The Australian Institute of Medical Administration and Compliance
There is a lot of confusion about when radiologists can claim attendance item 104. If you have an X-ray request in hand, but you need to chat to the patient about the test before you start, wh…
read more >If an intensivist has to attend to assist with a patient that is not under their care for a life threatening emergency (e.g. cardiac arrest), is item 160-164 the appropriate items to bill (dep…
read more >I understand that if a patient is under the care of an endocrinologist for low testosterone, Tx would qualify the patient for a repeat MBS funded pathology testing as a formal hypogonadism dia…
read more >I was fascinated by your LinkedIn post that said the MBS is not the law. I (and I think the whole nation) always thought it was. How can the MBS and the law be different and what is the MBS th…
read more >What is the MBS definition of “intraoperative imaging” and what exactly does the term “including all associated intraoperative imaging” refer to with regards to item 38376. Is this an exclusio…
read more >The CFO of our public hospital gave a talk on Medicare billing recently and told us that any referral written by anyone other than a GP or specialist exercising a ROPP cannot be used to bill M…
read more >At what precise moment in time does a non-admitted patient in the emergency department become admitted? Is it when the admitting doctor makes the decision to admit, or is it after the paperwor…
read more >We received the following information. The questioner had received conflicting advice from multiple sources.
Shared Medical Appointments (SMA) are a type of group medical appointment that typ…
Having read your PhD thesis, I am curious as to whether section 51(xxiiiA.) of the Australian Constitution applies to services provided by nurse practitioners (NP) because it refers to “medica…
read more >This question has come from two almost identical experiences shared by physicians. The first was reported in my PhD and the second, which appears to have happened around the same time, was sha…
read more >MBS Note AN.0.12 states that “practitioners who accept assigned benefits must claim from Services Australia using either Claim for Assigned Benefits form DB1N or DB1H. Are these forms required…
read more >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…
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