The Australian Institute of Medical Administration and Compliance
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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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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