Specialist receives specialist referral in their private rooms (at a private hospital) for their private patient and sees them for an initial appointment. Specialist then sees this same patient in a…
read more >I am a specialist emergency physician (FACEM) and own a GP clinic. I am exploring how I might work clinically within the practice, either in a specialist capacity or otherwise, and want to ens…
read more >Staff specialist physician in a public hospital with a Right of Private Practice (RoPP). This is a public outpatients question. Our department refers to these as “hospital patients” i.e…
read more >Staff specialist physician in a NSW public hospital with a Right of Private Practice (RoPP). Our dept is under pressure to increase Medicare billings.I understand that Clause G17(b) of the NHR…
read more >I am a psychiatrist and have received a referral for a patient from a Nurse Practitioner. Is this a valid referral?
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read more >Can 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 >We 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?
E.g. When a pa…
The 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 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…
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