As a GP, can I order a PET scan for suspected recurrence of breast cancer?
21 March 26Can I order a PET scan to determine a possible recurrence of breast cancer for one of my patients or does an oncologist have to order it? I am a GP.
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General Practice
Our patients are socially disadvantaged and take a long time to see. Can we bill a care plan (either MHTP or CCMP) for every patient?
23 February 26Our patients are socially disadvantaged and take a long time to see. Many of the consults our GPs do are long – item 44. It would help the practice financially if we also routinely billed a ca…
read more >Do the 12 month face-to-face rule exemptions apply to any child under 12 months, as well as any sexual health diagnosis and homeless person?
8 February 26Do the 12 month face-to-face rule exemptions apply to ANY child under 12 months (any time from anywhere), as well as ANY sexual health diagnosis and ANY homeless person.
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read more >Private health insurers are providing policy cover for GP telehealth services. Is that legal?
2 February 26More and more private health insurers are including GP telehealth services in their policies, but I thought it was illegal for PHIs to cover GP services. Is this legal?
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read more >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 >Are there any co-claiming restrictions on billing both a menopause assessment and a mental health treatment plan?
11 January 26This question actually came from a consumer who saw items 695 and 2715 billed on her Medicare statement by her GP. The total consult time for both services was 35 minutes and according to the …
read more >Does “to which no other item applies” mean we have to bill multiple items to comply?
11 January 26I attended a workshop on Medicare billing and the presenter said that the words “To Which No Other Item Applies” – which we see on many items numbers (this was GP item numbers) – means you…
read more >Are Focussed Psychological Strategy consultations exempt from the established clinical relationship requirement?
14 December 25I have heard that Focussed Psychological Strategies consultations under the better access scheme are exempt from the established clinical relationship requirement, but I thought that changed a…
read more >Can a GP refer a patient under a CCMP for the same condition they previously referred the same patient for under a MHTP?
30 November 25Can a GP refer a patient under a CCMP for the same condition they previously referred the same patient for under a MHTP? Some are saying it cannot be used to ‘top up’ a MHTP when the patient h…
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RECOMMENDED RESOURCE
HOW TO AVOID THE MEDICAL BILL RIP OFF
HOW TO AVOID THE MEDICAL BILL RIP OFF