The Australian Institute of Medical Administration and Compliance
We sometimes have to put patients in intensive care when there are not enough nurses on the acute post surgical ward or they are too junior. The patients would not normally be ICU patients and…
read more >It is very common that doctors describe AMA fees as being “recommended fee”, but I wanted to check whether that was correct. I have recently heard it may not be.
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read more >This question actually came from a consumer who saw items 695 and 2715 billed on her Medicare statement by her GP. The total consult time for both services was 35 minutes and according to the …
read more >I attended a workshop on Medicare billing and the presenter said that the words “To Which No Other Item Applies” – which we see on many items numbers (this was GP item numbers) – means you…
read more >There is an exemption to the existing relationship rule (i.e. you have to have a face-to-face consult with the patient in the last 12 months) for patients in a disaster affected area. How do w…
read more >There is an exemption to the existing relationship rule (i.e. you have to have a face-to-face consult with the patient in the last 12 months) for sexual and reproductive health services. A que…
read more >I have heard that Focussed Psychological Strategies consultations under the better access scheme are exempt from the established clinical relationship requirement, but I thought that changed a…
read more >I’ve been reading some of your material on social media and wanted to understand how it is possible that prisoners can access Medicare services while they are in prison. For as long as I can r…
read more >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…
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