Medicare Benefits Schedule - Note MN.13.10

Medicare benefits are not available: 

a. for services listed in the MBS, where the service rendered does not meet the item description and associated requirements; 

b. where the midwifery service is not personally performed by the participating midwife;

c. for MBS services that are time based, the inclusion of any time period in the consultation periods  when the patient is not receiving active attention e.g.  the time the provider may take to travel to the patient's home or where the patient is resting between blood pressure readings; and

d. services provided where the patient is not in attendance, such as the issuing of repeat prescriptions;

e. for telephone attendances;

f. group sessions; and

g. The issuing of repeat prescriptioins, updating patient notes or telephone consultations. 

The fee charged under Medicare must not include the cost of services that are not part of the MBS service being claimed. Medicare benefits are not payable for good or appliances associated with the service, such as bandages or other skin dressings 

Unless the Minister otherwise directs, Medicare benefits are not payable where funding has already been provided under an arrangement with the Commonwealth, state or a local governing body.

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