EmailHospital Circular 10/1997
Date Issued: 1 July 1997
Publication: 10/1997
Contact: Regional Office
Distribution:
- Public Hospitals
- Health Insurance Organisations
Subject/s: Public Hospital Fees - adjustments
PUBLIC HOSPITAL FEES - ADJUSTMENTS
You should note that the adjustment to the fees referred to in this Circular, are Ainterim@ pending the Department’s review of a number of public hospital fees.
If as a result of that review, there are adjustments to any of these interim fees you will be informed in the usual way by Hospital Circular. The public hospital fees below have been adjusted by the March 1997 Quarter Annual CPI increase (1.3%), and rounded up to the nearest dollar. Date of effect: 1 July 1997.
As a result of these changes, could you please make the following updates to the State fees manual, AFees and Charges for Acute Health Services in Victoria: A Handbook for Public Hospitals@ :
- Overnight Stay Patients - replace page 2 of part 1, Fees for Admitted Patients. This change is effective from 1 July 1997.
- Same Day Patients - replace page 4 of part 1, Fees for Admitted Patients. This change is effective from 1 July 1997.
- Compensable (excluding WorkCover and TAC recipients) Patients - replace page 11 of part 1, Fees for Admitted Patients. This change is effective from 1 July 1997.
DR CHRIS BROOK
DIRECTOR
ACUTE HEALTH SERVICES
Private Admitted Patients
Overnight Stay Patients
The following bedday fees are charged for all overnight stay patients who, on admission to a public hospital, have elected to be treated as private patients. Fees for patients in single bed rooms are to be charged only when a patient is accommodated in the single bed room by his or her choice (that is, a patient accommodated in a single room for medical reasons is not to be charged single room rates).
In addition to bed day fees, private overnight stay patients may also be charged for surgically implanted prostheses, the reference for which is at Appendix A of this State fees manual.
| Patient Classification | Length
of Stay |
Fee
per day ($) |
|
|---|---|---|---|
Shared |
Single |
||
| Advanced Surgical | 1 - 14 days 15 + days |
259 179 |
449 347 |
| Surgical/Obstetric | 1 - 14 days 15 + days |
237 179 |
426 347 |
| Other | 1 - 14 days 15 + days |
207 179 |
375 347 |
| Psychiatric* | 1 - 42 days 43 - 65 days 66 + days |
237 207 179 |
426 375 347 |
| Rehabilitation* | 1 - 49 days 50 - 65 days 66 + days |
237 207 179 |
426 375 347 |
*Rehabilitation and Psychiatric fees can only be charged by hospitals with specific rehabilitation or psychiatric programs approved for payment purposes, by individual private health insurance organisations.
Date of effect: 1 July 1997
Reference: Circular No.10/97
Same Day Patients
The following fees are charged for all same day patients who, on admission to a public hospital, have elected to be treated as private patients. Same day patients admitted for minor procedures (that is, those procedures contained in the Commonwealth's Type C exclusion list*) must be certified as requiring hospital admission.
| Band | Fee |
|---|---|
| Band 1 | 150 |
| Band 2 | 179 |
| Band 3 | 207 |
| Band 4 | 237 |
Date of effect: 1 July 1997
Reference: Circular No.10/97
(See section on Compensable Patients for compensable same day patients).
* All matters relating to same day arrangements are summarised in the Commonwealth Department of Health and Family Services Same Day Procedures Manual - August 1996. That manual includes a listing at that time, of Type B professional attention procedures (the day list) and Type C professional attendance procedures (the exclusion list), band descriptors, day only forms, and same day patient benefits.
A hard copy of that manual was provided to all hospitals. The Manual is available for purchase on disk through the Commonwealth Department of Health and Family Services.
Date of effect: 1 July 1996
Reference: Circular No. 19/96
Attached are full copies of the Type-B (day only) and Type C (exclusion) listings. (Type B at Attachment A and Type C at Attachment B).
Date of effect: 1 May 1997
Reference: Circular No. 8/97
IF YOU REQUIRE FURTHER INFORMATION
PLEASE TELEPHONE:(06) 289 8786 - 24 HOUR ANSWERING SERVICE - Health Insurance Services Section, Commonwealth Department of Health and Family Services
Compensable (excluding WorkCover and TAC recipients) Patients
The following fees are charged for all compensable patients other than WorkCover and TAC patients.
Accommodation Fees for Compensable (excluding WorkCover and TAC recipients) Inpatients
Patient Classification Length of Stay Fee per bed day ($)
Advanced Surgical: 1 - 14 days 416
15 + days 218
Surgical/Obstetric: 1 - 14 days 380
15 + days 218
Other (Medical): 1 - 14 days 380
15 + days 218
Psychiatric* 1 - 42 days 244
43 -65 days 218
66 + days 198
Rehabilitation* 1 - 49 days 355
50 - 65 days 218
66 + days 163
Geriatric** 218
Nursing Home Patient 127
Same Day Patient*** 304
*Fees only apply for patients admitted to rehabilitation and psychiatric programs/units designated by the Department of Human Services.
**Geriatric fee can only be charged for patients treated in State Geriatric Centres.
***Hospitals are required to strictly comply with the definition of "Admission" in the 1993 Medicare Agreement which prescribes the minimum criteria which must be met before a patient can be admitted. The minimum criteria for admission are currently defined in the PRS/2 Manual, Version 7.0, July 1996 until replaced by Version 7.1, July 1997.
(See section on Patient Classifications for the definitions of advanced surgical, surgical and medical patients).
Date of effect: 1 July 1997
Reference: Circular No. 10/1997
