MBS ANSWERS

When an obstetrician takes over the care of another obstetrician’s patients while they are on leave and intends to undertake the births is that shared care?

Context

Obstetrician A is going overseas. Obstetrician A's patients due for delivery while she is away will be looked after by Obstetrician B for antenatal visits billing 16500. Obstetrician B usually works in the same practice as Obstetrician A and sometimes sees Obstetrician A’s antenatal patients billing item 16500. Can Obstetrician B bill for a pregnancy management fee for those patients who are due while she is away using item 16591? Does this scenario qualify as shared caring?

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Health Insurance Act – Cases and Commentary by Bruce Topperwien

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