Can we bill items 30658 and 45203 for a preputioplasty?
17 February 25We are trying to bill a preputioplasty. Would item numbers 30658 and 45203 work for this?Â
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If 92210 is the telehealth equivalent of item 599, does this mean the doctor has to visit the patient, or open the consulting rooms?
10 February 25If 92210 is the telehealth equivalent of item 599, does this mean the doctor would also have to visit the patient, or open the consulting rooms? I am very confused by this.
I asked AskMBS and…
Can intensivists rostered in an ICU claim additional attendance items during the evening shift if the daily global ICU items have already been claimed?
10 February 25I work in an ICU with separately rostered day and evening / night shift intensivists who are in person and conduct an evening ward round. Can the evening intensivist bill a 110 or 116 item num…
read more >Can hospital administrators type change a patient from a valid private election back to being public without the patient’s consent?
3 February 25What happens to billing of a private patient in a public hospital who undergoes solid organ (other than kidney) transplantation? There is no MBS item billable for this so it can’t be billed to…
read more >Do you need a separate provider number for a satellite clinic across the road from a hospital where you already have one?
3 February 25How site specific are provider numbers? e.g. do you need a different provider number for a satellite clinic directly across the road from the main hospital which you already have a provider nu…
read more >If I do a revision of a breast scar after cosmetic breast implant surgery can I claim the scar revision surgery to Medicare?
27 January 25The questioner had received this advice which was wrong.
“Thank you for your enquiry regarding the revised item descriptor for item 45518, that will come into effect from 1 July 2023.The rati…
Can a unit trust charge a user fee to patients, along with the doctor’s fees, if not bulk billing?
27 January 25Can a medical practice registered as a Unit Trust charge a user fee to patients along with the doctors’ fees, if the doctor does not bulk bill that visit.
e.g. For an initial visit with an Ob…
Do the words “ongoing care” on a GP referral mean the referral is indefinite?
19 January 25We have been informed that a GP re-referral for “ongoing care” where no duration is specified should be interpreted as an INDEFINITE REFERRAL. We do not think this is sufficient for something …
read more >If we obtain verbal consent from the patient to bulk bill and note it in the patient’s file, is that compliant for bulk billing?
19 January 25Is a verbal consent noted in the patient’s file enough? If a bulk billed patient has to provide consent by signature for items put through to Medicare this creates additional admin work, in particul…
read more >When a respiratory physician does a bronchial biopsy (item 38417) together with a radiologist doing the fluoroscopy why is one claim rejected?
12 January 25We have a scenario where Medicare reject claims submitted by the physician for an item 38417 because it states fluoroscopy can only be claimed by one provider once for that occasion of service…
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RECOMMENDED RESOURCE
HOW TO AVOID THE MEDICAL BILL RIP OFF
HOW TO AVOID THE MEDICAL BILL RIP OFF