The Australian Institute of Medical Administration and Compliance
There are relatively new inpatient telehealth items for psychiatrists. We are not sure if we should bill them only to Medicare or if they are covered under the private health insurer’s gapcove…
read more >We operate a co-located private outpatient clinic on the grounds of a hospital complex. A patient who is an admitted patient in the hospital is referred by the treating doctor to come to our c…
read more >Can a GP refer a patient under a CCMP for the same condition they previously referred the same patient for under a MHTP? Some are saying it cannot be used to ‘top up’ a MHTP when the patient h…
read more >Can we use a figurehead billing model for supervised services that a nurse administers? Our organisation provides various mental health treatments. These are low risk but do require supervisio…
read more >This question came to us from a private health insurer as follows:
30-year male member undergoes procedures 49578 & 49580 as a same day patient in a private hospital, all claims paid at t…
Sometimes there are no GPs available but we do have nurse practitioners onsite at our RACF. When a patient is having a telehealth consult with a specialist and a registered or enrolled nurse i…
read more >I had a question: for our urgent pathology results checking, occasionally the doctors can’t get hold of the patient at 3am in the morning (presumably they are asleep). In these instances, our …
read more >Our geriatrician is a “medical practitioner” and “a person who is registered under the National Law in the medical profession” so can that doctor, while conducting the telehealth consu…
read more >Scenario is a shift handover between GPs.
Where a patient is initially managed by one GP but handed over at the end of the shift to another GP who later reviews results, reassesses the patien…
If a GP refers a patient to a paediatrician working within the same urgent care clinic for a second opinion or for assessment and management of a more complex case, can the paediatrician bill …
read more >If an item number is paid for by DVA does it fall under the same compliance in regards documentation?
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read more >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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