Trading Terms

Referrals

1.1 Most clients can receive our services without the need of a medical or other referral. However, in the event a referral from another practitioner has been given, it is highly recommended that such a referral is provided to the treating practitioner to assist in the continuity of care and our delivery of the most appropriate treatment for the patient.

 

Accounts and Billing

2.1 Please refer to our most recent schedule of fees for an outline of the services we offer and their associated prices.

2.2 It is expected all fees are paid in full at the time of consultation.

2.3 We accept cash, EFTPOS, credit cards and offer electronic health insurance rebates (via HICAPS) for your convenience. However, in the event of electronic network failure, full payment is still expected on the day of consultation.

2.4 An administration fee will apply for every occasion a consultation fee is not paid on the day.

2.5 In the event of gaining approval for a monthly account, at the end of each month a fully itemised statement will be issued, with payment terms strictly 7 days net. Failure to render full payment within these terms may incur penalty fees. These may include interest charges (currently charged at 18.5% p.a.) plus any administration charges incurred from debt recovery processes.

2.6 Payment of accounts can be done so via the telephone, website or in person at the practice from which you have received the service.

2.7 Health insurance rebates (electronic or otherwise) can only be claimed for after the service has been received. In the instance of purchasing treatment packages rebates will only be available once the treatment program has been completed.

2.8 There is no refund available on the purchase of any personal or healthcare items. All pillows, braces, creams, gels, tapes and exercise equipment must be chosen carefully before leaving the practice.

2.9 Those who feel they cannot comply with our very strict billing methods, or wish to be given special consideration, please feel welcome to put your request in writing and address it to the Practice Principal. Please understand that our strict billing methods allow equality of service to all patients, and serve to raise the already high standard of healthcare we can offer you.

 

Cancellation Policy

3.1 It is expected that if a patient cannot keep an appointment with us, that notice is given as soon as possible by calling the practice and leaving a message if after hours.

3.2 If less than 8 hours notice is given, the full consultation fee will apply. However, provision of another appointment within 48 hours at no charge, but at our convenience, will be made in an attempt to provide continuation of treatment.

3.3 In the event a late cancellation is received, and the patient does not accept our offer of an alternative appointment, payment in full is expected within 48 hours, otherwise an administration fee may apply.

3.4 These policies relate to all patients irrespective of their method of funding (eg. Workcover, TAC, etc). In the case of compensible patients who have been permitted to bulk bill their consultation fees, cancellations and missed appointments must be paid separately by themselves and cannot be bulk billed.

 

Late and Missed Appointments

4.1 Patients arriving late to an appointment, but within their appointed time slot, may receive a shorter consultation in an effort not to inconvenience other patients waiting.

4.2 Patients who either arrive after or miss entirely an appointment will be charged the consultation fee in full.

4.3 If a patient calls the practice to arrange an alternative time within 48 hours of their missed appointment, they will eligible for an appointment at no charge, but at our convenience.

4.4 Irrespective of an alternate appointment being offered, if payment is not received in full within 48 hours, an administration fee will apply.

LATE OR MISSED APPOINTMENTS EXCLUDE OTHERS FROM RECEIVING TREATMENT AND INCONVENIENCE BOTH THE PRACTITIONERS AND OTHER PATIENTS WAITING.

 

Medicare

5.1 Patients who believe they are eligible for Medicare funding must ensure they satisfy the following criteria before requesting bulk billing:

5.1.1 Their injury must be considered chronic or complex.

5.1.2 Their medical doctor has prepared an Enhanced Primary Care allied health referral allocating up to 5 only physiotherapy, osteopathic or podiatry treatments for a 12 month period.

5.1.3 The medical doctor must also have prepared an EPC Care Plan on behalf of the client and submitted it to Medicare for funding approval to be granted.

5.2 The individual patient will always be ultimately responsible for payment of all accounts in the event the medicare does not accept financial liability for our treatment services rendered.

5.3 Currently, our practice only bulk bills the Medicare payment on the patient’s behalf if they are Health Care Card holders. All other patients will be required to pay their fee in full at the time of consultation and will be issued a receipt to claim back their rebates from medicare directly.

5.4 All administration fees for missed appointments, late cancellations and overdue accounts will be charged directly to the patient, not medicare (see related policies).

5.5 We reserve the right to discontinue providing treatment through medicare funding if we feel a claimant is acting either fraudulently or demonstrating non-compliance.

