The Australian Institute of Medical Administration and Compliance
If a patient in hospital has a dialysis session (13100) and then becomes unwell, requiring ICU admission with continuous renal replacement therapy (13885 or 13888) on the same day, can item 13…
read more >As an ophthalmologist, if I have planned a surgical procedure for my patient, but on the day of the procedure, while speaking with the patient pre-operatively, it become apparent that they wil…
read more >There are telehealth wellness and “optimisation” clinics sending patients for Medicare funded tests to a 3rd party telehealth company that has agreed to provide Medicare funded testing automat…
read more >Patients under ROPP in a Clinic must ‘elect’ for the duration of their referral according to our LHN guidelines. If they cannot ‘elect’ because of an absence of a named referral, we understand…
read more >There are telehealth companies using the sexual and reproductive health exemption to offer MBS funded pathology tests but some of them don’t do a consult beforehand. They basically just sell a…
read more >An ICU specialist asked whether he could bill items 104 and 105 when reviewing the patient after they have been discharged from the intensive care unit.
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read more >I asked the below questions to AskMBS, and the answer I received leaves me with more questions. Can you explain any further?
If an AMDS practitioner claiming standard TH, 91800 item number …
I’m an obstetrician/gyanaecologist and want to know if I have to personally do all elements of item 16590? And does it all have to happen on one day – at one appointment?
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read more >If I call and speak with the patient prior to their surgery I claim that as a pre-anaesthetic consultation (telehealth item 92701). Then, when I see the patient on the day I claim either 17610…
read more >When patients are seen by our GP and they have a care plan in place, is it OK for the practice nurse to see the patient immediately after they are finished with the GP and then claim item 1099…
read more >I work in a public hospital and suddenly all of my outpatient procedures that I bulk bill are being rejected. They have been paid without issue for years. What’s going on?
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read more >I am a rehabilitation physician that works in a private hospital that is offering a hospital substitution program for post joint replacement rehabilitation. Under the plan the surgeon will det…
read more >I’m a geriatrician and am sometimes called to ICU to review ventilated and sedated patients. I can’t talk to the patient obviously but I review their records and do a physical examination and …
read more >I am a rehabilitation physician that works at a public hospital that offers rehab in the home and hospital in the home for patients, as part of early discharge or hospital substitution strateg…
read more >I understand that nurse practitioners (NP) cannot bill outpatients seen in public hospital outpatient clinics but what about private hospital outpatient clinics?
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read more >On an internal referral written by a Specialist/ Physician does the patients GP details have to be written as per the Health Insurance Regs Section 99. As it is an internal referral the patien…
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