Medicare Benefits Schedule - Note AN.0.17

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Category 1 - PROFESSIONAL ATTENDANCES

AN.0.17

Attendances at Hospitals, Residential Aged Care Facility and Institutions and Home Visits

To facilitate assessment of the correct Medicare rebate in respect of a number of patients attended on the one occasion at one of the above locations, it is important that the total number of patients seen be recorded on each individual account, receipt or assignment form. For example, where ten patients were visited (for a brief consultation) in the one residential aged care facility on the one occasion, each account, receipt or assignment form would show "Item 20 - 1 of 10 patients" for a General Practitioner. 

The number of patients seen should not include attendances which do not attract a Medicare rebate (eg public in-patients, attendances for normal after-care), or where a Medicare rebate is payable under an item other than these derived fee items (eg health assessments, care planning, emergency after-hours attendance - first patient).

Related Items: 20 92


Related Items


Level A

Professional attendance for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited examination and management.

Category 1 - PROFESSIONAL ATTENDANCES

20

20 - Additional Information

Item Start Date:
01-Nov-1990
Description Start Date:
01-Jan-2013
Schedule Fee Start Date:
01-Jul-2018

Professional attendance (other than a service to which another item applies) at a residential aged care facility (other than a professional attendance at a self-contained unit) or professional attendance at consulting rooms situated within such a complex if the patient is accommodated in a residential aged care facility (other than accommodation in a self-contained unit) by a general practitioner for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited examination and management-an attendance on one or more patients at one residential aged care facility on one occasion-each patient

The fee for item 3, plus $47.40 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 3 plus $3.35 per patient.
Ready Reckoner

(See para AN.0.9, AN.0.15, AN.0.17 of explanatory notes to this Category)


Consultation At A Residential Aged Care Facility

Professional attendance on 1 or more patients in 1 residential aged care facility (but excluding a professional attendance at a self-contained unit) or attendance at consulting rooms situated within such a complex where the patient is accommodated in the residential aged care facility (excluding accommodation in a self-contained unit) on 1 occasion - each patient

Category 1 - PROFESSIONAL ATTENDANCES

92

92 - Additional Information

Item Start Date:
01-Nov-1990
Description Start Date:
01-Jan-2013
Schedule Fee Start Date:
01-Nov-2007

Professional attendance (other than a service to which any other item applies) at a residential aged care facility (other than a professional attendance at a self-contained unit) or professional attendance at consulting rooms situated within such a complex where the patient is accommodated in the residential aged care facility (that is not accommodation in a self-contained unit) of not more than 5 minutes in duration-an attendance on one or more patients at one residential aged care facility on one occasion-each patient, by:

(a) a medical practitioner (who is not a general practitioner); or

(b) a general practitioner to whom clause 2.3.1 applies

An amount equal to $8.50, plus $27.95 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - an amount equal to $8.50 plus $1.25 per patient
Ready Reckoner

(See para AN.0.15, AN.0.17 of explanatory notes to this Category)


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