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primary care consultancy




Q&A

Buying your GP clinic. What is the right price?

Question: I am a GP looking at buying my own practice. How do I know what is the “right price”? Answer: You are buying your GP clinic. What is the right price? Putting a price tag on a General Practice is not a simple affair. It is not the same Read more…

By Paul Soloviev, 3 years28/01/2022 ago
Clinical protocols

Medicare item 900 – Home Medication Review.

Home Medication Review or Domiciliary Medication Management Review (DMMR) is one of the least used items by GPs. There are reasons for that. Firstly, DMMR is perceived as a cumbersome labour-intensive item. Secondly, there are some misconceptions about eligibility for DMMR. In fact, DMMR (HMR) is a very useful and Read more…

By Paul Soloviev, 4 years23/11/2021 ago
Medicare rules

Improve Medicare compliance and minimise the risk of Medicare audit.

Guide to General Practitioners. This post is not legal advice but rather a recollection of Medicare audits encountered by the author. My name is Paul Soloviev. I have had 20 years of consulting career in General Practice. Why GPs need to improve Medicare compliance and minimise the risk of Medicare Read more…

By Paul Soloviev, 4 years20/11/2021 ago
Practice management

A patient asked your practice to delete his/her health record.

A GP clinic, as a private health service provider, cannot delete a patient’s medical file until a certain period of time passed. This period of time is seven years since the last service, or for the person under 18 years old until they reach 25 years old. Should the patient Read more…

By Paul Soloviev, 4 years15/11/2021 ago
Q&A

Mandatory COVID-19 vaccination. Is there consent?

Question from a GP: I have had several patients lately who clearly stated that they do not consent to COVID-19 vaccination. Yet, they asked me to be vaccinated because otherwise, they would lose their jobs, houses etc. Am I, potentially, in trouble? Answer: This was probably, the most uncomfortable question Read more…

By Paul Soloviev, 4 years30/10/2021 ago
Medicare rules

Billing Medicare from home via HPOS. Is it that simple?

Question from Dr M: Can I work from home and bill Medicare on the provider number registered at my home address? Answer: This question is asked again and again by some of our consulting clients. The simple answer is – yes. Billing Medicare from home is not a complicated process. Read more…

By Paul Soloviev, 4 years08/10/2021 ago
Medicare items

Medicare audit. 23 or 36 or 44. Is there a ‘golden formula’ of ‘safe’ billing?

The consultation items are time-related. 23 – less than 20 min, 36 – 20 to 40 min, 44 – longer than 40 min. There is a good reason why I call them ‘tricky’ because these items are not just about time spent with the patient. There must be an element Read more…

By Paul Soloviev, 4 years06/06/2021 ago




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