Are the AMA fees really “recommended”?
19 January 26It is very common that doctors describe AMA fees as being “recommended fee”, but I wanted to check whether that was correct. I have recently heard it may not be.
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General
Does “to which no other item applies” mean we have to bill multiple items to comply?
11 January 26I attended a workshop on Medicare billing and the presenter said that the words “To Which No Other Item Applies” – which we see on many items numbers (this was GP item numbers) – means you…
read more >Can prisoners really access Medicare funded services while in prison?
14 December 25I’ve been reading some of your material on social media and wanted to understand how it is possible that prisoners can access Medicare services while they are in prison. For as long as I can r…
read more >If an admitted patient is on day leave and is referred to a adjacent private clinic for a treatment, do we bill them as an inpatient or an outpatient?
7 December 25We operate a co-located private outpatient clinic on the grounds of a hospital complex. A patient who is an admitted patient in the hospital is referred by the treating doctor to come to our c…
read more >Are the documentation requirements the same if the Department of Veterans Affairs is paying the claim?
3 November 25If an item number is paid for by DVA does it fall under the same compliance in regards documentation?
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read more >If I do a telehealth consult on an admitted Bupa ADF patient in another state, can I bill Bupa ADF or charge for it in any way?
21 September 25I did a telehealth consult on an admitted Bupa ADF patient in another state. The referral came from the Bupa ADF doctor who was with the patient (by his bedside) during my telehealth consult. …
read more >I saw your LinkedIn post that said the MBS is not the law. So what is it?
24 August 25I 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 >How do we know when a patient is admitted? Is there a definition of admission?
18 August 25At 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 >Do I have to bill a 110 before a 116?
4 August 25This 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 but am unable to claim the A4 attendance items that physicians claim. They always reject. Why?
7 July 25I 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 >RECOMMENDED RESOURCE
RECOMMENDED RESOURCE
HOW TO AVOID THE MEDICAL BILL RIP OFF
HOW TO AVOID THE MEDICAL BILL RIP OFF