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 - 2020
Tariff of fees from 1 April 2020 : General Rules Governing the Tariff
|001||"After hours treatment" shall mean those performed by arrangement at night between 18:00 and 07:00 on the following day or during weekends between 13:00 Saturday and 07:00 on Monday. Public holidays are regarded as Sundays. This rule shall apply for all treatment whether administered in the practitioner's rooms, or at a nursing home or private residence (only by arrangement when the employee's condition necessitates it). The fee for all treatment under this rule shall be the total fee for treatment + 50 %. In cases where the chiropractor's scheduled working hours extend after 18:00 during the week or 13:00 on a Saturday the above rule shall not apply and the treatment fee shall be that of the normal listed tariff.|
|(a)||Where, in the case of emergency, a chiropractor is called out from his residence or or the hospital, travelling fees can be charged if more than 16 kilometres in total have to be travelled.|
|(b)||If more than one employee is attended to during the course of a trip, the full travelling expenses must be divided pro rata between the relevant employees.|
|(c)||A practitioner is not entitled to charge for any travelling expenses to his rooms.|
When a chiropractor has to travel to visit an employee, the fees shall be calculated as follows:
R3.77 per km for each kilometre travelled in own car.
|003||If, after a series of 20 treatment sessions for the same condition, further treatment is required, the practitioner must submit a progress report to the Compensation Commissioner indicating the necessity for further treatment and the number of further treatment sessions required. Without such a report payment for treatment sessions in excess of 20 shall not be considered.|
|004||The reports for completion by the practitioner:|
|(a)||The First Medical Report (W.C1.4)|
The form is used for all injured employees. The practitioner should note that the form is in the nature of a signed medical certificate and he should, therefore, observe due care in completing, dating and signing the form.
|(b)||The Progress or Final Medical Report (W.C1.5)|
This form is used either for progress reports or the final report; the appropriate descriptive title being retained as the case may be. Most of the items in the report are self -explanatory and require no special amplification.
|006||Un-cancelled appointments - Appointments not cancelled at least four hours before the relevant appointment time - relevant practitioner's fees shall be payable by the employee.|
Not applicable in respect of injured workmen covered under the COIDA.
|008||Change of chiropractor / medical practitioner ("supersession"):|
In the event of a change of chiropractor / medical practitioner consulted, the first chiropractor / medical practitioner in attendance will, except where the case is handed over to a specialist, be regarded as the principal, and payment will normally be made to him / her. To avoid disputes, chiropractors / medical practitioners should refrain from treating a case already under treatment without first discussing it with the first chiropractor / medical practitioner. As a general rule, changes of chiropractor / medical practitioner are not favoured, unless sufficient reasons exist.
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