Independent medical examination medical practitioners fees

  • Independent medical examination - medical practitioner fees

    Independent medical examination 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 Practitioner
    GPO 100
    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.
    $397.88 $39.79$437.67
    GPO 150
    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
    $238.78$23.88 $262.66
    Loadings additional to examination and report fee are subject to WorkSafe Agent prior written approval only
    GPO 200
    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
    $48.00$4.80$52.80
    GPO 250
    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
    $52.17$5.22$57.39
    GPO300
    Worksite visit
    • Request by a WorkSafe Agent to complete a worksite visit and provide a report to the Agent – Inclusive of worksite visit, report writing, reading time and any incidentals
    $614.50 $61.45$675.95
    GPO350
    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
    $312.15$31.22 $343.37
    GPO400
    AudiovisualViewing
    • Flat rate for the viewing of all audiovisual material - This fee is payable once only per claim per WorkSafe Agent report request
    $156.20$15.62 $171.82
    GPO450
    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.
    $110.52$11.05$121.57
    GPO500
    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).
    $26.15$2.62$28.77
    GPO550
    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
    $156.20$15.62$171.82
    IEO100Assessment of Impairment as requested by Agent using AMA2Guide**$108.89$10.89$119.78

    Item number

    Service Description

    Fee

    GST

    Total Fee

    (incl GST)

    Specialist Dentist
    SPO100
    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
    $601.68$60.17$661.85
    SPO150
    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
    $361.05$36.11$397.16
    Loadings additional to examination and report fee are subject to WorkSafe Agent prior written approval only
    SPO200
    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
    $47.93$4.79$52.72
    SPO250
    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
    SPO300
    Worksite visit
    • Request by a WorkSafe Agent to complete a worksite visit and provide a report to the Agent – Inclusive of work site visit, report writing, reading time and any incidentals
    $875.33$87.53 $962.86
    SPO350

    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

    $454.45$45.45$499.90
    SPO 400
    Audiovisual Viewing
    • Flat rate for the viewing of all audiovisual material
    • This fee is payable once only per claim per WorkSafe Agent report request
    $227.30$22.73 $250.03
    SPO450
    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.
    $170.98$17.10$188.08
    SPO500
    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).
    $37.96$3.80$41.76
    SPO550
    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
    $227.30$22.73$250.03
    IEO200Assessment of Impairment as requested by Agent using AMA2Guide**$162.35$16.24$178.59
    Psychiatrist
    PCT100
    First Examination and Report
    • Inclusive of conducting the examination, report writing, reading lime 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.
    $872.19$87.22$959.41
    PCT150
    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
    $523.31 $52.33$575.64
    Loadings additional to examination and report fee are subject to Work Safe Agent prior written approval only
    PCT200
    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
    $47.93$4.79 $52.72
    PCT250
    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
    $98.55$9.86$108.41
    PCT300
    Worksite visit
    • Request by a WorkSafe Agent to complete a worksite visit and provide a report to the Agent – Inclusive of worksite visit, report writing, reading time and any incidentals
    $854.04$85.40$939.44
    PCT350
    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
    $442.90$44.29$487.19
    PCT400
    Audiovisual Viewing
    • Flat rate for the viewing of all audiovisual material – This fee is payable once only per claim per WorkSafe Agent report request
    $221.48$22.15$243.63
    PCT450
    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.
    $283.53$28.35$311.88
    PCT500
    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).
    $59.16$5.92$65.08
    PCT550
    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
    $295.36$29.54$324.90
    IEO400Assessment of Impairment as requested by Agent using AMA2Guide**$162.35$16.24$178.59

    # 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 assessment medical practitioner fees [PDF, 396kB]

    Download independent assessment medical practitioner fees [PDF, 396kB]

    View fee schedules from previous years

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