The Australian Institute of Medical Administration and Compliance
I was fascinated by your LinkedIn post that said the MBS is not the law. I (and I think the whole nation) always thought it was. How can the MBS and the law be different and what is the MBS th…
read more >At what precise moment in time does a non-admitted patient in the emergency department become admitted? Is it when the admitting doctor makes the decision to admit, or is it after the paperwor…
read more >This question has come from two almost identical experiences shared by physicians. The first was reported in my PhD and the second, which appears to have happened around the same time, was sha…
read more >I am a breast physician working at a specialised breast clinic but am unable to claim the A4 attendance items that physicians claim – 110, 116, 132 and 133 and the telehealth equivalents. I ha…
read more >Can a request for diagnostic imaging in a public hospital be Medicare billed if:
1) appropriate GP referral to a named obstetrician has occurred
2) the patient has elected to be a no fee pri…
When I bill an attendance item with a procedure like say, a skin excision, why is the consult paid but the procedure is rejected? It happens a lot, with similar item combinations. I do both th…
read more >If an item specifies the place (eg: “at consulting rooms”) can we bill it if we provide the service not at consulting rooms? What is the definition of a consulting room? If we provide the serv…
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 >Can you please weigh in on the following question? I sent this to askMBS and got something of an unhelpful answer.
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Dear Medicare Support Team,I am writing to seek formal clarification re…
If 92210 is the telehealth equivalent of item 599, does this mean the doctor would also have to visit the patient, or open the consulting rooms? I am very confused by this.
I asked AskMBS and…
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 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 my patients book a video telehealth with me online and pay prior to my consultation (given that they have a GP referral in advance) can they get a medicare rebate? Or does the payment need …
read more >This question came from a psychologist but it applies to everyone who can bill to Medicare. No exceptions.
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read more >This question came from a consumer.
I am an inpatient in a private mental health unit in a private hospital. I am under an inpatient psychiatrist. While I am an inpatient, I have a telehealth…
In the last 12 months or so, I’ve had repeated problems with referrals marked “indefinite” by the GP. These will be accepted by Medicare for some time, then randomly start getting rejected. Re…
read more >
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