The Australian Institute of Medical Administration and Compliance
We received the following information. The questioner had received conflicting advice from multiple sources.
Shared Medical Appointments (SMA) are a type of group medical appointment that typ…
I work in the private sector supporting a service run by GPs managing vein conditions. If they do the doppler ultrasounds (items 55244 and 55246) can I bill them under my provider number? I’ve…
read more >There are telehealth companies using the sexual and reproductive health exemption to offer MBS funded pathology tests but some of them don’t do a consult beforehand. They basically just sell a…
read more >I asked the below questions to AskMBS, and the answer I received leaves me with more questions. Can you explain any further?
If an AMDS practitioner claiming standard TH, 91800 item number …
When patients are seen by our GP and they have a care plan in place, is it OK for the practice nurse to see the patient immediately after they are finished with the GP and then claim item 1099…
read more >If 92210 is the telehealth equivalent of item 599, does this mean the doctor would also have to visit the patient, or open the consulting rooms? I am very confused by this.
I asked AskMBS and…
We have a Practice Nurse who does vaccinations and wound dressings etc. Does the doctor have to physically see the patient or can the nurse discuss the patient with the doctor, act on his/her …
read more >I am a GP. I have come across an issue with item number 11607. Our pathology company is billing 11607. They fit the patient with an ambulatory bp monitor and send a report to me from a cardiol…
read more >This question asked whether items 160 to 164 could be billed in the context of voluntary assisted dying (VAD).
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read more >This GP has completed training for voluntary assisted dying (VAD) and has been receiving some referrals from nurses who run the VAD navigator service. The GP has been asked if they would be willing …
read more >A GP practice wanted to know how to “manage” facility fees for bulk billing patients. The question said that the practice needed to charge this fee to cover the cost of consumables, but the doctors …
read more >Can vocationally registered (VR) GPs claim any non-urgent after-hour attendance item numbers for admitted inpatients? For example, the “in-consultation room” items 5020/5040. Or are we res…
read more >When a podiatrist has received a referral from a GP to be involved in a coordinated care plan, can their receptionist sign the acceptance of the referral?
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read more >At our practice we do not hold the billing, and we charge item 723 on the same day as the GPMP (721). I have heard of other practices who withhold the 723 billing until signed faxes are exchanged wi…
read more >The question asked was: Is there any way to do outpatient billings where the patient pays the gap only on the day, and then the clinic submits a claim for the unpaid Medicare rebate? Currently…
read more >A general practitioner has asked whether they can claim item 41764 given they have appropriate surgical training to perform the procedure, which is a nasendoscopy/sinoscopy.
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read more >
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