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Results 1 to 10 of 12 matches

Category 1 - PROFESSIONAL ATTENDANCES

A19

Consultant Psychiatrist - Initial consultations for NEW PATIENTS (Items 296 to 299 and 361) Referred Patient Assessment and Management Plan (Items 291, 293 and 359) and referral to Allied Mental Health Professionals

Category 1 - PROFESSIONAL ATTENDANCES

A45

GP Mental Health Treatment Items - (Items 2700 to 2717)

Category 1 - PROFESSIONAL ATTENDANCES

A48

Telepsychiatry - (Items 353 to 370)

Category 8 - MISCELLANEOUS SERVICES

Psychological Therapy Services Attracting Medicare Rebates

Category 8 - MISCELLANEOUS SERVICES

Referral Requirements (GPs, Psychiatrists or Paediatricians to Clinical Psychologists for Psychological Therapy)

Category 8 - MISCELLANEOUS SERVICES

Provision of Focussed Psychological Strategies Services by Allied Health Providers - (Items 80100 to 80170)

Category 1 - PROFESSIONAL ATTENDANCES

288

288 - Additional Information

Item Start Date:
01-Jul-2011
Description Start Date:
01-Jan-2013
Schedule Fee Start Date:
01-Nov-2012

Group
A8 - CONSULTANT PSYCHIATRIST ATTENDANCES TO WHICH NO OTHER ITEM APPLIES

Professional attendance on a patient by a consultant physician practising in his or her specialty of psychiatry if:

(a) the attendance is by video conference; and

(b) item 291, 293, 296, 300, 302, 304, 306, 308, 310, 312, 314, 316, 318, 319, 348, 350 or 352 applies to the attendance; and

(c) the patient is not an admitted patient; and

(d) the patient:

(i) is located both:

(A) within a telehealth eligible area; and

(B) at the time of the attendance - at least 15 kms by road from the physician; or

(ii) is a care recipient in a residential care service; or

(iii) is a patient of:

(A) an Aboriginal Medical Service; or

(B) an Aboriginal Community Controlled Health Service;

for which a direction made under subsection 19 (2) of the Act applies

Telehealth Item



50% of the fee for item 291, 293,296, 300, 302, 304, 306, 308, 310, 312, 314, 316, 318, 319, 348, 350 or 352.Benefit: 85% of derived fee.
Ready Reckoner

(See para A57 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: 300% of the Derived fee for this item, or $500, whichever is the lesser amount

Category 1 - PROFESSIONAL ATTENDANCES

291

291 - Additional Information

Item Start Date:
01-May-2005
Description Start Date:
01-Nov-2015
Schedule Fee Start Date:
01-Nov-2012

Group
A8 - CONSULTANT PSYCHIATRIST ATTENDANCES TO WHICH NO OTHER ITEM APPLIES

Untitled document

CONSULTANT PSYCHIATRIST, REFERRED PATIENT ASSESSMENT AND MANAGEMENT PLAN

Professional attendance by a consultant physician in the practice of his or her speciality of PSYCHIATRY where the patient is referred for the provision of an assessment and management plan by a medical practitioner practising in general practice (including a general practitioner, but not including a specialist or consultant physician) or participating nurse practitioner,  where the attendance is initiated by the referring practitioner and where the consultant psychiatrist provides the referring practitioner with an assessment and management plan to be undertaken by that practitioner for the patient, where clinically appropriate.


An attendance of more than 45 minutes duration at consulting rooms during which:

-     An outcome tool is used where clinically appropriate

-     A mental state examination is conducted

-     A psychiatric diagnosis is made

-     The consultant psychiatrist decides that the patient can be appropriately managed by the referring practitioner without the need for ongoing treatment by the psychiatrist

-     A 12 month management plan, appropriate to the diagnosis, is provided to the referring practitioner which must:

    a)     comprehensively evaluate biological, psychological and social issues;

    b)     address diagnostic psychiatric issues;

    c)     make management recommendations addressing biological, psychological and social issues; and

    d)     be provided to the referring practitioner within two weeks of completing the assessment of the patient.

-     The diagnosis and management plan is explained and provided, unless clinically inappropriate, to the patient and/or the carer (with the patient's agreement)

-     The diagnosis and management plan is communicated in writing to the referring practitioner


Not being an attendance on a patient in respect of whom, in the preceding 12 months, payment has been made under this item



Fee: $452.65 Benefit: 85% = $384.80

(See para A19 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $500.00

Category 1 - PROFESSIONAL ATTENDANCES

293

293 - Additional Information

Item Start Date:
01-May-2005
Description Start Date:
01-Nov-2011
Schedule Fee Start Date:
01-Nov-2012

Group
A8 - CONSULTANT PSYCHIATRIST ATTENDANCES TO WHICH NO OTHER ITEM APPLIES

CONSULTANT PSYCHIATRIST, REVIEW OF REFERRED PATIENT ASSESSMENT AND MANAGEMENT

Professional attendance by a consultant physician in the practice of his or her speciality of PSYCHIATRY to review a management plan previously prepared by that consultant psychiatrist for a patient and claimed under item 291, where the review is initiated by the referring medical practitioner practising in general practice or participating nurse practitioner.


An attendance of more than 30 minutes but not more than 45 minutes duration at consulting rooms where that attendance follows item 291 and during which:


-    An outcome tool is used where clinically appropriate

-    A mental state examination is conducted

-    A psychiatric diagnosis is made

-    A management plan provided under Item 291 is reviewed and revised

-    The reviewed management plan is explained and provided, unless clinically inappropriate, to the patient and/or the carer (with the patient's agreement)

-    The reviewed management plan is communicated in writing to the referring medical practitioner or participating nurse practitioner


Being an attendance on a patient in respect of whom, in the preceding 12 months, payment has been made under item 291, and no payment has been made under item 359, payable no more than once in any 12 month period.



Fee: $282.95 Benefit: 85% = $240.55

(See para A19 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $500.00

Category 1 - PROFESSIONAL ATTENDANCES

353

353 - Additional Information

Item Start Date:
01-Nov-2002
Description Start Date:
01-Nov-2011
Schedule Fee Start Date:
01-Nov-2012

Group
A8 - CONSULTANT PSYCHIATRIST ATTENDANCES TO WHICH NO OTHER ITEM APPLIES

CONSULTANT PSYCHIATRIST, REFERRED CONSULTATION VIA TELEPSYCHIATRY FOR ASSESSMENT, DIAGNOSIS AND TREATMENT


A telepsychiatry consultation by a consultant physician in the practice of his or her specialty of PSYCHIATRY (not being an attendance to which items 291 to 319 apply), where:

    -the patient is referred to him or her by a referring practitioner for assessment, diagnosis and/or treatment and is located in a regional, rural or remote area (RRMA3-7),

    -that consultation and any other consultation to which items 353 to 361 apply, have not exceeded 12 consultations in a calendar year,

        -any other attendance to which items 300 to 308 and 353 to 358 or 361 to 370 apply, have not exceeded the sum of 50 attendances in a calendar year.


A telepsychiatry consultation of not more than 15 minutes duration.



Fee: $57.20 Benefit: 75% = $42.90 85% = $48.65

(See para A48 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $171.60

Results 1 to 10 of 12 matches


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