This question asked was, if there is documentation on a procedure report indicating that bone/muscle/cartilage was taken at the same time as an excision of a malignant skin lesion yet the hist…
read more >Everyone here at the hospital is saying that the Assignment of Benefit (AoB) changes that started on 1 July 2026 only apply to outpatient services not inpatient services. We bill inpatients. A…
read more >I’m not sure that a background process of assigning a Medicare benefit under simplified billing arrangements is legal. The information I am reading says that billing agents have to provide evi…
read more >Just to be clear, for inpatients or day cases with no gap consultation payments do they need to sign a form?
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read more >I read an article in The Conversation linking known-gap billing to the schedule fee. Now I’m confused. I thought known-gap billing allowed us to charge up to $500 and also submit a no-gap clai…
read more >I admit privately insured chronic pain patients for overnight ketamine infusions. There is no specific Medicare item for the infusion itself. Can I charge the patient a private fee (e.g. $1,40…
read more >When does the “Time in Theatre” start and end for the purposes of billing a Same Day Band 3 or 4.
We have multiple facilities billing a Same Day Band 4, however the “Patient on Table” and “Patient …
When a private health insurance policy holder dies, shouldn’t the private insurer cover immediate post-death services such as transfer of the deceased to a morgue?
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read more >Can medical specialists charge patients a separate administration/facility/booking fee before they are admitted to hospital for their procedure in the context where claims will be submitted to…
read more >More and more private health insurers are including GP telehealth services in their policies, but I thought it was illegal for PHIs to cover GP services. Is this legal?
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