If a physician receives a GP referral to manage one condition (e.g. chronic kidney disease) and discovers that the patient would also benefit from management of a second condition (e.g. diabet…
read more >I admit privately insured chronic pain patients for overnight ketamine infusions. There is no specific Medicare item for the infusion itself. Can I charge the patient a private fee (e.g. $1,40…
read more >I’m a physician and have admitted private patients. I typically bill item 116 for all follow-ups on my ward round. Ten patients takes about 20-30 minutes. I check their medications and any r…
read more >We use cryolisis delivered via a probe to treat patients with spasticity. We freeze the nerve going to the muscle or muscles that are affected by spasticity. We want to check that item 39323 i…
read more >We do subcutaneous tenotomies for patients with spasticity (there’s no incision). The patients typically have long-standing spasticity causing chronic fungal infections in the affected limbs -…
read more >This question has come from two almost identical experiences shared by physicians. The first was reported in my PhD and the second, which appears to have happened around the same time, was sha…
read more >If a specialist leaves one practice and joins another new practice, can that specialist charge a 116 in the new practice without having a 110 on file with that new provider number? Medicare wi…
read more >If a patient is admitted to a public hospital but chooses to come in as a private patient, the specialist will submit an invoice to the private fund. Will Medicare have a record of all item nu…
read more >If a specialist leaves one practice and joins another new practice, do the patients following this specialist from the old to the new practice need a new referral? It will be very difficult to…
read more >I’m a geriatrician and am sometimes called to ICU to review ventilated and sedated patients. I can’t talk to the patient obviously but I review their records and do a physical examination and …
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