Please make your claim via Primary Options, select ED High User Reconnection Service and then attach the appropriate invoice(s).
Engagement contribution (initial and ongoing)
General practice team resourcing to engage with the patient and other members of their care team e.g. CNS diabetes. Both initially and throughout course of programme. May include phone follow up care plan discussions.
Outcome: Person enrolled into programme.
$42.34 GST incl.
Extended MDT consultation
One-Hour Extended GP/MDT Consultation (including relevant DHB clinical personnel e.g. disease specific CNS or clinician, and whanau)
Outcome: Care plan developed with patient and whanau and shared with ED, St Johns, other care partners.
$189.27 GST incl.
Up to four free planned follow up consultations
Programme of free planned consultations with general practice team to check progress against care plan (GP, Nurse, Kaiawhina dependent on care plan).
Outcome: Attendance at consultations.
Up to four current patient co-payment rate $30.80 GST incl. Please refer to the ED high users primary care reconnection pathway diagram.
Up to two additional follow up consultations
Additional free consultations to provide access to primary care in cases of condition exacerbation or if the patient self-presents to ED.
Up to two current patient co-payment rate $30.80 GST incl. Please refer to the ED high users primary care reconnection pathway diagram.
$377.2 maximum per patient only.
Submitting your claim
Claims can be made via Primary Options. When you have the initial consultation with the patient lodge a new referral and select the ED High Users category for the patient. The case number generated will be used for the 12 months duration of the patient’s care.
At each consultation lodge a singular invoice using the original case number, add the consult notes and select the appropriate invoice. For example, for a consultation with the GP claim a GP standard consult ($30).
Please be aware if you do not ‘outcome’ the case you will receive this case as part of the reminder email sent out on a regular basis. If you do not want to receive a reminder for this case, please ‘outcome’ the case. You will still be able to lodge singular invoices for this case number regardless of whether this case has had an ‘outcome’ submitted or not.