These guidelines should be read in conjunction with our General provider guidelines.
Who can provide nursing services?
You can provide services if you are a nurse registered under the Health Practitioner Regulation National Law (e.g. AHPRA) to practice in the nursing profession (other than as a student).
What we can pay for
We can pay the reasonable costs of nursing services, without prior approval, when they are required as a result of a transport accident injury.
We will review our client’s treatment and services to ensure it’s reasonable, clinically justified, outcome focused and in line with the Clinical Framework. We'll ask you and our client for information during these reviews and may temporarily stop funding treatment if we don’t receive it.
Reviews help us understand our client’s injuries, treatment needs, their goals and how to best support them get their lives back on track. After a review we’ll let you and our client know the decision regarding further treatment.
We can pay for:
- Nursing consultations in the patient’s home.
- Specialist training to others involved in the patient’s care, such as attendant care workers.
- Nursing from a Bush Nursing Hospital to attend the scene of an accident while waiting for an ambulance to arrive.
- Travel to conduct treatment in the community, where this is clinically justified. Travel time can be paid for travel to and from your practice address and your patient's residence. Where more than one patient is visited in a single travel period, total travel costs should be apportioned equally between patients.
Gap in treatment
If our client has not received services in 6 months they will need to seek approval from us before we will pay for further services. Ask our client for a copy of their approval if you haven’t seen them in 6 months.
Other things to note
If your patient has a severe injury, the discussion, referral and approval of services may form part of the independence planning process between the patient's treating team and our TAC coordinator. This may include:
- long-term nursing
- specialist nursing assessment and reports to review the management of a client’s condition
- reviewing management of particular nursing tasks such as bladder and bowel management
- pressure care and wound management
If your patient already has an individualised funding package, nursing services may be included as part of that.
How much we can pay
We can pay for services in line with our Nursing fees.
What we cannot pay for
We cannot pay for:
- specialist training intended to replace standard staff training provided by attendant care agencies
- long-term nursing during periods of time when active nursing tasks are not required, such as when attendant care services would be able to provide the required care