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It appears that the rules for gaining access to this funding are complicated and often interpreted in differing ways. The main differences in interpretation of the laws are related to determining who should qualify for these government funded resources.
Under a Chronic Disease Management plan (CDM), patients are entitled to a Medicare Rebate of $52.95 for each allied health treatment up to a maximum of FIVE treatments per year.
In our experience, many GPs interpret these laws differently. The law states that every case must currently have at least two health care practitioners involved in treating the person.
Some GP’s interpret this as meaning themselves and one allied health professional. Other GP’s interpret this as meaning two separate health care professionals excluding themselves.
Finally, some GP’s are reluctant to provide this service due to the complicated nature of paperwork that is required. Others arbitrarily decide who gets the funding based on whether they think the condition is serious enough or whether the person is financially challenged enough to have difficulty affording the cost of physiotherapy.
1 in 5 Australians experience chronic pain at some stage in their lives, and it is estimated that chronic pain is the third most costly health problem in Australia.
Recently, we have been analysing our online booking system. Often, we get emails requesting an appointment for physiotherapy only to find out that when our reception follows up with these requests...