The Australian Institute of Medical Administration and Compliance
If a specialist leaves one practice and joins another new practice, can that specialist charge a 116 in the new practice without having a 110 on file with that new provider number? Medicare wi…
read more >If a patient is admitted to a public hospital but chooses to come in as a private patient, the specialist will submit an invoice to the private fund. Will Medicare have a record of all item nu…
read more >If a specialist leaves one practice and joins another new practice, do the patients following this specialist from the old to the new practice need a new referral? It will be very difficult to…
read more >If a FACEM has a contract with a State Government entity to provide virtual support to say, a regional public hospital’s emergency department (ED), can we claim item 92211 for these consults? …
read more >Item 14221 – question regarding the definition of “access”Is access defined as inserting the Huber needle, or does access refer to each instance of the administration of different therapeu…
read more >If a patient has treatment on Monday-Friday, could they just sign on the Friday for all events that week? Or do they have to sign the bulk bill voucher every day at the end of treatment?
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read more >I am a breast physician working at a specialised breast clinic but am unable to claim the A4 attendance items that physicians claim – 110, 116, 132 and 133 and the telehealth equivalents. I ha…
read more >Is the following correct? For item 13706, I was informed by askMBS that two items are generally paid in one day, as long as they are clearly indicated to be separate transfusion episodes -…
read more >Can a request for diagnostic imaging in a public hospital be Medicare billed if:
1) appropriate GP referral to a named obstetrician has occurred
2) the patient has elected to be a no fee pri…
Would you kindly be able to confirm whether a Staff Specialist of a NSW Public hospital is eligible to register for participation in the Medical Gap Cover Scheme? I was under the impression th…
read more >I work in the private sector supporting a service run by GPs managing vein conditions. If they do the doppler ultrasounds (items 55244 and 55246) can I bill them under my provider number? I’ve…
read more >When I bill an attendance item with a procedure like say, a skin excision, why is the consult paid but the procedure is rejected? It happens a lot, with similar item combinations. I do both th…
read more >If an item specifies the place (eg: “at consulting rooms”) can we bill it if we provide the service not at consulting rooms? What is the definition of a consulting room? If we provide the serv…
read more >Patients requiring radiation oncology therapy may require daily treatment over several weeks. Are they required to consent to assign their benefit for every radiation oncology appointment?
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read more >I am a fee for service VMO haematologist at a public hospital in Sydney. My head of department has indicated that we are not permitted to bill for inpatient blood product transfusions (eg: ite…
read more >I’m an RN and a DVA community nurse. Should I bill all services under my provider number each month, even for my sub-contractors?
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