How do we bill item 10983 correctly when there’s a nurse with the patient and a specialist on a video call? Does the specialist supervise the nurse?

Context

Our team-based model combines nurses and GP’s in-person at aged care facilities with geriatricians and other specialists via telehealth. We think we can bill item 10983 for the patient-end support but wanted to know who is supervising who? Does the GP supervise or the specialist? 

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