I am a nephrologist working in both public and private hospitals, including a private dialysis facility. I have private patients on dialysis whom I am responsible for and I supervise their treatment. Dialysis patients are admitted for each treatment. I am frequently contacted by staff for ongoing issues, but I only get to physically see the patients about once in a month or so due to timing issues. Currently, I bulk bill private patients item number 116, but only when I see them face to face. I have recently learned about item 13103, which someone said I could bill even when I am not present. Can I legally claim item 13103 when these patients are having their dialysis treatment and I am not seeing them face to face, but am working in the background? I am in Australia.