Private hospital – Non-arrangement service fees effective from 1 July 2018
WorkSafe will pay up to a maximum amount for the following categories of the service.
Table 1: Emergency services fees
| Item number | Service description | Maximum payment rate |
|---|---|---|
| Emergency Services | ||
| FACFEE | Emergency attendance fee – GST incl. Facilities with a recognised private emergency department | $87.76 |
Table 2: Other service fees
| Description | Episode classification | Maximum payment rate |
|---|---|---|
| Advanced Surgical Patients | AS | |
| 1 - 14 days | $742.30 | |
| > 14 days | $576.47 | |
| General Surgical Patients | GS | |
| 1 - 14 days | $663.68 | |
| > 14 days | $576.47 | |
| Medical Patients | M | |
| 1 - 14 days | $663.68 | |
| > 14 days | $576.47 | |
| Hospital in the Home | HIT | |
| Hospital in the Home | $379.10 | |
| Approved Intensive Care | ICU | |
| 1 - 4 days | $2,261.71 | |
| Approved Coronary Care | CCU | |
| 1 - 14 days | $1,344.81 | |
| Day Surgery Patients | DS | |
| Band 1 | $226.90 | |
| Band 2 | $272.29 | |
| Band 3 | $340.27 | |
| Band 4 | $378.09 | |
| Theatre Bands | ||
| Band 1A | $97.87 | |
| Band 1 | $321.42 | |
| Band 2 | $462.82 | |
| Band 3 | $585.18 | |
| Band 4 | $745.39 | |
| Band 5 | $1,039.20 | |
| Band 6 | $1,292.40 | |
| Band 7 | $1,746.54 | |
| Band 8 | $2,322.88 | |
| Band 9A | $2,541.02 | |
| Band 9 | $3,396.89 | |
| Band 10 | $4,654.24 | |
| Band 11 | $5,090.84 | |
| Band 12 | $6,409.44 | |
| Band 13 | $7,235.27 | |
Explanatory notes
All Services and invoicing must be provided in line with the following guidelines located on the WorkSafe website.
- Private hospital invoicing guidelines
- Prosthesis guidelines
- Elective surgery policy
- Pharmacy policy
- MBS rules
GST
Maximum fees listed in this fee schedule are exclusive of GST. If GST is applicable, WorkSafe Victoria will pay the GST component in addition to the maximum fee. Providers should provide a tax invoice where amounts are subject to GST. For queries regarding whether the services you provide to an injured worker are taxable (that is, subject to GST) please contact the Australian Taxation Office and/or your tax advisor.