The Australian Institute of Medical Administration and Compliance
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…
read more >I 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? Some are saying it cannot be used to ‘top up’ a MHTP when the patient h…
read more >Our geriatrician is a “medical practitioner” and “a person who is registered under the National Law in the medical profession” so can that doctor, while conducting the telehealth consu…
read more >Scenario is a shift handover between GPs.
Where a patient is initially managed by one GP but handed over at the end of the shift to another GP who later reviews results, reassesses the patien…
If a GP refers a patient to a paediatrician working within the same urgent care clinic for a second opinion or for assessment and management of a more complex case, can the paediatrician bill …
read more >Could you please confirm whether there are any incentive payments available for after-hours and unsociable-hours MBS item numbers (e.g. 585, 594, 599) when used for patients presenting to an a…
read more >We are seeking clarification regarding MBS item no. 00599 (after-hours item) and its applicability in certain settings. Specifically, we would appreciate your guidance on the following points:…
read more >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 s…
read more >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…
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