HEALTHMAN DERMATOLOGY COSTING GUIDE 2013

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Stewart Chandler
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1 HEALTHMAN DERMATOLOGY COSTING GUIDE COMPARATIVE TARIFFS: Scheme Rates Base Rates Practice Cost Tariff Discovery (VAT incl.) Consultations: Units R R R R R R R R R R See the Notes below for All 0109 Hospital follow-up visit Prolonged first/follow-up consultation : 15 min Telephone consultation (all hours) Repeat Script Writing of special motivations Consultation : Away from doctor's room Unscheduled consultation: Emergency (cons.room) Unscheduled consultation:emergency(not cons.room) Pre-anaesthetic assessment: 10 and 20 minutes Hospital Consultation Hospital Consultation Hospital Consultation 45 1, Consultation Consultation Consultation 45 1, Chronic Medicine Forms Procedures 0010 Local anaesthesic Setting of sterile tray Intralesional injection into areas of pathology e.g. Keloids: Multiple PUVA Treatment: Maximum of 21 treatments UVR-Treatment Deep skin biopsy by surgical incision with local anaesthetic and suturing Treatment of benign skin lesion by chemo-cryotherapy: First Lesion Treatment of benign skin lesion by chemo-cryotherapy: Subsequent lesions (each) Treatment of benign skin lesion by chemo-cryotherapy: Maximum for multiple additional lesions 42 1, by diathermy and curretting or electrocautery: First lesion by diathermy and curretting or electrocautery: Subsequent lesions (each) Removal of malignant lesions by curretting under local or general anaesthesia followed by electrocautery: First lesion Laser treatment for large skin lesions: Extensive area 70 2, Laser treatment for large skin lesions: Whole face or other areas of equivalent size or larger 206 6, , , , , Photo-dynamic therapy for malignant skin lesions: Equipment fee for PDT lamp ,

2 HEALTHMAN DERMATOLOGY COSTING GUIDE COMPARATIVE TARIFFS: Scheme Rates Base Rates Practice Cost Tariff Discovery (VAT incl.) Units R R R R R R R R R R 0287 Scanning of pigmented skin lesions: Equipment fee for Molemax or similar device ,

3 HEALTHMAN DERMATOLOGY COSTING GUIDE COMPARATIVE TARIFFS: Scheme Rates Base Rates Practice Cost Tariff Discovery (VAT incl.) Units R R R R R R R R R R Excision and repair by direct suture; excision nail fold or other minor procedures of 0307 similar magnitude Each additional small procedure done at the same time Extensive resection for malignant soft tissue tumour including muscle , , , , , Requiring repair by small skin graft or small local flap or other procedures of similar 0315 magnitude 55 1, Note: 1.s, Descriptors and Unit Values have been extracted from the SAMA Doctors Billing Manual 2. The Healthman tariff for codes that relate to equipment have been retained at rate* 3. may differ due to rounding 4. Above codes are the most frequently used codes and is not all inclusive of all the codes 5. Increases from 2012 are as follow: a. = 2012 Scheme Tariff +5.5% b. Tariff = 2012 Tariff +7% c. Discovery Health = 2012 Tariff +5.5% for procedures & 6% for consultations (Note that this increase is for the Rate only) d. = 2012 Tariff +6% e. Fedhealth = 2012 Tariff +6% 6. Discovery Premier A Procedure Rates have NOT been split between In-Hospital & Out-Hospital. Use as appropriate. 7. Please take note that the Practice Cost Tariff is based on our 2008 Cost Studies adjusted with inflation indexes 8. All are inlcusive of VAT Disclaimer: The above schedule is based on information avaiable to and will NOT be held responsible for any losses incurred by practitioners resulting from the use of this schedule. Legend: = Discovery Health = Direct Payment Arrangement Prem = Premier R = Rand = Rand Conversion Factor (Rand Value per Unit) VAT = Value Added Tax

