This programme provides funding for Zoledronic acid infusions for patients
The infusion is to be provided in the community by the patient’s general practitioner.
This service is part of the Advanced Primary Options programme.
Your Pinnacle Services Contract applies to this service. By claiming for this service, you have indicated that you have read and agreed to the business rules set out here.
This is NOT a clinical guideline.
All practices in Tairāwhiti region can claim for this service.
This programme is also funded for patients not enrolled in your practice, who may be referred to you via another service/practice. In these cases, you can only invoice for this service and no other off set can be claimed.
If you are not able to provide any of these procedures for your patients, this care can be provided by another practice in your area. This can be arranged by direct contact between you and the other practice. The practice performing the procedure will invoice Pinnacle directly and there will still be no cost to the patient.
Patients domiciled in Te Whatu Ora Tairāwhiti area.
Please make your claim via Primary Options, select Zoledronic Acid Infusion (Aclasta) and then attach the appropriate invoice.
Aclasta Infusion: $154.50(GST incl.)
Please be aware the claim is all inclusive of the GP consult, the administration of the infusion, observation time and consumables.
This programme is also funded for patients not enrolled in your practice, who may be referred to you via another service/practice. In these cases, you can only invoice for this service and no other off set can be claimed.
Practices are required to provide sufficiently detailed consultation notes to determine appropriate use of funding.
No. A patient co-payment cannot be charged.
This service funds the administration of the infusion and there is no cost for the infusion to the patient, provided entry criteria are achieved.
This service does not include the cost of the medication on special authority, this is the responsibility of the patient to purchase.
The service is funded by Te Whatu Ora.
Primary options team, Pinnacle Midlands Health Network
infoprimaryoptions@pinnacle.health.nz
027 687 7312
Quick guides to assist practices with identifying eligibility criteria;invoices that can be claimed; managing claims and providing assistance with understanding remittance reports
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