The Australian Institute of Medical Administration and Compliance
How 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 >The 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 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…
We 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 >Is 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 >We 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…
read more >I occasionally have patients who come into hospital for a pulmonary vein isolation (item numbers 38290, 38212, 38206, 55118) but at the time of the procedure we find an intracardiac thrombus …
read more >We have a Practice Nurse who does vaccinations and wound dressings etc. Does the doctor have to physically see the patient or can the nurse discuss the patient with the doctor, act on his/her …
read more >If a principal spinal surgeon is performing an anterior spinal fusion and a vascular surgeon is required to provide anterior exposure, are both surgeons eligible to invoice for their separate …
read more >If we have regular locums in an ultrasound practice, reporting scans, should these be billed under the partner’s provider numbers or the locum’s provider numbers?
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read more >It was my understanding that we can’t bill items 145, 147, 128 over the phone in nursing homes. Is this still correct or do we have numbers equivalent that we can bill for consultations over t…
read more >I’m working as a surgical assistant. I sometimes charge the patient a gap. My registration with each fund is ‘known gap’. As an example – Bupa pays $386 for assisting a 49518. I want to …
read more >If you work in multiple outpatient locations, and first see the patient in Location A for an initial consult and bill a 110, can you provide a follow up consult from Location B (which has a di…
read more >I am an Australian Citizen and psychologist. At times clinics have asked me to write court reports on Australian residents for Legal Aid while I am out of the country. So I interview the clien…
read more >I am a GP. I have come across an issue with item number 11607. Our pathology company is billing 11607. They fit the patient with an ambulatory bp monitor and send a report to me from a cardiol…
read more >If I have been providing services to a client under Medicare through a Mental Healthcare Plan (MHCP) and they have been admitted to hospital as an inpatient. Is the client able to continue wit…
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