Third party payers Flashcards
From 1st April 2019 there were a number of changes to health insurance coverage as a consequence of reforms brought about by the Federal Government. Which therapies are no longer covered as a consequence of these reforms?
- Naturopathy
- Yoga
- Pilates
- Alloftheabove
- All of the above
What is Australia’s universal health scheme?
- Worksafe
- TAC
- Medicare
- Veteransaffairs
- Medicare
How is Medicare funded?
- Medicare levy
- 1.5% of taxable income
- 5% of taxable income for high income earners
- Both a. and b.
- Both a.andc.
- Both a. and b.
The Chronic Disease Management (CDM) plans are designed for General Practitioners to manage the health of which type of patient?
- People with complex, chronic or terminal medical conditions
- People with an acute sports injury
- Anyone who desires less expensive osteopathy treatment
- People with mental health conditions
- People with complex, chronic or terminal medical conditions
The subsequent Certificate of Capacity (Worksafe / TAC) for up to 28 days cannot be issued by Osteopaths?
- True
- False
- False
The Department of Veterans Affairs requires that no “Gap” payment be charged to a Veterans Affairs card holder?
- True
- False
- True
What is private health insurance
health insurance plan not run by the government
What are the benefits of private health insurance?
avoid waiting list
payment fr the cost of private treatment
choose the specialist and hospital
What is not covered by medicare?
private patient costs dental ambulance glasses home nursing therapies psychology acupuncture
What are the requirements for osteopaths when managing a referred chronic patient CDM
- provide medical report to GP at first and last session
- treat patient 1 on 1, for at least 20min
- keep referral copy for 2 years
What should a chronic referral letter include?
- investigation test and assessment
- treatment provided and response to treatment
- recommendation on how to manage condition in future.
The first certificate for work safe needs to be completed by a GP and can be issued for 14 days max?
True
False
True
How you complete a work safe certificate of capacity?
- diagnosis
- recovery timeline to go back to work
Who can issue a certificate of capacity
gp
physiology
osteo
chiro
What are the reporting requirements with work safe?
submit osteo notification on 5th consultation
- fw consultation to employer and work safe agent
- Include info on goals strategies proposed diagnosis and outcomes
