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 given 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. |
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002 | Travelling Fees
When a chiropractor has to travel more than 16 kilometres in total to visit an employee, the fees shall be calculated as follows: R1,00 per km for each kilometre in excess of 16 kilometres total travelled in own car: 19 km total = 3 x R1,00 = R3,00. |
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003 | If, after a series of 20 treatments for the same condition, further treatment is required, the practitioner must submit a progress report to the Commissioner indicating the necessity for further treatment and the number of further treatments required. Without such a report payment for treatments in excess of 20 shall not be considered. | |||||||||||||
004 | The reports for completion by the practitioner:
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005 | No more than four physical procedures and modalities will be reimbursed in one visit. Multiple physical procedures and modalities shall be reimbursed as follows:
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006 | Uncancelled appointments - Appointments not cancelled at least four hours before the relevant appointment time - relevant practitioner's fees shall be payable by the employee. | |||||||||||||
007 | Reports Not applicable in respect of injured workmen covered under the Act. |
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008 | Change of chiropractor / medical practitioner (Supersession): In the event of a change of chiropractor / medical practitioner attending a case, 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. 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 there are sufficient reasons for it. |
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009 | Consultations: No fees may be charged for follow-up consultations within the first four months from the date of the first procedure or treatment except as is provided for under item DC02. |