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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 - 2023Ambulance Gazette 2023Ambulance Tariff of Fees as from 1 April 2023 (Practice Type 09)General Rules |
RULE |
DESCRIPTION |
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001 |
Road ambulances: Long distance claims (items 111, 129 and 141) will be rejected unless the distance travelled with the patient is reflected. Long distance charges may not include item codes 102, 125, 127, 131 or 133. Long distance claims (items 112, 130 and 142) to be rejected unless the distance is reflected. |
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002 |
No after hours fees may be charged. |
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003 |
Road ambulances: Item code 151 (resuscitation) may only be charged for services provided by a second vehicle (either ambulance or response vehicle) and shall be accompanied by a motivation. Disposables and drugs used are included unless specified as additional cost items (see below). |
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004 |
A BLS (Basic Life Support) practice (Pr. No. starting with 13) may not charge for ILS (Intermediate Life Support) or ALS (Advanced Life Support); an ILS practice (Pr. No. starting with 11) may not charge for ALS. An ALS practice (Pr. No. starting with 09) may charge for all codes. |
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005 |
A second patient is transferred at 50% reduction of the basic call cost. Rule 005 MUST be quoted if a second patient is transported in any vehicle or aircraft in addition to another patient. Refer to Aeromedical transfers section 5. |
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006 |
Guidelines for information required on each COIDA ambulance invoice:
Road and air ambulance invoices
The date on which the service was rendered
Summary of medical procedures undertaken on patient and vital signs of patient
Definitions of Ambulance Patient Transfer Basic Life Support - A call out where the patient assessment, treatment administration, interventions undertaken and subsequent monitoring fall within the scope of practice of a registered Basic Ambulance Assistant whilst the patient is in transit. Intermediate Life Support - A call out where the patient assessment, treatment administration, interventions undertaken and subsequent monitoring fall within the scope of practice of a registered Ambulance Emergency Assistant (AEA), e.g. initiating IV therapy, nebulisation etc. whilst the patient is in transit. Advanced Life Support - A callout where the patient assessment, treatment administration, interventions, undundertaken and subsequent monitoring fall within the scope of practice of a registered paramedic (CCA and NDIP) whilst the patient is in transit. NOTES
Please Note
Claims for the transport of a patient discharged home will only be accepted if accompanied by a written motivation from the attending doctor who requested such transport, clearly stating the medical reasons why an ambulance is required for such transport. It should be indicated what specific medical assistance the patient requires on route. If such a request is approved only BLS fees will be payable. Transport of a patient for any other reason than a MEDICAL reason, (e.g. closer to home, do not have own transport) will not be entertained. |