The Australian Institute of Medical Administration and Compliance
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…
read more >If a patient has treatment on Monday-Friday, could they just sign on the Friday for all events that week? Or do they have to sign the bulk bill voucher every day at the end of treatment?
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read more >I am a breast physician working at a specialised breast clinic but am unable to claim the A4 attendance items that physicians claim – 110, 116, 132 and 133 and the telehealth equivalents. I ha…
read more >Is the following correct? For item 13706, I was informed by askMBS that two items are generally paid in one day, as long as they are clearly indicated to be separate transfusion episodes -…
read more >Can a request for diagnostic imaging in a public hospital be Medicare billed if:
1) appropriate GP referral to a named obstetrician has occurred
2) the patient has elected to be a no fee pri…
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