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R 385
Compensation for Occupational Injuries and Diseases Act, 1993 (Act No. 130 of 1993)Scale of FeesAnnual Increase in Medical Tariffs for Medical Service Providers - 2023Renal Care Gazette 2023General Rules for processing of Renal Care invoices in terms of COIDA |
1. | In terms of Sec 73(1) of COIDA, the Compensation Fund shall pay reasonable medical costs incurred by or on behalf of an employee in respect of medical aid necessitated by such accident or disease. |
2. | The renal condition must be directly related to the nature of injury sustained or complications thereof. |
3. | Dialysis is always performed in accordance to a dialysis prescription |
4. | Dialysis prescriptions can be provided by a nephrologist or a medical practitioner with appropriate training in nephrology |
5. | Haemodialysis provided in a dialysis unit, applies to both outpatients and stabilized in-hospital patients |
6. | Services and authorisation for renal dialysis should only be provided or issued for a Renal dialysis practitioner. |
7. | The Renal dialysis practitioner should have a referral and a dialysis prescription from the nephrologist or medical practitioner, indicating the number of sessions or treatments. |
8. | After a series of treatments prescribed by the nephrologist or a medical practitioner, the Renal dialysis practitioner should refer the employee back to the treating medical practitioner. |
9. | If further treatment is still indicated the treating medical practitioner should submit a medical report with clinical indications for further treatment. |
10. | A monthly medical report should be submitted and should the condition become chronic, a medical report explaining such condition must be submitted to the Fund. |