If the registrar treats the patient for the initial appointment and then the consultant treats the patient for every appointment after, can the consultant bill the patient from the second appo…
read more >What are the Medicare billing considerations for a hospital inpatient on gate leave who attends an outpatient service not related to the hospital admission? Patient attended private specialist…
read more >Under the reform to the Assignment of Benefit procedures (as outlined in Health Insurance Legislation Amendment (Assignment of Medicare Benefits) Bill 2024 and subsequent instruments), it is n…
read more >In our public hospital outpatient department, patients may elected to be seen as PRNI (Privately Referred Non-Insured) and the clinic visit is billed to Medicare. On the same day they will mov…
read more >We are a new private hospital and want to get our Minor ID connected to start billing. Is connecting the Minor ID to Medicare for medical billing the same process as connecting the Facility ID…
read more >I keep hearing the term ‘Tier 2’ used in different contexts. Is a Tier 2 private hospital the same thing as Tier 2 funding for public hospital outpatients?
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read more >Staff specialist physician in a public hospital with a Right of Private Practice (RoPP). This is a public outpatients question. Our department refers to these as “hospital patients” i.e…
read more >Staff specialist physician in a NSW public hospital with a Right of Private Practice (RoPP). Our dept is under pressure to increase Medicare billings.I understand that Clause G17(b) of the NHR…
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 >We have been told that we must make GPs put a name (of a specialist) on their referrals so that we can bill Medicare for patients we see as public outpatients. Some GPs refuse to do this. What…
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