Understanding the Medicare 30/20 Rule for Telehealth Services The Medicare 30/20 rule was introduced on 1 October 2022. This rule applies to general practitioners (GPs), other medical practitioners (OMPs), and consultant physicians offering telehealth services in Australia. Misunderstandings about the rule have led to compliance issues, so practitioners must understand Read more…
How GPs in Melbourne Can Reduce Their Moratorium While Balancing Family Life Overseas-trained doctors in Australia face a significant challenge: the 10-year moratorium imposed by the Government. This requires them to work in workforce shortage areas, also known as Distribution Priority Areas (DPA), or during after-hours periods. For many GPs 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…
Question: “Can you explain the implications of the 19AA restriction for overseas-trained doctors like myself who are considering applying for permanent residency in Australia? How does it affect billing under Medicare, and what steps do I need to take to ensure a smooth transition while maintaining compliance with the regulations?” Read more…
Having doctors with Limited registration in General Practices is a good practice. Finding doctors for Australian General Practice can be tough. One way to address this is by involving Limited registrants. While some practice owners find managing doctors with limited registration tedious, many regret not starting this process earlier. In Read more…