Part Psychiatric care definitions - Financial Sector (Collection of Data) (reporting standard) determination No. 3 of 2024 - Psychiatric care definitions | Zoe

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Part Psychiatric care definitions - Financial Sector (Collection of Data) (reporting standard) determination No. 3 of 2024 - Psychiatric care definitions | Zoe

Psychiatric care definitions

Benefits Paid Amount	The benefits paid amount under a psychiatric care waiting period exemption means the total eligible benefits paid by the PHI for an episode that occurred during the two months waived period for the quarter.
First Admission	To be considered a first admission with psychiatric care waiting period exemption, a first admission must have occurred within the first two months of the upgrade and the person must have decided to use the once-off exemption for the admission.
Not Applicable (Admission Type)	Means the admission type does not apply.
Psychiatric Care Indicators	Report Yes if psychiatric care has been provided, otherwise report No.
Psychiatric Care Waiting Period Exemption Types	A psychiatric care waiting period exemption has been used if:a person transfers to a policy which provides higher benefits for psychiatric treatment than the benefit for psychiatric treatment under the old policy;the person makes a claim under the new policy for psychiatric treatment within the first two months following the product upgrade; andthe person decides to utilise the once-off exemption and receive higher benefits for that admission.A psychiatric care waiting period exemption is not used if all of the above do not apply. If the waiting period exemption is not applicable, then report not applicable.
Subsequent Admission	Means subsequent admissions to a hospital for the same condition as the initial admission. To be considered a subsequent admission with waiting period exemption, a subsequent admission must have occurred within the waived period.