Cellulitis Programme Overview • •
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The “Cellulitis Programme” is a new Programme which consists of two claim types. A registration and a review. The registration claim specific fields are: o “The patient must be enrolled with WBOP Practice OR residing permanently in the WBOP” checkbox o “The patient must be a New Zealand citizen or have New Zealand residency status” checkbox o “Redirect From Secondary Care” checkbox o “Prevention Plan Completed” checkbox o “Elevation Discussed” checkbox o “Session Duration” checkbox o “Follow Up Booked” checkbox o “Grade” dropdown o “Assessment Type” dropdown o “Acc Type” dropdown o “Patient is diabetic?” dropdown The review claim specific fields are: o “Assessment Type” dropdown o ” Recurrence Plan Discussed” checkbox o “Elevation Discussed” checkbox o “Follow Up Booked” checkbox
Eligibility Rules •
Registration eligibility o “The patient must be enrolled with WBOP Practice OR residing permanently in the WBOP” must be checked. o “The patient must be a New Zealand citizen or have New Zealand residency status” must be checked
Validation Rules •
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Registration validation o “Grade” is required o “Acc Type” is required o “Assessment Type” is required Review validation o “Assessment Type” is required
Payment Rules Service Code WSCL10 WSCL11 WSCLR8 WSCLR9 WSCLR1 WSCLR2 WSCLR3 WSCLR4 WSCLR5 WSCLR6 WSCLR7
Amount $70.53 $55.89 $37.58 $32.22 $20.00 $23.55 $37.58 $32.22 $40.80 $70.53 $55.89
Claim Type Registration Registration Registration Registration Review Review Review Review Review Review Review
Notes Non-ACC - GP consult Non-ACC - Nurse Practitioner consult ACC - GP consult ACC - Nurse Practitioner consult Phone consult ACC - Nurse consult ACC - GP consult ACC - Nurse Practitioner consult Non-ACC - Nurse consult Non-ACC - GP consult Non-ACC - Nurse Practitioner consult