National Health Act, 2003 (Act No. 61 of 2003)

In these regulations, "the Act" means the National Health Act, 2003 (Act No.61 of 2003), and any word or expression to which a meaning has been assigned in that Act shall have that meaning and unless the context indicates otherwise,

"billing rules"

means rules governing the use of reference price list items for billing purposes by providers;

"CPIX"

means the consumer price index excluding interest rates on mortgage bonds for the historical metropolitan and other urban areas;

"direct labour"

means the cost of labour that can be directly traced to the provision of the service represented by the particular reference price list item;

"direct materials"

means materials used in providing the service or procedure represented by the reference price list item;

"item"

means a single health service, procedure, consumabIe or disposabIe item to which a reference price applies;

"item code"

means a code consisting of a maximum of six alpha-numeric digits that uniquely identifies a reference price list item within a particular reference price list schedule;

"item cost"

means the cost of direct labour, direct materials and overhead costs;

"provider group"

means a group of health establishments, health agencies, health care providers or health workers;

"reference price list"

means a list of items and reference prices utilised by categories of health establishments, health agencies, health care providers or health workers, including rules for the use of the reference price list in billing for such health services, procedures, consumable and disposable items;

"reference price list schedule"

means a subset of the reference price list items for use by one or more provider groups;

"representative sample"

means a sample of health establishments, health agencies, health care providers or health workers that will result in a statistically significant result at the 95% confidence limit.