Date: 16 Oct 2018
Healthcare Professionals (GP and Specialist) are invited to participate in the Medscheme Bonitas time-based
reimbursement model pilot starting 1 November 2013. Healthcare Professionals currently using the 0190, 0191
and 0192 range of tariff codes are invited to participate by submitting 4 new customized tariff codes (Psychiatrists,
Anesthetist and Maxillofacial surgeons are excluded). Those healthcare professionals who choose not to participate
can continue to use the current codes and will still be reimbursed as per the current status. The intended duration
of the pilot will be 6 months but this will ultimately depend on the uptake.
The 4 new customized time based tariff codes are indicated below:
TARIFF CODES TABLE
New or established patient: Office or outpatient visit requiring up to 10 minutes. This
would typically involve problems of minimal severity
New or established patient: Office or outpatient visit requiring from 10 to 20 minutes.
This would typically involve a problem focused history, clinical examination and straight
forward decision making for a minor problem
New or established patient: Office or outpatient visit requiring from 20 to 40 minutes.
This would typically involve a detailed history, clinical examination and straight forward
decision making or counseling.
New or established patient: Office or outpatient visit requiring over 40 minutes. This
would typically involve a comprehensive history, clinical examination and complex
decision making or counseling for a complex problem
OPTION CODE TABLE
SCHEME/ PLAN/OPTION NAME OPTION CODE
BONITAS HL DD PROCEDURE & CONSULT BODPC 664823
If you have any questions, please call the Bonitas Contact Centre on 0861 112 666.
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