Independent medical examination dental fees

  • Independent medical examination - dental fees

    Independent medical examination dental fees effective from 1 July 2017

    Effective as at 1 July 2017, WorkSafe Victoria (WorkSafe) can pay up to a maximum amount for the following categories of services by WorkSafe approved Independent Medical Examiners. Amounts shown are per service unless otherwise indicated.

    Item number

    Service Description

    Fee

    GST

    Total Fee

    (incl GST)

    General Dental Practitioner
    GDP100
    First Examination and Report 
    • 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 WorkSafe policies, the relevant Medicare Benefit Schedule item code and the WorkSafe's Reimbursement Rates for Medical Practitioners.
    $382.29 $38.23$420.52
    GDP150
    Subsequent Examination and Report 
    • Applies where a WorkSafe Agent requests a report within 12 months of the first examination and report for the same claim
    $229.45 $22.95 $252.40
    Loadings additional to examination and report fee are subject to WorkSafe Agent prior written approval only
    GDP200
    Report reading
    • Flat rate for reading of all reports that accumulatively are greater than 20 pages This fee is payable once only per claim per WorkSafe Agent report request
    $46.11$4.61 $50.72
    GDP250
    Urgent Examination and report
    • Urgent request by a WorkSafe Agent to complete initial or subsequent exam and provide $50.11 the report to the Agent within two business days
    $50.11$5.01 $55.12
    GDP350
    Travel to and from assessment (at Agent's request) per hour
    • Calculated in 15 minutes blocks Travel only paid when travelling to a location other than IMEs nominated practice location/s Travel for multiple assessments in the one location should be charged on a pro-rata basis for each claim
    $299.93 $29.99$329.92
    GDP400
    Audiovisual Viewing
    • Flat rate for the viewing of all audiovisual material - This fee is payable once only per claim per WorkSafe Agent report request
    $150.07 $15.01 $165.08
    GDP450
    Supplementary report  
    • Applies where a WorkSafe Agent provides information additional to that initially provided GDP450 $106.21 $10.62 $116.83 - or to answer additional questions not initially asked and the IME has previously examined an injured worker in the past 12 months An IME is not required to conduct a re-examination (or re-contact) the injured worker in order to provide the additional information.
    $106.21$10.62$116.83
    GDP500
    Interim report
    • Request by a WorkSafe Agent to provide information prior to receiving the IME final written report
    • The advice from the IME may be provided verbally (i.e. by telephone) or in writing (i.e. fax).
    $25.13$2.51$27.64
    GDP550
    Non-attendance on day of appointment
    • Non-attendance fee is applicable where an IME appointment is cancelled by the WorkSafe Agent on the day of the appointment or where the injured worker does not attend
    $150.07$15.01 $165.08

    Item number

    Service Description

    Fee

    GST

    Total Fee

    (incl GST)

    Specialist Dentist
    SDP100
    First Examination and Report
    • 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 WorkSafe policies, the relevant Medicare Benefit Schedule item code and the WorkSafe's Reimbursement Rates for Medical Practitioners
    $578.95 $57.90$636.85
    SDP150
    Subsequent Examination and Report
    • Applies where a WorkSafe Agent requests a report within 12 months of the first examination and report for the same claim
    $347.40$34.74 $382.14
    Loadings additional to examination and report fee are subject to WorkSafe Agent prior written approval only
    SDP200
    Report reading
    • Flat rate for reading of all reports that accumulatively are greater than 20 pages This fee is payable once only per claim per WorkSafe Agent report request
    $46.10 $4.61 $50.71
    SDP250
    Urgent Examination and Report
    • Urgent request by a WorkSafe Agent to complete initial or subsequent exam and provide the report to the Agent within two business days
    $73.01 $7.30 $80.31
    SDP350
    Travel to and from assessment (at Agent's request) per hour
    • Calculated in 15 minutes blocks
    • Travel only paid when travelling to a location other than IMEs nominated practice location/s Travel for multiple assessments in the one location should be charged on a pro-rata basis for each claim
    $437.26$43.73$480.99
    SDP400
    Audiovisual Viewing
    • Flat rate for the viewing of all audiovisual material
    • This fee is payable once only per claim per WorkSafe Agent report request
    $218.70$21.87$240.57
    SDP450
    Supplementary report
    • Applies where a WorkSafe Agent provides information additional to that initially provided or to answer additional questions not initially asked and the IME has previously examined an injured worker in the past 12 months
    • An IME is not required to conduct a re-examination (or re-contact) the injured worker in order to provide the additional information.
    $164.50$16.45 $180.95
    SDP500
    Interim report
    • Request by a WorkSafe Agent to provide information prior to receiving the IME final written report The advice from the IME may be provided verbally (i.e. by telephone) or in writing (i.e. fax).
    $36.51 $3.65$40.16
    SDP550
    Non-attendance on day of appointment
    • Non-attendance fee is applicable where an IME appointment is cancelled by the WorkSafe Agent on the day of the appointment or where the injured worker does not attend
    $218.70$21.87$240.57

    # This schedule of fees is available to dentists who hold qualifications recognised by the Australian Dental Council enabling registration as a specialist dentist, and who have current registration.

    Download independent medical examination dental fees [PDF, 406kB]

    Download independent medical examination dental fees [PDF, 406kB]

    View fee schedules from previous years

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