Context
When can you bill a new patient item (e.g. 110) when a patient is privately admitted to a public hospital but is already known in some way in outpatients to your clinical team?
E.g. When a patient known to Dr XYZ in an Outpatient Physician Service (e.g. Hospital A Cardiology OPD Service) is admitted to the same Public Hospital under the equivalent Inpatient Service (e.g. Hospital A Cardiology Inpatient Service) but Dr ABC is the ward consultant at the time (rotating roster) and the patient elects to use their Private Insurance cover ===> what item number can I bill when Dr ABC sees them for the first time during the intake ward round? 110 (NEW) or 116 (Review).
Would it depend on whether the issue they admitted was related somehow to their outpatient care (e.g. CCF --> AMI) or direct consequence of outpatient care (e.g. toxicity) or rather does it only matter if its a "new condition" (e.g. managed for Atrial Fibrillation in OPD, but turns up with AMI).
Would it matter if the patient was known instead to Dr XYZ in his private rooms (rather than Outpatient Service) but Dr XYZ happens to be a member of the Public Hospital inpatient consultant group, so in essence is "new" to the Public Hospital?
