C882

PDF page 117 / GP103

Hospitalist Premium
  The Hospitalist premium is payable automatically to an eligible physician subject to the definitions and
  rules described below.
  Definitions:
  "Qualifying services" means E082, C122, C123, C124, C126, C002, C007, C009, C132, C137, C139,
  C142, C143, A/C933, and C882/C982.

PDF page 141 / A13

Payment rules:
          1.In addition to satisfying all of the elements and payment rules of subsequent visit by the MRP
            – day of discharge (see page GP45), C126 is only eligible for payment under the following
            conditions:
             a.the patient has been admitted to hospital for a minimum of 7 consecutive days,
             b.the patient has a minimum of three diagnoses that contributed to the length of stay, and
          2.The minimum amount of time dedicated to the provision of C126 must be 45 minutes,
            exclusive of time spent rendering any other separately billable intervention and personally
            rendered by the physician, or the service will be adjusted to a lesser paying fee.
          3.Only one of C124 or C126 is eligible for payment per hospital admission.
     Subsequent visits by the MRP following transfer from an Intensive Care Area
      See General Preamble GP46 for terms and conditions.
   C142 - first subsequent visit by the MRP following transfer from an
          Intensive Care Area............................................................ 71.80
   C143 - second subsequent visit by the MRP following transfer from
          an Intensive Care Area.......................................................   71.80
   C121 Additional visits due to intercurrent illness (see General
          Preamble GP43)..................................................... per visit                40.05
   C008 Concurrent care .......................................................... per visit           40.05
   C010 Supportive care .......................................................... per visit           40.05
   C882 Palliative care (see General Preamble GP50)............ per visit                              40.05
     Attendance at maternal delivery for care of high risk baby(ies)
      Attendance at maternal delivery for high risk baby(ies) requires constant attendance at the
      delivery of a baby expected to be at risk by a physician who is not a paediatrician, and includes
      an assessment of the newborn.
   H007 Attendance at maternal delivery for care of high risk baby(ies)                 61.65

Master, record 792. Record Layout PDF, page 1.

C88220260401999999990000040050000000000000000000000000000000000000000000000

Auxiliary master fields are preserved as raw scaled values. The linked layout calls them zero-filled, but this edition contains non-zero values. They are not presented as final dollar fees or PDF units.