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1、PREVINTION CAKE RECOVERYEm ergencyTransportContractOperational GuidelinesMarch 2007ContentsI ntroduction1Enquiries1Service requirem ents1Service philosophy1Service items2Access to services2Claim ant eligibility3ACC paym ents and invoicing 3Monitoring and auditing3.Acceptable invoice profiles3Standar
2、ds3Communications User Group meetings4Reporting4Quarterly reports4Exception reports4Variations to the contract4Accom m odation 4Frequently asked questions5What does non-emergency transportby ambulance (NETBA) cover?5What is the ACC45 form?5What are the rules for inter-hospital transfers?5How are fee
3、s are paid for airport/helipad to hospital transfers?6How do I invoice for South Island ski-field transfers?6I ntroductionThe following information is designed to assist you in the interpretation of the Emergency Transport contract. This is a living document and updated versions will be made availab
4、le as queries arise.Emergency Transport covers transports provided to accident claimants to an appropriate treatment facility up to 24 hours from the time of the accident or within 24 hours of being found after the accident.EnquiriesQueries may be directed to the Provider Help Line (0800 222 070), t
5、he Contracts Facilitator for Health Procurement or the Programme Manager responsible for Emergency Transport Services.If you have any questions regarding the contracting process, please contact:Barry WoodmassHealth Procurement FacilitatorDDI (04) 918 7670barry.woodmass(9)acc.co.nzIf you have any que
6、stions regarding the content of the contract, please contact:Ruth ZeinertProgramme Manager, Primary Care ServicesDDI (04) 918 3747ruth.zeinertacc.co.nzService requirem entsThe Emergency Ambulance Service (EAS) is to be available 24 hours a day, 7 days a week.Service philosophyThe service philosophy
7、for Emergency Transport relates directly to the 11 Roadside to Bedside document (Ministry of Health et al, 1999) which outlines the protocols that ensure that people receive the right care at the right time in the right place from the right people*.Service item sService item codeDescriptionETA3BAir
8、transport- BK117 (or approved similar)ETA3HAir transport- all other rotary-wing aircraftETAT3BInter-Hospital Transfer - Air 一 BK117 (or approved similar)ETAT3HInter-Hospital Transfer - Air - all other rotary-wing aircraftETAT3CInter-Hospital Transfer - Air 一 Metroliner (or approved similar)ETAT3FInt
9、er-Hospital Transfer - Air - all other fixed wing aircraftETR01Emergency Ambulance - Road - Basic Life SupportETR02Emergency Ambulance - Road - Intermediate Life SupportETR03Emergency Ambulance - Road - Advanced Life SupportETRO 5Emergency Ambulance 一 Road - UnspecifiedETRT01Emergency Ambulance - Ro
10、ad - Inter-hospital transfer - Basic Life SupportETRT02Emergency Ambulance - Road 一 Inter-hospital transfer 一 Intermediate Life SupportETRT03Emergency Ambulance - Road - Inter-hospital transfer 一 Advanced Life SupportETRT04Emergency Ambulance - Road 一 Transfer to/from helipad/airportNETBAUNon-Emerge
11、ncy Transport by Ambulance - under 50kmNETBAONon-Emergency Transport by Ambulance - over 50kmETW01Emergency Ambulance - Water - basicETW04Emergency Ambulance - Water - unspecifiedACCOM1AccommodationAccess to servicesAll Emergency Transport Responses must be dispatched via an Emergency Ambulance Comm
12、unications Centre (EACC).Claim ant eligibilityEligible people are those who suffer a personal injury (in terms of the Act) and for whom the Emergency Transport occurs within a 24-hour period of suffering the personal injury or within 24 hours of being found after suffering the personal injury (which
13、ever is the later).ACC payments and invoicingIf you are using electronic invoicing (eBusiness) there are currently there are 3 types of electronic interactions available with ACC: eLodgem ent - Sending ACC45s electronically. eSchedule - Sending ACC40/47 billing schedules or invoices electronically.
14、eLookup - Querying ACC45 cover statuses online.There are a range of benefits available and a variety of methods to achieve them for each service. To speak with an eBusiness Analyst about how these services can work for you, please contact the:ACC eBusiness Team0800 222 994 option 1ebusinessinfoacc.c
15、o.nzMonitoring and auditingAcceptable invoice profilesThe Monitoring Team regularly monitors vendor invoicing patterns. As part of the monitoring process individual vendor practice profiles (or invoicing patterns) are reviewed. Vendors whose profiles are identified as aberrant (ie that do not fall w
16、ithin the normal invoicing patterns of the sector group) are contacted and asked to feedback on why their practice patterns fall outside the normal parameters. This feedback is considered when determining whether further investigation is necessary.StandardsVendors must comply with the Ambulance Service Sector Standar