The Australian Institute of Medical Administration and Compliance
Could you please confirm whether there are any incentive payments available for after-hours and unsociable-hours MBS item numbers (e.g. 585, 594, 599) when used for patients presenting to an a…
read more >We are seeking clarification regarding MBS item no. 00599 (after-hours item) and its applicability in certain settings. Specifically, we would appreciate your guidance on the following points:…
read more >We are emergency physicians and claim the urgent after hours video item 92211. We recently had a scenario when a call came through at 0654 but by the time the doctor saw the patient it was 070…
read more >I thought we always have to claim item 105 when we see a patient and inject a lesion (such as for hair loss) and claim item 30207. Is that correct?
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read more >I am an Obstetrician and Gynaecologist and am finding that many of my item 35615 claims are being rejected. I am definitely performing the vulval biopsies. Is there a trick to getting these pa…
read more >I am an Obstetrician and Gynaecologist and am worried about the MBS items our practice manager is billing for some of my procedures. She is billing MBS code 35633 instead of code 35630 for hys…
read more >I know you can’t charge separate gaps when you bulk bill but I thought you could charge separately for consumables such as a splint that I might provide to the patient. Is that right?
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read more >When can you bill a new patient item (e.g. 110) when a patient is privately admitted to a public hospital but is already known in some way in outpatients to your clinical team?
E.g. When a pa…
I did a telehealth consult on an admitted Bupa ADF patient in another state. The referral came from the Bupa ADF doctor who was with the patient (by his bedside) during my telehealth consult. …
read more >We would like clarification on whether billing item no. 57341 can be used on the same day for interventional injections in both the right and left knees to treat osteoarthritis. We received a …
read more >Is a claim for item 104 subject to any multiple service rules when co-claimed with an imaging service?
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read more >When a specialist refers a patient to another surgeon or an interventional radiologist to perform a procedure, is the original referrer disqualified from claiming further consultations during …
read more >Our team-based model combines nurses and GP’s in-person at aged care facilities with geriatricians and other specialists via telehealth. We think we can bill item 10983 for the patient-end s…
read more >There is a lot of confusion about when radiologists can claim attendance item 104. If you have an X-ray request in hand, but you need to chat to the patient about the test before you start, wh…
read more >If an intensivist has to attend to assist with a patient that is not under their care for a life threatening emergency (e.g. cardiac arrest), is item 160-164 the appropriate items to bill (dep…
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