Category 8 - MISCELLANEOUS SERVICES
MN.14.7
Where Medicare Benefits are not payable
Medicare benefits are not available:
a. where the service rendered does not meet the item description and associated requirements;
b. where the nurse practitioner service is not personally performed by the participating nurse practitioner;
c. for 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;
d. services provided where the patient is not in attendance, such as the issuing of repeat prescriptions;
e. for telephone attendances; and
f. group sessions.
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.
Legend
- Assist - Addition/Deletion of (Assist.)
- Amend - Amended Description
- Anaes - Anaesthetic Values Amended
- Emsn - EMSN Change
- Fee - Fee Amended
- Renum - Item Number Change (renumbered)
- New - New Item
- NewMin - New Item (previous Ministerial Determination)
- Qfe - QFE Change