Private rehabilitation 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: Service fees
|Item number||Service description||Maximum payment rate|
|PHASSES||Pre Admission Multidisciplinary Assessment & Plan||$717.40|
|Pain Management Programs
- Rate is per day and inclusive of all therapy sessions
|CPAIN||Chronic Pain Management Program||$364.53|
|Private Hospital Non Admitted Allied Health Sessions
- Rate is per 30 min session
|PHDIET||Dietician consultation session||$50.55|
|Hydrotherapy – Service to be provided by a physiotherapist|
|PHADL01||ADL Assessment – must be requested by a Medical Practitioner or the Agent||$130.97 per hour|
Table 2: Episodes
|Description||Episode classification||Maximum payment rate|
|1 - 14 days||RP101||$660.53|
Only one payment for Pre Admission Multidisciplinary Assessments and plan (PHASSES) will be considered per rehabilitation episode.
All Services and invoicing must be provided in line with the following guidelines located on the WorkSafe website.
- Private hospital invoicing guidelines
- Pharmacy policy
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.