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
Assessment Services
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
Dietician
PHDIET Dietician consultation session $50.55
Exercise Physiology
PHEX01 Individual session $46.36
PHEX02 Group session $27.24
Hydrotherapy – Service to be provided by a physiotherapist
PHH01 Individual session $49.77
PHH02 Group session $29.54
Interpreter
PHINT Interpreter $69.73
Occupational therapy
PHO01 Individual session $51.45
PHO02 Group session $29.54
PHADL01 ADL Assessment – must be requested by a Medical Practitioner or the Agent $130.97 per hour
Physiotherapy
PHP01 Individual session $53.72
PHP02 Group session $28.79
Psychology
PHPS200 Neuropsychology $184.55
PHPS01 Individual session $85.00
PHPS02 Group session $47.90
Speech Therapy
PHS01 Individual session $51.38
PHS02 Group session $29.54
Social Work
PHSW01 Individual session $48.01
PHSW02 Group session $29.54

Table 2: Episodes

Description Episode classification Maximum payment rate
Rehabilitation Patients
1 - 14 days RP101 $660.53
15+ days RP101 $504.43

Explanatory notes

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

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.