The Australian Institute of Medical Administration and Compliance
This question relates to medical specialists exercising rights of private practice in public hospital outpatient departments. The questioner wanted to know if both Dr ABC and XYZ can use the r…
read more >This question came from a psychologist but it applies to everyone who can bill to Medicare. No exceptions.
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read more >The question was posed in the context of public hospital outpatient services where clinicians can bulk bill when exercising a Right of Private Practice providing all other criteria are met. Th…
read more >I’m a Nurse Practitioner working in a small rural centre. I am a public employee 4 days a week and work privately on one day in the co-located primary health clinic/urgent care centre, which I…
read more >My question is regarding clarification of billing case conferences for day rehab patients. These patients are ‘admitted’ as inpatients on the day they attend. However, I perform the case c…
read more >Is there the same concept of Rights to Private Practice for Sessional VMOs? We have not been able to locate any specific information on this combination. Essentially are we allowed to bill MBS…
read more >If I see patients referred to me in the public clinic, and they are unwell and require admission to hospital at presentation to the clinic as patients with chronic disease sometimes are, do I …
read more >The question posed was: “Cardiologist, Dr Z, performs a procedure (permanent pacemaker implant) at hospital A (provider number 1), but would like to see the patient for ongoing care/follow up …
read more >A hospital billing manager asked: If we have a public inpatient that is discharged from the brain injury unit to the outpatient clinic for follow up (at this point no previous Medicare billing…
read more >This is a common question. Who should the referrer be in these circumstances?
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Dr A was unsure about correct referral pathways for patients transferred to a private hospital after an episode of care in a public hospital, and how such patients should be billed.
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read more >A specialist doctor asked how the various specialists below should claim for their services in this very common scenario.
Patient attends the Emergency Department (ED). The ED Dr refers…
read more >Question: If a clinic receives a referral to “Dear specialist” can this be used by anyone in that practice? Or if it comes to a named specialist, can that validly be used by another provid…
read more >An 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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