Physicians

Should I bill an initial consultation or a follow-up the first time I see a patient in day rehab whose admission was under one of my rehab colleagues?

30 September 24

I am working in a day rehabilitation setting at a private hospital (patients are admitted for the day for allied health interventions mostly after joint replacements and are inpatients when I …

Can I bill Medicare telehealth consultations for admitted patients?

27 September 24

I am an infectious diseases physician and cover a few different hospitals. Sometimes I offer telehealth consultations for inpatients. I would like to know how I could bill them.

…

Do I need a specific referral to admit the patient privately for every episode requiring admission?

27 September 24

No additional context was provided.

…

If a patient presents at a public hospital outpatient clinic with a named referral from their GP and needs admission but wants to go to a private hospital, is a new referral required?

27 September 24

If I see patients referred to me in the public clinic, and they are unwell and require admission to hospital at presentation to the clinic as patients with chronic disease sometimes are, do I …

Are there any legal restrictions to claiming more than one blood transfusion on the same day for the same patient?

26 September 24

There is nothing in the MBS to preclude multiple transfusions (item 13706) being provided on the same calendar day and the item number covers three different types of regularly provided tr…

Can item 11714 (ECG) be co-claimed with item 17610 or 17615 (pre-anaesthetic consultations) prior to admission?

24 February 21

The question posed was: If an ECG is performed during a pre-admission consultation (MBS Item 17610 or 17615) and the criteria of item number 11714 is met, is it permissible to claim both?

…

If a public inpatient is discharged and then referred back to the hospital outpatient clinic by the GP (so, no previous Medicare billing), can I bill item 132 if I spend more than an hour with the patient?

28 January 21

A hospital billing manager asked: If we have a public inpatient that is discharged from the brain injury unit to the outpatient clinic for follow up (at this point no previous Medicare billing…

Do you get one item 132 and two item 133’s every 12 months?

31 August 20

Doctor A worked in a public hospital outpatient department where they exercised a right of private practice. They thought that they were not automatically permitted to bill item 132 every 12 m…

Are inpatient and outpatient episodes considered as separate for billing purposes, so that when a patient is discharged a new episode of care automatically commences?

26 August 20

Question: If the same treating rehab physician sees a patient following discharge in their outpatient rooms, can this be billed as an item 132 (obviously with a relevant referral), or is it an…

When I am covering another physician’s inpatients and it’s the first time I see the patient, can I bill an initial consultation?

27 July 20

When one physician covers another’s inpatients who have already been admitted, but are new to the doctor covering for the weekend, Dr A wanted to know if it is acceptable to bill item 110? Dr …

Newer Entries »

SUBSCRIBE TO MBS ANSWERS

For just $5.75 per week (paid annually) you get all of this:

Weekly mailer updates with the latest answers.

Monthly PIM newsletter (Payment Integrity Monthly), where we summarise all the latest PSR cases, as well as healthcare fraud, waste and abuse cases from around the world.

Priority answers when there are major changes to Medicare laws that the entire industry needs to know about.

The ability to submit questions.

Already a subscriber? Please Log in.

FREE TRIAL

See the complete answers to four popular questions.If you like what you see, you can join our yearly subscription for full access. Free trial will expire after 7 days.

Do you already have an AIMAC account?

YesNo

Name(Required)

First Name* Last Name*

Email*(Required)

Phone(Required)

Select at least one topic of Interest(Required)

Password

Enter Password Confirm Password

Oops! You need to be logged in to use this form.

MBS ANSWERS

Topics

Specialities

Physicians

Should I bill an initial consultation or a follow-up the first time I see a patient in day rehab whose admission was under one of my rehab colleagues?

Can I bill Medicare telehealth consultations for admitted patients?

Do I need a specific referral to admit the patient privately for every episode requiring admission?

If a patient presents at a public hospital outpatient clinic with a named referral from their GP and needs admission but wants to go to a private hospital, is a new referral required?

Are there any legal restrictions to claiming more than one blood transfusion on the same day for the same patient?

Can item 11714 (ECG) be co-claimed with item 17610 or 17615 (pre-anaesthetic consultations) prior to admission?

If a public inpatient is discharged and then referred back to the hospital outpatient clinic by the GP (so, no previous Medicare billing), can I bill item 132 if I spend more than an hour with the patient?

Do you get one item 132 and two item 133’s every 12 months?

Are inpatient and outpatient episodes considered as separate for billing purposes, so that when a patient is discharged a new episode of care automatically commences?

When I am covering another physician’s inpatients and it’s the first time I see the patient, can I bill an initial consultation?