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…
read more >Could you please confirm whether there are any incentive payments available for after-hours and unsociable-hours MBS item numbers (e.g. 585, 594, 599) when used for patients presenting to an a…
read more >When can you bill a new patient item (e.g. 110) when a patient is privately admitted to a public hospital but is already known in some way in outpatients to your clinical team?
E.g. When a pa…
The CFO of our public hospital gave a talk on Medicare billing recently and told us that any referral written by anyone other than a GP or specialist exercising a ROPP cannot be used to bill M…
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…
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