Public Hospital billing
If a patient presents at a public hospital outpatient clinic with a named referral from their GP and needs admission but wants to go to a private hospital, is a new referral required?
27 September 24If 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 >Can a cardiologist self-refer to follow up a patient post discharge from hospital?
24 February 21The 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 >If a public inpatient is discharged and then referred back to the hospital outpatient clinic by the GP (so, no previous Medicare billing), can I bill item 132 if I spend more than an hour with the patient?
28 January 21A 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 >What constitutes a referral from the Emergency Department to an inpatient medical unit?
20 January 21This is a common question. Who should the referrer be in these circumstances?
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Can I bill a private patient in a private hospital who was transferred from a public hospital, and who should the referral be from?
20 January 21Dr 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 >How do in-hospital referrals work?
20 January 21A 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 >In a public hospital outpatient clinic does a referral to “Dear Specialist” enable Medicare bulk billing?
21 September 20Question: 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 >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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