Margaret Faux, Author at AIMAC

Can the same surgical assistant claim 2 x 51303 items in the context of primary and conjoint surgeons performing breast reconstruction on the same breast?

8 March 26

If a principal surgeon is performing a post-mastectomy breast reconstruction item 46084 and a conjoint surgeon performs item 46086 – both operating on the same breast, does that mean I can bil…

Can we use the new Nurse Practitioner patient end items for hospital patients?

8 March 26

From 1 March 2026 we nurse practitioners got access to a new tranche of MBS items for patient end support during a telehealth consult with a specialist. Can we claim these items for admitted p…

Can a public outpatient use a private pathology or imaging provider if a staff specialist has written a request? Or do they have to use the non-Medicare public service?

1 March 26

Staff specialist physician in a public hospital with a Right of Private Practice (RoPP). This is a public outpatients question. Our department refers to these as “hospital patients” i.e…

We have been told to tell public patients that without a named referral they won’t be able to access bulk billed private imaging and pathology outside of the hospital. Is this legal?

1 March 26

Staff specialist physician in a NSW public hospital with a Right of Private Practice (RoPP). Our dept is under pressure to increase Medicare billings.I understand that Clause G17(b) of the NHR…

Our patients are socially disadvantaged and take a long time to see. Can we bill a care plan (either MHTP or CCMP) for every patient?

23 February 26

Our patients are socially disadvantaged and take a long time to see. Many of the consults our GPs do are long – item 44. It would help the practice financially if we also routinely billed a ca…

Is a private health insurer legally obligated to cover post-death services such as transfer of the body of a policy holder to a morgue?

23 February 26

When a private health insurance policy holder dies, shouldn’t the private insurer cover immediate post-death services such as transfer of the deceased to a morgue?

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Are administration | facility | booking fees permitted when billing to the private health insurers for inpatient medical services?

15 February 26

Can medical specialists charge patients a separate administration/facility/booking fee before they are admitted to hospital for their procedure in the context where claims will be submitted to…

Are we allowed to charge a cancellation or non-attendance fee?

15 February 26

We charge patients a cancellation fee if they cancel their appointment less than 48 hours before their scheduled appointment. We charge them the full amount of the doctor’s fee so they basical…

Do the 12 month face-to-face rule exemptions apply to any child under 12 months, as well as any sexual health diagnosis and homeless person?

8 February 26

Do the 12 month face-to-face rule exemptions apply to ANY child under 12 months (any time from anywhere), as well as ANY sexual health diagnosis and ANY homeless person.

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Is a referral from a Nurse Practitioner valid?

8 February 26

I am a psychiatrist and have received a referral for a patient from a Nurse Practitioner. Is this a valid referral?

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