Is a referral from a Nurse Practitioner valid?
8 February 26I am a psychiatrist and have received a referral for a patient from a Nurse Practitioner. Is this a valid referral?
…
read more >
Referrals
Can Medicare be charged by a pathology company if the request was signed by a doctor who did not see the patient and is not going to view or interpret the results?
26 January 26Can Medicare be charged by a pathology provider if the pathology request came from a doctor who has no intention of viewing the results. An online vendor issues the request and charges a fee f…
read more >Are GPs legally required to name referrals for patients they send to public hospital outpatient departments?
23 January 26We 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 >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?
28 September 25When 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…
Do referrals to public hospital outpatient clinics have to be written exclusively by GPs or specialists exercising a ROPP?
18 August 25The 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 >If a specialist moves to a new practice, do the patients following this specialist need a new referral?
21 July 25If a specialist leaves one practice and joins another new practice, do the patients following this specialist from the old to the new practice need a new referral? It will be very difficult to…
read more >Is the name of the patient’s GP required on an in-hospital referral?
24 March 25On an internal referral written by a Specialist/ Physician does the patients GP details have to be written as per the Health Insurance Regs Section 99. As it is an internal referral the patien…
read more >If Doctor A writes a named referral to Doctor B from Doctor A’s private rooms to a public hospital outpatient clinic and through the triage process Doctor A is assigned the patient to treat in the public hospital outpatient clinic can MBS be claimed?
3 March 25If Doctor A writes a named referral to Doctor B from Doctor A’s private rooms to a public hospital outpatient clinic and through the triage process Doctor A is assigned the patient to treat in…
read more >Can a specialist use the same referral in different locations?
8 December 24If 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 di…
read more >If a referral is addressed to “Dr ABC or Dr XYZ” can both doctors use it when exercising a ROPP?
17 November 24This 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 >RECOMMENDED RESOURCE
RECOMMENDED RESOURCE
HOW TO AVOID THE MEDICAL BILL RIP OFF
HOW TO AVOID THE MEDICAL BILL RIP OFF