The Australian Institute of Medical Administration and Compliance
If an item specifies the place (eg: “at consulting rooms”) can we bill it if we provide the service not at consulting rooms? What is the definition of a consulting room? If we provide the service adjacent to our usual consulting room is that OK? What about at an outside location?
read more >Patients requiring radiation oncology therapy may require daily treatment over several weeks. Are they required to consent to assign their benefit for every radiation oncology appointment?
read more >I am a fee for service VMO haematologist at a public hospital in Sydney. My head of department has indicated that we are not permitted to bill for inpatient blood product transfusions (eg: item 13703) for inpatients admitted to the hospital under our care (public or private). Apparently this directive has come from the hospital finance department. Is this correct? As haematologists, many of our inpatients require blood product transfusions during their stay. I understand that we can only claim for a single transfusion item on a given day (as we would for a single chemo item 13950), but please could you clarify why we are not permitted to bill for transfusions at all when they are part of a treatment required for inpatient care?
read more >I’m an RN and a DVA community nurse. Should I bill all services under my provider number each month, even for my sub-contractors?
read more >If a patient identifies a service on their Medicare records and is emphatic that they did not receive that service, do they have any legal right to make me remove it from their records?
read more >In relation to charging separate fees to patients before their surgery, I’ve heard that inpatient and outpatient claiming is completely separate (except under the aftercare rules) so we can charge whatever we want – like booking/admin/facility fees etc. I’m not sure that is correct. Can you please shed some light on this?
read more >If a patient in hospital has a dialysis session (13100) and then becomes unwell, requiring ICU admission with continuous renal replacement therapy (13885 or 13888) on the same day, can item 13100 be co-claimed on the same day as 13885 or 13888 by the same provider? Can it be claimed by different providers – i.e. 13100 by the nephrologist and 13885 by the intensivist?
read more >As an ophthalmologist, if I have planned a surgical procedure for my patient, but on the day of the procedure, while speaking with the patient pre-operatively, it become apparent that they will also need something additional done to that eye, does this qualify to bill item 111 because it was an unexpected procedure?
read more >
1 Year subscription includes unlimited access to all answers and ability to ask questions.
How does MBS Answers work?
Save $9 by subscribing to the BEGINNER PACK
and get an additional $49 worth of learning.
Pay only $50 more by subscribing to the INTERMEDIATE PACK
and receive up to $248 of additional benefits.
Try the EXPERT PACK for an extra $110 with up to $686 of benefits.
Check out our subscription packages No, ThanksIt’s just $299 for a year and you get all of this:
Already a subscriber? Please Log in.
See the complete answers to four popular questions.If you like what you see, you can join our yearly subscription for full access. Free trial will expire after 7 days.