Tariff of Fees in respect of Chiropractic Services
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 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.
002           Travelling Fees
  1. Where in the case of an emergency, a chiropractor was called out from his residence or rooms to an employee's home or the hospital, travelling fees can be charged if he had to travel more than 16 kilometres in total.
  2. If more than one employee would be attended to during the course of a trip, the full travelling expenses must be divided pro rata between the relevant employees.
  3. A practitioner is not entitled to charge for any travelling expenses to his rooms.

    4. 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.
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:
  1. The First Report (W.CI.4)
    The form is used for all injured employees of all races. 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 it, dating and signing it.
  2. The Progress or Final Report (W.CI.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.
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:
Major (highest valued procedures and modality)       100% of listed value
Second (second-highest or equivalent valued procedure and modality)       50% of listed value 
Third (third-highest or equivalent valued procedure and modality)       50% of listed value 
Fourth (fourth-highest or equivalent valued procedure and modality)       50% of listed value
All treatment must be justified by the condition of the employee and the goals and objectives of the treatment plan.
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.
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.
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.
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