Booking
--- title: Booking updated: 2025-08-05T14:03:10 created: 2024-04-29T15:33:16 ---
Booking Last Updated: 8/8/24
OT: At this point in time, we don’t do WC/insurance for OT (except for NIISQ)
Booking Requirements- Name
- DOB
- Phone number
- Capacity certificate (Only WorkCovers, client can bring on day but must be in date for us to see them)
- Claim number (REQUIRED: without this, we are unable to bill. Occasionally clients will try to call to book without a claim number, this means that they have not yet spoken with WC/Insurance after receiving their Capacity Certificate/Referral, and are not yet covered for services)
- Case manager name/contact details (preferred)
- TPI needs insurer email on file under extra invoicing
- Request that they bring any imaging
- NIISQ requires purchase order; PO# and support planners linked on file, invoice to NIISQ
- After the first WCC/6 appt – after this time, there needs to be a PMP sent by practitioner and approved by the WCC case manager, for subsequent appt to be approved and paid by WC
INTAKE FORM MUST BE COMPLETED PRIOR TO INITIAL APPT
NIISQ Booking Info From Meg: Some NIISQ clients are actually also Workcover applicable clients (as the significant injury/accident may have happened on the way to work and/or at work) - and so I can quote Workcover rates (sometimes they ask for this explicitly - and I get approval on the quote to proceed with those rates - which as you can see are the higher rate). Typically if I've been involved - I've also scheduled the initial appointment - so I would have normally scheduled it against the correct service line item that's quoting either the Workcover rate and/or the NDIS rate. As these are typically more high care/acute clients (in Dehanne's case - they were needing fairly immediate support to assist with the discharge from hospital to home) - Workcover rates serve us better here due to that higher complexity (and often clinician experience) that is required to support these clients. There's no guideline. Most of the time - the Case Manager at NIISQ will direct what type of rates to use.And it is applicable to the actual complexity of the client and the referral. I've been quoting Workcover rates when I can see from the referral that the care needs are complex (as in Dehanne's case).She is a client with an ABI, amputee and was requiring emergency OT for hospital discharge home and wheelchair assessment, and both Neurological PT and Musc PT for her ongoing rehabilitation (all of which came through in the detail of the referral).
Workcover provides some guidelines as to what constitutes complex care - and this is (but its not limited to) the following- extensive burns
- acquired brain injuries
- severe spinal cord injuries
- multiple orthopaedic fractures
- limb amputations
- crush injuries.
When we receive a NIISQ referral such as the example above - and they have one or more of the listed complexities (or similar) to the above - then that constitutes complex care and of course more senior/experienced practitioners that need to be scheduled. NIISQ work with Initial Quotes for service that allow them to deal in chunks of time. My sense is that for a New referral that's complex care (as above criteria) - we quote the Workcover Rates.The client may continue rehab with us after that initial critical time period (the NIISQ Case Manager usually asks for another quote for approval) - and again my sense is that as they move out of that acute care /support stage - the next quote for service is probably applicable to move to NDIS Rates for ongoing rehab support. I know its not black and white - and @Dianne B, as I'm very very keen to foster NIISQ referrals as much as possible. In the above case - I spent a lot of time going back and forth with this Case Manager coordinating the supports - so it may be slightly different in approach for each referral that we receive.