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Compensation for Occupational Injuries and Diseases Act, 1993 (Act No. 130 of 1993)

Scale of Fees

Annual Increase in Medical Tariffs for Medical Service Providers - 2022

Private Hospitals Gazette 2022

Private Hospitals Tariff of Fees from 1 April 2022

Acute (59) and Sub-Acute (49) Rehabilitation (Per Diem Tariff)

 

1.

General Rules for Rehabilitation Hospitals

 

1. Maximum period for a patient stay at acute rehabilitation ward is 3 months (12 weeks), then to be discharged or referred to Sub-acute rehabilitation (practice 49)

 

2. All patients transferred from Acute Rehabilitation (practice 59) to Sub-acute Rehabilitation (practice 49), notification letter is required by the Compensation Fund for proper case management.

 

3. Maximum period for a patient stay at acute rehabilitation ward is 3 months (12 weeks).

 

4. All practice 49 institutions must have a Rehabilitation plan for all patients admitted.This Rehabilitation plan must be submitted to Compensation Fund When requested.

 

CODE

DESCRIPTION

RAND

1.1

General ward for Rehabilitation Hospitals

PRACTICE CODE 59

 

All patients transferred from, Acute hospital 57/58, Acute Rehabilitation (practice 59) or Sub-acute Rehabilitation (practice 49), motivation from the treating doctor and approval letter from the Compensation Fund is required for proper case management.

 

H010

General Rehabilitation ward (inclusive fee: ward fee, general rehabilitation management (Physiotherapy, Doctors, Nursing, Occupational Therapy)

 

6388.22

1.2

General ward for Sub-Acute Rehabilitation Hospitals

PRACTICE CODE 49

 

Admission to the facility should be motivated for by the treating principal or primary doctor and should be pre-authorised.

 

Private sub-acute facilities shall indicate the exact time of admission and discharge on all invoices.

 

(a) Ward fees shall be charged at the full daily rate if admission takes place before 11:30 and at the half daily rate if admission takes place after 12:30.
(b) At discharge, ward fees shall be charged at half the daily rate if the discharge takes place before 11:30 and the full daily rate if the discharge takes place after 12:30.
(c) Ward fees are inclusive of all pharmaceuticals and equipment that are provided in the accommodation and procedure rooms.

 

This guide caters for services rendered by sub acute facilities only but excludes services by related health care providers like physiotherapy, medical practitioners, occupational therapy, dieticians, speech therapist, clinical psychologist, social workers, etc. Employees of the sub acute facility are not allowed to submit their own individual claim/s.

 

 

H020

Sub-Acute Rehabilitation ward (Daily) Professionals are charged separately i.e. Physiotherapy, Rehabilitation Doctors, Nursing, Occupational Therapy, speech Therapist, Clinical Psychologist, social workers

 

3824.04