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In a message dated 18/07/96 20:08:30, Guy Watkins writes: >As we don't need the patient's signature on the TR claims forms, and >the red book tells me that I can register someone as a TR if I give >them "treatment", can I register someone as a TR after giving them >telephone advice and recommended "treatment", but not seeing them face >to face? > This has major implications for OOH providers, both Co-ops and healthcall et al. I did a regular advice session weekly for six months, there was a TR nearly every session. The GP would get billed for the advice, but unless the TR came up to the surgery the following day, they were out of pocket. With the expansion of coops, this will become more of a problem, ( and the same applies to immediate and necessary for patient outwith their GP area for less than 24 hours. I think the lurkers should ask the DoH for a ruling. Trefor Roscoe Email; [log in to unmask] Beighton Health Centre Tel 0114 - 269 5061 Queens Road, Beighon Fax 0114 - 269 7186 Sheffield S19 6BJ %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%