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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

Social Worker and Psychology Gazette 2022

Psychology Tariff of Fees as from 1 April 2022

General Rules

 

RULE

DESCRIPTION

A

Psychology services account must be accompanied by a referral letter from the treating principal doctor indicating the condition of the employee and  the need for such services.

An overall event limit of ten (10) sessions including group therapy is allowed.

One session is allowable per day.

Motivation letter is required for sessions more than 10 (ten).

 

 

B
a. An emergency medical condition means the sudden and, at the time, unexpected onset of a health condition that requires immediate medical treatment/therapy and/or an operation. If the treatment is not available, the emergency could result in weakened bodily functions, serious and lasting damage to organs, limbs or other body parts, or even death.
b. "Emergency treatment" means a bona fide, justifiable emergency social work service, where failure to provide the service immediately would result in serious or irreparable psychological or functional impairment.
c. "working hours" means 8h00 to 17h00, Monday to Friday.

Modifier 0003 must be quoted after the appropriate code number(s) to indicate that this rule is applicable.

 

Where emergency treatment is provided:

a. during working hours, and the provision of such treatment requires the practitioner to leave her or his practice to attend to the patient at another venue; or
b. After working hours; the fee for such visits shall be the total fee plus 50%.

 

 

C

Compilation of reports: Reports are required after every consultation, counselling and/or therapy including group therapy.

 

 

D

Appointment not kept: The Compensation Fund will not grant benefits in respect of appointments not kept, the patient will be liable for payment. Cancellation of appointment should be within 24 hrs