Fee Setting

20 January 21

The question asked was: Is there any way to do outpatient billings where the patient pays the gap only on the day, and then the clinic submits a claim for the unpaid Medicare rebate? Currently the patient pays us the gap only as cash on the day, and we need to then bill Medicare for the unpaid rebate. Medicare sends a cheque for the rebate amount to the patient, and they then have to send it to our practice. It takes a lot of time chasing the cheques. Is there was a way to get the cheques addressed to us rather than the patient such as by changing the billing address recorded at Medicare maybe? Also, can we get the 90-day cheque reimbursement from Medicare directed to us so we can follow up on rejected claims?

1 August 20

A group of haematologists in private practice, who operate across various locations under a single brand with a central point of contact, asked if they could agree to all charge the same fees. Behind the brand, they each operate their own private practices with separate legal entities, separate ABNs and so on. They also asked if anything changed if they all agreed to bulk bill everyone.

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