Can a GP with surgical training bill item 41764?
17 August 20A general practitioner has asked whether they can claim item 41764 given they have appropriate surgical training to perform the procedure, which is a nasendoscopy/sinoscopy.
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Can oncologists bill item 14206 and does it come under the supervision rules?
17 August 20A practice manager for an oncology practice asked whether the oncologists can claim item 14206 even though it is in the assisted reproductive technology (ART) section of the MBS, because it ac…
read more >Is a written handover sheet a valid inpatient referral between specialists covering each other on weekends, or does it have to be a formal letter?
4 August 20Doctor A was a respiratory and sleep physician who had been trying to obtain clarity around this question. The question specifically related to weekend cover when doctors are rostered to cover…
read more >Are annual enrolment or membership fees legal in a bulk billing setting?
1 August 20Annual enrolment or membership fees have been a controversial feature of bulk billing GP practices in recent years. One example was the now defunct National Health Co-op in the ACT, which publicly c…
read more >Can I bulk bill a Medicare service and charge for a related non-Medicare service simultaneously?
1 August 20A gastroenterology practice asked whether a service provider providing two services to a patient on the same day, one for which there is an MBS item number, and the other for which there is no…
read more >Can a group of specialists operating under a single brand, but with their own separate practices, agree to charge the same fees?
1 August 20A 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….
read more >When I am covering another physician’s inpatients and it’s the first time I see the patient, can I bill an initial consultation?
27 July 20When one physician covers another’s inpatients who have already been admitted, but are new to the doctor covering for the weekend, Dr A wanted to know if it is acceptable to bill item 110? Dr …
read more >If a specialist sees a non-admitted patient in an approved private emergency department, can they bill to Medicare and is the patient entitled to a rebate?
10 July 20Billing to Medicare for non-admitted patients in public hospital emergency departments is strictly prohibited, even if patients have private health insurance and are happy to use it. This is p…
read more >Can we bill to Medicare for public inpatients in public hospitals?
10 July 20An administrator in a public hospital had been advised that they could start billing to Medicare for inpatient services including case conferences.
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read more >Can another psychiatrist, who is known to the patient, be the second participating doctor in a case conference?
10 July 20Question: For case conferences involving psychiatrists and allied health personnel (item 855 to 866) can the conference include the treating psychiatrist, another psychiatrist known to the pat…
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HOW TO AVOID THE MEDICAL BILL RIP OFF
HOW TO AVOID THE MEDICAL BILL RIP OFF