The Australian Institute of Medical Administration and Compliance
Patients requiring radiation oncology therapy may require daily treatment over several weeks. Are they required to consent to assign their benefit for every radiation oncology appointment?
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read more >I am a fee for service VMO haematologist at a public hospital in Sydney. My head of department has indicated that we are not permitted to bill for inpatient blood product transfusions (eg: ite…
read more >I’m an RN and a DVA community nurse. Should I bill all services under my provider number each month, even for my sub-contractors?
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read more >If a patient identifies a service on their Medicare records and is emphatic that they did not receive that service, do they have any legal right to make me remove it from their records?
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read more >In relation to charging separate fees to patients before their surgery, I’ve heard that inpatient and outpatient claiming is completely separate (except under the aftercare rules) so we can ch…
read more >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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