When one of the T8 fracture items (47387, 47348, 47354, 47561, 47411, 47423, 47444, 47453, 47462, 47543, 47579, 47595 and 47015) is billed, can the practice separately charge the patient for c…
read more >Where a T8 item descriptor uses the word “treatment” without specifying a procedure (e.g. reduction, cast, splint), can treatment be satisfied by clinical assessment, diagnosis and implementat…
read more >What MBS item, clinical coding, theatre, billing and practitioner comparison data would ordinarily have been available to a private hospital to audit a doctor’s billing?
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read more >What responsibility does Medicare have to monitor, review and audit MBS claims by individual practitioners and services provided in private hospitals?
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read more >Re Provider eligibility, can GPs bill these T8 items in an outpatient fracture clinic setting, and if so, what specific provider eligibility requirements apply? Non-surgical T8 item numbers: …
read more >Are there restrictions on co-claiming item 36 alongside the T8 fracture/dislocation treatment items?
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read more >Under DVA treatment cycle arrangements can the initial GP consultation be done by telehealth or does it have to be face to face?Â
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read more >If a pathology provider bills more than 3 items do the coning rules mean that every item from number 3 onwards becomes a single professional service? And therefore, does that mean you can’t …
read more >Our urgent care doctor immobilises a fracture and claims item 47361. A different GP, who runs our fracture clinic and took no part in that service, reviews the patient inside the aftercare p…
read more >Australia Snapshot
July was a quieter month for the Professional Services Review, with only two adverse PSR outcomes, but both reinforce recurring payment integrity risks around minimum service tim…
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