PET - Plain English Taxonomy

Attribute: PL18877
Concept:
Label: Fees charged
Concept Guidance:
This is the value, during the relevant period, for the known or invoiced fee charged by the provider for treatment. 
Form-Specifc Guidance:
When reporting by age category, the fees charged should be reported against the relevant age at the time the treatment was done, not the against the age of the person in the current reporting period, because sometimes claims are made and benefits paid long after the actual treatment.
In Part 11 Total hospital treatment medical services statistics, only report fees charged by the medical provider.
Dimensions
Dimension Member Description
(KnownGapAgreement)
This dimension categorises the reported data according to whether there is an agreement between a medical practitioner and an insurer, in relation to the benefit paid by the insurer relative to the fee charged by the medical practitioner.
The information reported is in relation to an agreement where the difference between the amount of benefit paid by the insurer and the fee changed by the medical practitioner is a known amount, which is the out of pocket expenses to be paid by the insured person.
(GreaterThan200PercentMedicareBenefitScheduleFee)
This dimension categorises the reported data according to the size of the fee charged relative to the Medicare benefit schedule fee.
The information reported is in relation to a fee charged that is greater than 200% of the Medicare benefit schedule fee.
(HospitalTreatmentOnly)
This dimension categorises the reported data according to the type of treatment services provided.
The information reported is in relation to treatments that are only hospital treatment.