Workcover

6.1 Camberwell Sports and Spinal Medicine will Bulk Bill patients who believe they are eligible for workcover assistance. However there are specific criteria that must be met prior to bulk billing commencing and policies relating to this treatment:

6.1.1 The injury must have occurred directly in relation to their current employment.

6.1.2 The injury must have been reported to their employer and all necessary internal paperwork has been completed.

6.1.3 A workcover claim form has been submitted, and a letter of approval from the employer is provided and claim number issued.

6.1.4 For patients with a new injury, the patient signs the necessary forms (os100 or py100 form) to notify the appropriate bodies of their Treatment Program.

6.2 The individual patient takes on ultimate responsibility for payment of all accounts in the event the workcover insurer or employer does not accept financial liability for our treatment services rendered.

6.3 There will be no gap for workcover services however all administration fees for missed appointments, late cancellations and overdue accounts will be charged directly to the patient, not the employer or workcover insurer, at standard consultation rates (see related policies).

6.4 We reserve the right to discontinue treatment through workcover funding if we feel a claimant is acting either fraudulently or demonstrating non-compliance.

 

Transport Accident Commission

7.1 Patients who believe they are eligible for TAC funding must ensure they satisfy the following criteria before requesting bulk billing:

7.1.1 Their injury occurred directly in relation to a Victorian motor vehicle incident

7.1.2 The injury has been reported to the police and all necessary paperwork has been completed.

7.1.3 A TAC claim form has been submitted with documentary evidence available.

7.1.4 The patients signs the necessary Treatment Notification Plan in consultation with their treating practitioner.

7.2 The patient is responsible to pay the standard TAC-imposed excess before medical services can be bulk billed. However, this excess may be waivered if the patient was admitted to a hospital for longer than 24 hours due to their accident.

7.3 The individual patient will always be ultimately responsible for payment of all accounts in the event TAC does not accept financial liability for our treatment services rendered.

7.4 Currently, the practice absorbs the service fee gap for TAC funding on the patient’s behalf. However all penalty fees for missed appointments, late cancellations and overdue accounts will be charged directly to the patient, not TAC. (see related policies).

7.5 We reserve the right to discontinue providing treatment through TAC funding if we feel a claimant is acting either fraudulently or demonstrating non-compliance.

 

Department of Veterans Affairs

8.1 Patients who believe they are eligible for funding from the Department for Veteran Affairs must ensure they satisfy the following criteria before requesting bulk billing:

8.1.1 Patients issued gold- or white-cards from the Department of Veteran Affairs will be eligible for fully subsidised Physiotherapy, Osteopathic and Podiatry treatment when presenting with an appropriate medical referral and having not been the recipient of other related services within the previous 6 months (in accordance with current DVA policy).

8.1.2 The patient must sign a treatment voucher each time they receive a service from our practice for us to claim back the cost of their services.

8.2 The individual patient will always be ultimately responsible for payment of all accounts in the event the Department for veteran Affairs does not accept financial liability for our treatment services rendered.

8.3 Currently, our practice absorbs the service fee gap for DVA funding on the patient’s behalf. However all administration fees for missed appointments, late cancellations and overdue accounts will be charged directly to the patient, not the Department of Veteran Affairs (See related policies).

8.4 We reserve the right to discontinue providing treatment through DVA funding if we feel a claimant is acting either fraudulently or demonstrating non-compliance.

 

 

Privacy Policy Summary Statement

The personal health information you provide during your consultation and subsequent treatment will be collected for the purpose of providing high quality health care. This clinic is committed to protecting your privacy and this information is generally only disclosed to other members of your medical team where necessary. It will however be disclosed to other organizations where required by law or if necessary for debt recovery purposes. You may gain access to information about you held by this clinic by putting your request in writing and attentioning it to the Practice Principal.

 

Special Consideration

The intention is not to exclude anybody from being able to access our services We have never denied anyone the benefits of our care because of their inability to pay our published fees. If financial hardship requires individual consideration, please put your request in writing to the Practice Principal.

PLEASE SPEAK WITH YOUR PRACTITIONER IF ANY OF THE POLICY WORDING IS CONFUSING OR YOU REQUIRE FURTHER EXPLANATION

Disclaimer: Please note Camberwell Sports & Spinal Medicine reserve the right to change, add or remove any conditions to the above stated policies, as we feel it necessary and appropriate to deliver the most effective service to our clients.