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Dear Doctors and Health Care Workers
Welcome to July!
It’s been quiet on the Covid billing questions front for a while, but a good question has come in relating to billing Covid telehealth items for admitted patients.
But first, an announcement…The new MBS Answers we…
Dear Doctors and Health Care Workers
An important question today, relating to billing for Australian Medicare eligible persons who are overseas at the time the service is provided. Here’s the answer.
1. I saw in a previous Billing FAQs that you cannot bill Medicare if t…
Dear Doctors and Health Care Workers
Firstly, thank you all for your ongoing generous words of thanks and support. It is greatly appreciated. I am committed to answering ALL of your questions, yes really. But many are now non-Covid questions all of which are in the queue to be…
Dear Doctors and Health Care Workers
Just one question today requesting a clarification about the legalities around billing while overseas.
Here is the original question and answer posted on 1 June 2020.
If I am overseas (don’t know when I can be), and I video conferen…
Dear Doctors and Health Care Workers
Welcome to winter!
Some good questions today about retrospective billing, rejected claims and billing while overseas.
Here’s the answers.
1. I think it was about 30 March when GP Telehealth items became available for all patien…
Dear Doctors and Health Care Workers
An important question about the supervision rules and their application in public hospitals today as well as a clarification about claiming if called about a patient, but not by a patient. Also, a good question about the likelihood of conti…
Australia’s Health Minister Greg Hunt had a nice little announcement yesterday, revealing that since March 13, there have been 10.4 million services delivered to 5.71 million patients by telehealth, with $536.5 million benefits paid, and close to 70,000 healthcare providers hav…
Dear Doctors and Health Care Workers
It’s been a while!
We hope you are all managing well out there and have settled into the new Covid way of working. And hopefully, you have clarity around how to correctly bill the new Covid services.
We are still receiving lots of e…
Published in Pulse + IT Magazine
Written by Margaret Faux and Heather Grain on 18 May 2020
Telehealth has bolted away as fast as the colt from old Regret as a result of the Covid-19 pandemic. The federal Health Minister, Greg Hunt, says he wants telehealth to continue post …
Dear Doctors and Health Care Workers
Some interesting and complex questions in the last few days regarding public patients in private hospitals, which will be of relevance to all specialists and particularly VMOs.
Also a question about ‘Usual’ vs Covid telehealth. Here …
Dear Doctors and Health Care Workers
Welcome to another week and the promise of long-term telehealth. Good or not so good? Only time will tell.
Some really great questions today. Complex and common. Here are the answers:
1. Electronic consent for DVA telehealth – is th…
Dear Doctors and Health Care Workers
Here are the answers to today’s questions.
1. Can a specialist bill a gap for a consultation fee to a patient over the age of 70 years using codes 91822/91823?
Yes. Mandatory bulk billing was lifted for specialists from 20 April 2…
Medicare billing app vendor Synapse Medical Services has partnered with virtual GP clinic Phenix Health to provide a mobile telehealth and billing solution for the COVID-19 pandemic.
Doctors can complete a telehealth consult on the Phenix platform, bill it, and receive a respo…
There is a clause for GPs using the new telehealth items: patients defined as ‘susceptible’ to COVID-19 must be bulk-billed (no exceptions).
Is this legal? Margaret Faux, an expert on Medicare and its mysteries, offers her view.
The roll out of new COVID-19 MBS te…
Dear Doctors and Health Care Workers
A warm welcome to the new week and thank you to those of you who have submitted questions.
We have received so many intelligent and thought provoking non-COVID questions over the weekend, covering a vast array of important billing law is…
Dear Doctors and Health Care Workers
Welcome to the month of May and the weekend, though I’m wondering if a weekend is still a thing.
We hope you continue to travel well, and we continue to express our thanks to all of you out there on the front lines, while some of us ar…
Dear Doctors and Health Care Workers
Here are the answers to today’s questions.
1. A fellow physician worked at my private specialist clinic for few months. Had own provider number and billing set up. They have now left to join a public hospital position full time and…
Dear Doctors and Health Care Workers
A whole week without a new Medicare billing law being introduced. Crazy!
No questions today, so just wanted to thank those of you who took the time to submit comments on my article in AUSPUBLAW.
It seems to have resonated positively, …
Dear Doctors and Health Care Workers
The end of another COVID week. We hope you are all travelling well and I’m sure some of you are very relieved to be heading back to the operating theatres next week with elective surgery recommencing. Please be sure to PPE-up (assuming th…
“The COVID-19 pandemic has shaken even Medicare’s pillars to their core and placed more than a virus under a microscope. Bulk billing is now the subject of experimentation in a petri dish of its own.”
Margaret Faux unpacks the constitutional barrier to mandated bulk billing …
Dear Doctors and Health Care Workers
Before answering only one question today, I have one correction/addition, and one update:
1. For the geriatrician who correctly allocated item 92623 reported in last night’s bulletin, there was another option that I omitted which was…
Dear Doctors and Health Care Workers
Here are answers to today’s questions.
1. Is it permissible to get credit card payment prior to a telehealth consult? For example, a few days before when the appointment is set up, or earlier on the day of the consult, can you take a…
Dear Doctors and Health Care Workers
Here are answers to today’s questions
1. Why does the MBS exclude the item number combination 342 and 288, is it explicitly stipulated anywhere?
Yes, the item 342 and 288 combination is explicitly restricted in the General Medic…
Dear Doctors and Health Care Workers
First an update further to our news flash yesterday. The new law implements the following from today:
Specialists and allied health providers no longer have to bulk bill Covid items
GP bulk bill incentive items 10990 and 10991 have …
Dear Doctors and Health Care Workers
News flash!
HUGE NEWS – A new Determination has appeared on the register today that wasn’t there yesterday (unless I’m going mad) that appears to have effectively ended forced bulk billing for everyone except GPs.
Here’s the lin…
Dear Doctors and Health Care Workers
Is it still acceptable to say, ‘happy Friday?’ Or is that now so pre-COVID?
Before answering today’s questions, we at Synapse just want to end the week by saying we hope you are all travelling well, and we thank you again, over and…
Dear Doctors and Health Care Workers
Here’s answers to today’s questions.
1. You mentioned in an earlier bulletin we could charge a 92422 /92431 (132 equivalent) on the phone, then if we need to do a face to face can still charge a 132. Is this correct?
So firstly,…
Dear Doctors and Health Care Workers
We are going to dedicate tonight’s bulletin to confusion. It is obvious from the questions that came in today there is a lot of confusion out there, which is not surprising with the laws changing every five minutes. Here’s some examples…
Dear Doctors and Health Care Workers
Welcome to another week in isolation and more COVID MBS questions answered. As we launch into the new week, we just want to say again how much we are enjoying being able to provide this service for you, our front line health workers. It is …
Dear Doctors and Health Care Workers
Thank you all once again for your kind words of support and humour this week. Three weeks in and we hope you’re all staying strong.
More great questions today but also something worrying, alas, so let’s start with that.
We want to s…