Medical service reimbursement rates information 2016

This document summarises the policies that govern how WorkSafe reimburses medical practitioners for services provided to injured workers. It also includes the fee schedule that applied from 1 July 2016 to 30 June 2017.

Last updated

Jul 2016

Reading level

medium

File Type and Size

PDF, 893.01 kB

Document Length

44 pages

What it contains

WorkSafe uses the Medicare Benefits Schedule (MBS) item numbers, explanations, definitions, rules and conditions for services when reimbursing medical practitioners.

This publication lists the MBS item numbers and the maximum amount that WorkSafe can pay medical practitioners as reasonable costs for the rehabilitation of work-related injuries and illnesses.

It also summarises the key principles that WorkSafe will use when approving payments (for example, the ‘Complete Medical Service’ means that each professional service listed in the MBS is a complete medical service. You cannot also charge for individual components that a reasonable person would expect to be part of that procedure.)