Margaret Faux, Author at AIMAC

Are the documentation requirements the same if the Department of Veterans Affairs is paying the claim?

3 November 25

If an item number is paid for by DVA does it fall under the same compliance in regards documentation?

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Are there bulk bill incentives for urgent after-hours attendances in COAG 19(2) exempt EDs located in MM5 areas and are they changing from 1 November 2025?

26 October 25

Could you please confirm whether there are any incentive payments available for after-hours and unsociable-hours MBS item numbers (e.g. 585, 594, 599) when used for patients presenting to an a…

Can item 599 be billed for admitted patients?

26 October 25

We are seeking clarification regarding MBS item no. 00599 (after-hours item) and its applicability in certain settings. Specifically, we would appreciate your guidance on the following points:…

If a call comes through at 0654 but by the time the doctor attended the patient, it was 0706, can the urgent after hours item still be claimed?

19 October 25

We are emergency physicians and claim the urgent after hours video item 92211. We recently had a scenario when a call came through at 0654 but by the time the doctor saw the patient it was 070…

As a dermatologist is there any barrier to claiming item 105 with item 30207?

19 October 25

I thought we always have to claim item 105 when we see a patient and inject a lesion (such as for hair loss) and claim item 30207. Is that correct?

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Should I use MBS item 35622 or 35616 for endometrial ablation with a Novasure device?

13 October 25

Should I use MBS item 35622 or 35616 for endometrial ablation with a Novasure device.

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Why are my item 35615 claims being rejected? I do the biopsy. What am I doing wrong?

13 October 25

I am an Obstetrician and Gynaecologist and am finding that many of my item 35615 claims are being rejected. I am definitely performing the vulval biopsies. Is there a trick to getting these pa…

Should I use MBS item 35630 or 35633 for a hysteroscopy, D&C and Mirena insertion?

6 October 25

I am an Obstetrician and Gynaecologist and am worried about the MBS items our practice manager is billing for some of my procedures. She is billing MBS code 35633 instead of code 35630 for hys…

As a physio, if I bulk bill a consultation under a care plan, can I charge separately for the splint I provide to the patient?

6 October 25

I know you can’t charge separate gaps when you bulk bill but I thought you could charge separately for consumables such as a splint that I might provide to the patient. Is that right?

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When can you bill a new patient item (e.g.110) when a patient is privately admitted to a public hospital but is already known in some way in outpatients to your clinical team?

28 September 25

When can you bill a new patient item (e.g. 110) when a patient is privately admitted to a public hospital but is already known in some way in outpatients to your clinical team?
E.g. When a pa…

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