E082

PDF page 56 / GP42

Admission Assessment by the Most Responsible Physician (MRP) Premium
  E082 Admission assessment by the MRP, to admission
          assessment .......................................................... add 30%
      Payment rules:
      1.E082 is only eligible for payment once per patient per hospital admission.
      2.E082 is only eligible for payment:
         a.if the physician establishes that he or she does not receive any direct or indirect
           remuneration from a hospital or hospital foundation for rendering in-patient clinical
           services; or
         b.where the physician receives any direct or indirect remuneration from a hospital or
           hospital foundation for rendering in-patient clinical services, if the physician establishes
           that such remuneration has been reduced by an amount equal to the amount that would
           be eligible for payment to the physician had he or she not received any such direct or
           indirect remuneration.
      3.E082 is not eligible for payment for transfers within the same hospital.
      4.E082 is not applicable to any other service or premium.

PDF page 56 / GP42

[Commentary:
      1.E082 is only eligible for payment when the admitting physician is the MRP. If the MRP does
        not render the admission assessment, E082 is not eligible for payment for any service
        rendered by any physician during that hospital admission.
      2.E082 is not eligible for payment for a patient admitted for obstetrical delivery or for a well
        newborn.
      3.E082 is not applicable for any consultation or assessment related to day surgery.]

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 117 / GP103

"Date of determination of eligibility" means the date upon which the General Manager determines that
  the conditions for payment in (1), (2), and (3) below, have been met.
                                          Payment rules:
                                          For the 12 month period following the date of determination of eligibility for the premium, the
                                          amount payable to a physician shall be automatically increased by 17% for all qualifying
                                          services except for E082 in the following circumstances:
                                          1.The physician has provided at least 1500 qualifying services in the qualifying year; and
                                          2.The physician has provided at least one qualifying service per day on at least 110 days in the
                                            qualifying year; and
                                          3.The physician is a General and Family Practice (00) or an Internal Medicine (13) specialist.
  AFTER HOURS PROCEDURE PREMIUMS
  These premiums are payable only when the following criteria are met:
                                          a. the service provided is one of the following:

Master, record 923. Record Layout PDF, page 1.

E08220130701999999990000000010000000000000000000000000000000000000000000000

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.