Our urgent care doctor immobilises a fracture and claims item 47361. A different GP, who runs our fracture clinic and took no part in that service, reviews the patient inside the aftercare p…
read more >I’d appreciate clarification on what constitutes “cast immobilisation” under the MBS, using item 47361 as an example. In practice, distal radius/ulna fractures presenting acutely are very comm…
read more >Can 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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read more >Our 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 (any time from anywhere), as well as ANY sexual health diagnosis and ANY homeless person.
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read more >More 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 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 >This 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 >I 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…
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