The Australian Institute of Medical Administration and Compliance
If we have regular locums in an ultrasound practice reporting scans, should these be billed under the partner’s provider numbers or the locum’s provider numbers?
read more >It was my understanding that we can’t bill items 145, 147, 128 over the phone in nursing homes. Is this still correct or do we have numbers equivalent that we can bill for consultations over the phone? I am getting inconsistent advice around this.
read more >I’m working as a surgical assistant. I sometimes charge the patient a gap. My registration with each fund is ‘known gap’. As an example – Bupa pays $386 for assisting a 49518. I want to charge the patient $100 gap. Do I need to charge the fund $486? and then charge the patient $100 or do I charge the fund $386 (under their known gap scheme flag) and separately bill the patient $100. I’m confused about split billing – what is allowed and what isn’t allowed and where we can charge the fund only their known gap scheme amount and where we have to charge the fund the entire amount or whether this is actually what’s always needed?
read more >If you work in multiple outpatient locations, and first see the patient in Location A for an initial consult and bill a 110, can you provide a follow up consult from Location B (which has a different provider number) and bill a 116 under the same Medicare referral? Or do you need a separate referral to bill from a different location/provider number?
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