IPPTA General Meeting
Singapore 2015
Welcome to South Africa
Scope of Practice
Billing Guide
NHI
Certificate of Need
Medical Funder Claw Backs
Billing Guide
Strategic Alliances
What do you need to
Practice Physiotherapy in
South Africa ?
Requirements for registration of
practitioners who qualified overseas
• Foreign trained physiotherapists wanting to work in South
Africa need to write a national exam - held twice a year
• Work in government setting for 2 years
• Register with the HPCSA as an independent contractor
before being able to work in the private setting
• Contact Geraldine Kintu (GeraldineK@hpcsa.co.za)
Requirements for registration
of practitioners who qualified
overseas
1. All foreign qualified Physiotherapists are
required to sit for an examination
concluded by the Board, twice per year
2. Form 49
3. Form 146
4. Certificate of Status, issued by foreign
registration authority
5. Original certificate of Qualifications or
copy thereof certified by Notary Public
6. Certified copy of ID document or
passport with a clear photograph
All correspondence should be addressed to:
The Registrar
Health Professions Council of South Africa
Professional Board for Physiotherapy, Podiatry and
Biokinetics
PO Box 205
Pretoria
0001
EMAIL: registrar@hpcsa.co.za
6
Mobile App.
Council of Medical
Schemes Enquiry
RE: Medical Funder Claw
Backs
Letter to Council of Medical Schemes
Apart from causing severe hardship, severe accounting
difficulties (e.g. taxes had already been paid on these
amounts), the non-compliance with the letter of the law (e.g.
regulation 6(4)), and the wrong interpretation thereof (e.g.
assumptions of fraud or unprofessional conduct, instead of
proven fraud or misconduct) in these cases are problematic.
Letter to Council of Medical Schemes
Furthermore, the threat of non-payment, or the reversal of
payments or the direct payment to patients pose enough of
a commercial threat to providers that some sign, and
actually change their coding behaviour in an effort to secure
continued direct payments from the scheme. This in turn
leads to coding behaviour that does not reflect the reality of
the situation, i.e. where the patient was indeed receiving
essential continuation of care after hours or over weekends.
Accreditation
What is the purpose of being
Accredited ?
• Customer satisfaction
• Profitability
• Market Leadership
• Post graduate “Internship/Mentor”
• International and National trend
• NHI
• Adhere to ethical rules and other legislation
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SASP Accreditation process to follow
• Preparation – how long?
• Application form
• DTE – Desk Top Evaluation
• OSE – On Site Evaluation
• Who is the evaluator?
• Annual evaluations
• Accredited: valid for FIVE years
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General principles
• All ethical rules and other legislation MUST be adhered to
and is not negotiable
• Opening the CD you will find folders listed which contain
ALL the information linked to the different criteria on the
actual Accreditation programme.
• In the “Accreditation Overview” folder, look out for the
checklists and the EXCEL spreadsheet – “Standards of
Accreditation”
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Standards
 Standard 1:
 Standard 2:
 Standard 3:
 Standard 4:
 Standard 5:
Management standard
Standard Operating Procedures
Human Resources
Facilities and equipment
Quality Management system
21
Standard 1: Management
The physiotherapy facility is organised and administered
to provide optimum quality of care according to the
objectives of the physiotherapy practice. This facility
should function in accordance with the Practice
Accreditation programme (PAP), HPCSA and SASP
Ethical Principles, Clinical Standards and Guidelines.
22
Standard 2: Standard Operating Procedures
(SOP)
The operations of the physiotherapy facility comply with
the Accreditation Program, Clinical Standards and
Guidelines endorsed by the SASP, HPCSA Ethical
Principles and all other relevant legislation. There is an
integrated approach to ensure that all processes within
the physiotherapy facility work together towards achieving
the practice's mission and objectives.
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Standard 3: Human Resources
Through their skills, knowledge and actions, staff play a
pivotal role in achieving the practice objectives. Staff shall
participate in appropriate educational programs and shall
be guided and directed by the practice principal to ensure
that they continue to grow and develop themselves
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Standard 4: Facilities And Equipment
Appropriate facilities and equipment are available to
ensure the efficient operation of the practice and for
quality patient management.
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Standard 5: Quality Management
The practice shall institute quality management
principles, which monitor the quality of service
delivery and continually review and improve
service delivery.
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Risk Stratification Model
in LBP
Benefits of early referral
Early physiotherapy has been strongly associated with
decreased use of lumbosacral injections, physician office
visits for low back pain, and lumbar surgery, when
compared with physiotherapy that occurred at later times
Gellhorn, A C, Chan L, Martin B and Friedly J. 2012 Management
Patterns in Acute Low Back Pain: the Role of Physical Therapy.
Spine 2012 37(9): 775-782
The SASP has developed
Evidence-based clinical
guidelines for the
management of low back
pain (with or without
radiculopathy) of less than
3 months duration by
physiotherapists in
South Africa
. Evidence ‐based
. Embedded in the
Biopsychosocial model
. Patient ‐centered care
Sub grouping and targeted care
for primary care low back pain
A simple prognostic
questionnaire that helps
clinicians identify
modifiable risk factors
(biomedical, psychological
and social) for back pain
disability
Social Responsibility Projects
Sukumani Project we donated R7000-00 to this project
PhysioFocus/Hitech Raffle – After being approached by
numerous lecturers to support students of need. We asked
Hi-tech for possible help, an awesome initiative was
implemented. An ultrasound machine was donated which
was raffled at R100-00 per ticket and all proceeds would go
to
the
students
in
need.
105
tickets
sold.
2
students
help.
We managed to help two more students at the end of last
year, with the help from a corporate partner
Thank you
Hope to see you in South Africa in 2017