4 Payment Arrangments Consultations: Units Prem A In Hosp. Prem A Out Hosp. Classic Rate Prem B Exec Rate 137% 162% 147% 217% 300% 165% 210% R R R R R R R See the Notes below for All 0109 Hospital follow-up visit Prolonged first/follow-up consultation : 15 min Telephone consultation (all hours) Repeat Script Writing of special motivations Consultation : Away from doctor's room Unscheduled consultation: Emergency (cons.room) Unscheduled consultation:emergency(not cons.room) Pre-anaesthetic assessment: 10 and 20 minutes 0173 Hospital Consultation Hospital Consultation Hospital Consultation Consultation Consultation Consultation Chronic Medicine Forms , Procedures 0010 Local anaesthesic Setting of sterile tray Intralesional injection into areas of pathology e.g. Keloids: Multiple PUVA Treatment: Maximum of 21 treatments UVR-Treatment Deep skin biopsy by surgical incision with local anaesthetic and suturing Treatment of benign skin lesion by chemo-cryotherapy: First Lesion Treatment of benign skin lesion by chemo-cryotherapy: Subsequent lesions (each) Treatment of benign skin lesion by chemo-cryotherapy: Maximum for multiple additional lesions by diathermy and curretting or electrocautery: First lesion by diathermy and curretting or electrocautery: Subsequent lesions (each) Removal of malignant lesions by curretting under local or general anaesthesia followed by electrocautery: First lesion Laser treatment for large skin lesions: Extensive area Laser treatment for large skin lesions: Whole face or other areas of equivalent size or larger Photo-dynamic therapy for malignant skin lesions: Equipment fee for PDT lamp , , , , , , , , , , , , , , , , ,183.40

5 Payment Arrangments Units Prem A In Hosp. Prem A Out Hosp. Classic Rate Prem B Exec Rate 137% 162% 147% 217% 300% 165% 210% R R R R R R R 0287 Scanning of pigmented skin lesions: Equipment fee for Molemax or similar device ,

6 Payment Arrangments Units 0307 Excision and repair by direct suture; excision nail fold or other minor procedures of similar magnitude Each additional small procedure done at the same time Extensive resection for malignant soft tissue tumour including muscle Requiring repair by small skin graft or small local flap or other procedures of similar magnitude 55 Prem A In Hosp. Prem A Out Hosp. Classic Rate Prem B Exec Rate 137% 162% 147% 217% 300% 165% 210% R R R R R R R , , , , , , , , , , Note: 1.s, Descriptors and Unit Values have been extracted from the SAMA Doctors Billing Manual 2. The Healthman tariff for codes that relate to equipment have been retained at rate* 3. may differ due to rounding 4. Above codes are the most frequently used codes and is not all inclusive of all the codes 5. Increases from 2012 are as follow: a. = 2012 Scheme Tariff +5.5% b. Tariff = 2012 Tariff +7% c. Discovery Health = 2012 Tariff +5.5% for procedures & 6% for consultations (Note that this increase is for the d. = 2012 Tariff +6% e. Fedhealth = 2012 Tariff +6% 6. Discovery Premier A Procedure Rates have NOT been split between In-Hospital & Out-Hospital. Use as appropriate 7. Please take note that the Practice Cost Tariff is based on our 2008 Cost Studies adjusted with inflation 8. All are inlcusive of VAT Disclaimer: The above schedule is based on information avaiable to and will NOT be held responsible for Legend: = Discovery Health = Direct Payment Arrangement Prem = Premier R = Rand = Rand Conversion Factor (Rand Value per Unit) VAT = Value Added Tax

HEALTHMAN UROLOGY COSTING GUIDE 2013

HEALTHMAN UROLOGY COSTING GUIDE COMPARATIVE TARIFFS: Scheme Rates Base Rates Practice Cost Tariff (VAT Incl.) Discovery (VAT incl.) Consultations: Units R R R R R R R R R R See the Notes below for All