Proposed 30% Medicare Rebate Increase Before the May 2025 Election: A Band-Aid on a Broken System As Australia approaches the May 2025 federal election, both major political parties have revived their promises to increase Medicare rebates by 30%. While this might seem like a generous boost, the reality is that Read more…
Can You Bill Item 23 and Item 10997 Together? Yes, you can bill Item 23 and Item 10997 together. Item 10997, part of the Medicare Benefits Schedule (MBS), can be co-billed with any other item on the MBS schedule, including Item 23, without restrictions. So far, no official guidelines are Read more…
Summary: Type 2 Diabetes Risk Evaluation Factsheet Purpose The Type 2 Diabetes Risk Evaluation is a Medicare-supported health assessment for eligible patients aged 40-49 at high risk of developing type 2 diabetes. It involves evaluating risk factors and initiating interventions if necessary. Depending on the time spent, this service is Read more…
Navigating Co-Claiming in Medicare: A Comprehensive Guide for GPs. Introduction Co-claiming under the Medicare Benefits Schedule (MBS) is a crucial aspect of billing for healthcare providers in Australia. Properly navigating the rules and regulations surrounding co-claiming ensures compliance, reduces the risk of audits, and protects against penalties. This article provides Read more…
Q: Can our Practice lodge backdated claims for item 10997? The services were provided but not billed for. A: Backdated Lodgement of Bulk Bill Claims for Medicare Lodgement Timeframe Backdated Lodgements for Item 10997 Medicare Requirements: Important Consideration: Ensure that any claim on the date of the backdated 10997 was Read more…
About the changes to Chronic disease management plans in November 2024. From 1 November 2024, MBS items will be changing to: Impact on GPs: GPs will lose the opportunity to bill GPMP as a stand-alone service. If there is no team to engage, there will be no Care Plan. Currently, Read more…
Changes to Medicare Services Effective January 1, 2024 1. Smoking Cessation Support: 2. Continued COVID-19 Measures: 3. New Exemption for Urgent Care Clinics: 4. Extension of Pregnancy Support and Sexual Health Services: 5. Expansion of Telehealth Services to Hospital Outpatients: 6. Increases to Medicare Safety Net Thresholds: Always check item Read more…
Unpacking the Australian Medicare Benefits Tripled – What Lies Beneath The Australian Government recently made headlines by proclaiming a tripled increase in Medicare benefits. However, the reality is far from the grandiose announcement. Let’s break down the key points to unveil the truth behind this seemingly generous move. The so-called Read more…
Thousands of GPs around Australia received letters from Medicare. Medicare asked GPs to review compliance with the rules in relation to item 10997. Provision of monitoring and support for a person with a chronic disease by a practice nurse or Aboriginal and Torres Strait Islander health practitioner (item 10997) is Read more…
MBS rebate discourages GP Mental Health Consultations. The rebate for a 20-minute GP Mental Health consultation is $75.80. The rebate for 20-minute long consultation item 36 is $76.95. There is a dollar and fifteen cents difference in favour of the long consultation for any general health complaint. Some GPs decided Read more…