included in the standard supplementary report fee.
Footage review	Applies when the the referring parties formally request a standalone review of video footage and delivery of report summarising the findings. This fee does not apply in conjunction with any other examination report fee.
Travel allowance	Applies when a Medical Examiner has been requested by the referring parties to travel to a client for a Medical Examination. This service requires pre-approval by the TAC.

Service description	Service definition and requirements
Examination and report without impairment assessment: medical disciplines	This service relates to (but is not limited to) one or more of the following: assessment of causation, diagnosis, prognosis, treatment, surgery, consequences on activities of daily living, work capacity, multiple injuries, questions related to serious injury/common law, on one or more accidents. This service relates to assessments conducted either in person or via Telehealth. Applies when the specialty required for the Medical Examiner Report is of a Medical Discipline. Inclusive of review of pre-reading material provided by the referring parties of up to 300 pages.
Examination and report with impairment assessment: medical disciplines	This service relates to (but is not limited to) one or more of the following: assessment of causation, diagnosis, prognosis, treatment, surgery, consequences on activities of daily living, work capacity, multiple injuries, questions related to serious injury/common law on one or more accidents. This service relates to assessments conducted either in person or via Telehealth. Applies when the specialty required for the Medical Examiner Report is of a Medical Discipline. The impairment assessment portion includes a clinical evaluation, conducted by an accredited medical practitioner who performs impairment assessments relating to one or more body parts using the American Medical Association Guides (AMA4 Guides). Inclusive of review of pre-reading material provided by the referring parties of up to 300 pages.
Examination and report without impairment assessment: allied health disciplines	This service relates to (but is not limited to) one or more of the following: professional assessment and report by an Allied Health professional to support decisions on treatment, recovery, and services. This may include functional or home assessments and consider multiple injuries or accidents. Common areas covered include liability, recovery, work capacity, treatment needs, equipment, modifications, impairment and care program reviews. This service relates to assessment conducted either in person or via Telehealth. Applies when the specialty required for the Medical Examiner Report is of an Allied Health discipline. Inclusive of review of pre-reading material provided by the referring parties of up to 300 pages.
File review and report	Applies when the referring parties have submitted a formal request to review medical and/or other information and complete a Medical Examiner Report based on the review and questions outlined in the Joint Letter of Instruction. Inclusive of review of pre-reading material provided by the referring parties of up to 300 pages.
Supplementary report	Applies when the referring parties have submitted a request for a Supplementary Report where new information or further commentary was not included in the initial Joint Letter of Instruction nor included in the initial Medical Examiner Report. Inclusive of review of pre-reading material up to 100 pages. Note: No fee is payable where the Medical Examiner has failed to address an issue, has not clearly or adequately answered questions outlined in the initial Joint Letter of Instruction or has not addressed all of the requirements outlined by the referring parties.
Urgent examination and report uplift	Applies when the referring parties have submitted a request for a Medical Examination and Medical Examiner Report to be completed within 4 business days from the date of the appointment. This request will be noted in the referral letter. This services relates to Medical Examinations conducted either in person or via Telehealth.
Reading uplift	Applies where the referring parties have submitted a request for a Medical Examination and Medical Examiner Report to be completed and pre-reading exceeds 300 pages. Note: The reading uplift can be applied seperately within each reading bracket, including 301-600, 601-900, 901-1199 and 1200-1500. A rolling total is then carried forward from one bracket to the next.
Multi-accident uplift	Applies as an uplift (only applied once) in a multi-accident scenario where: the request relates to an impairment assessment; and there are injuries within the examiners discipline across more than one accident, i.e. orthopaedic. Note: Multi-accident relates to TAC accidents only.
Interpreter uplift	Applies as an uplift where a qualified interpreter is required to enable a Medical Examination to be performed. This uplift does not include the cost of the interpreter. Note: Uplift does not apply to a support person(s).
Cancellation of examination	Applies when a scheduled Medical Examination is cancelled within 2 business days before the day of the examination date (excludes cancellations made on the day of the scheduled examination as these are considered non-attendance).
Non-attendance (failure to attend)	Applies when the client failed to attend a scheduled Medical Examination on the day it was booked to occur. Same day cancellations fall under this definition and are classified as a non-attendance.
Radiology review	Applies when the referring party formally requests either: a standalone review of imaging and delivery of a report summarising the findings; or where the request forms part of a supplementary report request. Note: Where the request relates to a supplementary report request, the per hour fee can be applied in conjunction with the supplementary report fee where the review of imaging exceeds 30 minutes. Review of imaging under 30 minutes is included in the standard supplementary report fee.
Footage review	Applies when the the referring parties formally request a standalone review of video footage and delivery of report summarising the findings. This fee does not apply in conjunction with any other examination report fee.
Travel allowance	Applies when a Medical Examiner has been requested by the referring parties to travel to a client for a Medical Examination. This service requires pre-approval by the TAC.