Do you have to withhold billing item 723 until a formal acceptance to participate is received from at least 2 care team members?
26 March 24GP 2024 / 0368 Answer In our opinion, no. Context At our practice we…
read more >Referrals
Can a cardiologist self-refer to follow up a patient post discharge from hospital?
24 February 21GA 2021/0230 Answer No. Context The question posed was: “Cardiologist, Dr Z, performs a…
read more >If a public inpatient is discharged and then referred back to the hospital outpatient clinic by the GP (so, no previous Medicare billing), can I bill item 132 if I spend more than an hour with the patient?
28 January 21GA 2021/0127 Answer No. Context A hospital billing manager asked: If we have a…
read more >Can I take over a named referral in a public hospital outpatient setting if I am of the same specialty?
22 January 21RM 2020/067 Answer Yes. Context Doctor A was a rehabilitation physician working in a…
read more >What constitutes a referral from the Emergency Department to an inpatient medical unit?
20 January 21GA 2021/0231
Answer: An entry in the patient’s hospital record. Context: This is a common question…
read more >Can I bill a private patient in a private hospital who was transferred from a public hospital, and who should the referral be from?
20 January 21GA 2021/0128 Answer Part A – Yes Part B – Any medical practitioner except…
read more >How do in-hospital referrals work?
20 January 21GA 2021/0126 Answer In a complex and opaque way unfortunately, with legal grey areas….
read more >In a public hospital outpatient clinic does a referral to “Dear Specialist” enable Medicare bulk billing?
21 September 20GA 2020/0924 Answer No. Context Question: If a clinic receives a referral to “Dear…
read more >Are inpatient and outpatient episodes considered as separate for billing purposes, so that when a patient is discharged a new episode of care automatically commences?
26 August 20GA 2020/0823 Answer No. Context Question: If the same treating rehab physician sees a…
read more >Is a written handover sheet a valid inpatient referral between specialists covering each other on weekends, or does it have to be a formal letter?
4 August 20GA 2020/0820 Answer Yes, provided it is kept in the patient’s hospital record and…
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