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Category 1 - PROFESSIONAL ATTENDANCES

Chronic Disease Management Items (Items 721 to 732)

Category 1 - PROFESSIONAL ATTENDANCES

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

Category 1 - PROFESSIONAL ATTENDANCES

Medical Practitioner Mental Health Treatment (Items 272 to 282)

Category 8 - MISCELLANEOUS SERVICES

Individual Allied Health Services (Items 10950 to 10970) for Chronic Disease Management - Eligible Patients

Category 8 - MISCELLANEOUS SERVICES

Group Allied Health Services (Items 81100 to 81125) for People with Type 2 Diabetes - Eligible Patients

Category 8 - MISCELLANEOUS SERVICES

Provision of monitoring and support for a person with a chronic disease by a practice nurse or Aboriginal and Torres Strait Islander health practitioner (item 10997)

Category 1 - PROFESSIONAL ATTENDANCES

731

731 - Additional Information

Item Start Date:
01-Jul-2005
Description Start Date:
01-Jul-2018
Schedule Fee Start Date:
01-Jul-2014

Group
A15 - GP Management Plans, Team Care Arrangements, Multidisciplinary Care Plans
Subgroup
1 - GP Management Plans, Team Care Arrangements And Multidisciplinary Care Plans

Contribution by a general practitioner to:

(a) a multidisciplinary care plan for a patient in a residential aged care facility, prepared by that facility, or to a review of such a plan prepared by such a facility; or

(b) a multidisciplinary care plan prepared for a patient by another provider before the patient is discharged from a hospital, or to a review of such a plan prepared by another provider

(other than a service associated with a service to which items 735 to 758 apply)



Fee: $70.40 Benefit: 100% = $70.40

(See para AN.0.47 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $211.20

Category 8 - MISCELLANEOUS SERVICES

81100

81100 - Additional Information

Item Start Date:
01-May-2007
Description Start Date:
01-Oct-2017
Schedule Fee Start Date:
01-Nov-2012

Group
M9 - Allied Health Group Services

DIABETES EDUCATION SERVICE - ASSESSMENT FOR GROUP SERVICES

 

Diabetes education health service provided to a person by an eligible diabetes educator for the purposes of ASSESSING a person's suitability for group services for the management of type 2 diabetes, including taking a comprehensive patient history, identifying an appropriate group services program based on the patient's needs, and preparing the person for the group services, if:

(a)    the service is provided to a person who has type 2 diabetes; and

(b)  the person is being managed by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) under a shared care plan or a GP Management Plan [ie item 721 or 732], or if the person is a resident of an aged care facility, their medical practitioner has contributed to a multidisciplinary care plan [ie item 731]; and  

(c)    the person is referred to an eligible diabetes educator by the medical practitioner using a referral form that has been issued by the Department of Health, or a referral form that contains all the components of the form issued by the Department; and

(d)    the person is not an admitted patient of a hospital; and

(e)    the service is provided to the person individually and in person; and

(f)    the service is of at least 45 minutes duration; and

(g)    after the service, the eligible diabetes educator gives a written report to the referring medical practitioner mentioned in paragraph (c); and

(h)    in the case of a service in respect of which a private health insurance benefit is payable - the person who incurred the medical expenses in respect of the service has elected to claim the Medicare benefit in respect of the service, and not the private health insurance benefit.

 

Benefits are payable once only in a calendar year for this or any other Assessment for Group Services item (including services to which items 81100, 81110 and 81120 apply).



Fee: $79.85 Benefit: 85% = $67.90

(See para MN.9.1, MN.9.2, MN.9.3, MN.9.4, MN.9.6, MN.9.7 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $239.55

Category 8 - MISCELLANEOUS SERVICES

81110

81110 - Additional Information

Item Start Date:
01-May-2007
Description Start Date:
01-Oct-2017
Schedule Fee Start Date:
01-Nov-2012

Group
M9 - Allied Health Group Services

EXERCISE PHYSIOLOGY SERVICE - ASSESSMENT FOR GROUP  SERVICES

 

Exercise physiology health service provided to a person by an eligible exercise physiologist for the purposes of ASSESSING a person's suitability for group services for the management of type 2 diabetes, including taking a comprehensive patient history, identifying an appropriate group services program based on the patient's needs, and preparing the person for the group services, if:

(a)    the service is provided to a person who has type 2 diabetes; and

(b)  the person is being managed by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) under a shared care plan or a GP Management Plan [ie item 721 or 732, or if the person is a resident of an aged care facility, their  medical practitioner has contributed to a multidisciplinary care plan [ie item 731]; and  

(c)    the person is referred to an eligible exercise physiologist by the medical practitioner using a referral form that has been issued by the Department of Health, or a referral form that contains all the components of the form issued by the Department; and

(d)    the person is not an admitted patient of a hospital; and

(e)    the service is provided to the person individually and in person; and

(f)    the service is of at least 45 minutes duration; and

(g)    after the service, the eligible exercise physiologist gives a written report to the referring medical practitioner mentioned in paragraph (c); and

(h)    in the case of a service in respect of which a private health insurance benefit is payable - the person who incurred the medical expenses in respect of the service has elected to claim the Medicare benefit in respect of the service, and not the private health insurance benefit.

 

Benefits are payable once only in a calendar year for this or any other Assessment for Group Services item (including services to which items 81100, 81110 and 81120 apply).



Fee: $79.85 Benefit: 85% = $67.90

(See para MN.9.1, MN.9.2, MN.9.3, MN.9.4, MN.9.6, MN.9.7 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $239.55

Category 8 - MISCELLANEOUS SERVICES

81120

81120 - Additional Information

Item Start Date:
01-May-2007
Description Start Date:
01-Oct-2017
Schedule Fee Start Date:
01-Nov-2012

Group
M9 - Allied Health Group Services

DIETETICS SERVICE - ASSESSMENT FOR GROUP SERVICES

 

Dietetics health service provided to a person by an eligible dietitian for the purposes of ASSESSING a person's suitability for group services for the management of type 2 diabetes, including taking a comprehensive patient history, identifying an appropriate group services program based on the patient's needs, and preparing the person for the group services, if:

(a)    the service is provided to a person who has type 2 diabetes; and

(b)  the person is being managed by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) under a shared care plan or a GP Management Plan [ie item 721 or 732], or if the person is a resident of an aged care facility, their medical practitioner has contributed to a multidisciplinary care plan [ie item 731]; and  

(c)    the person is referred to an eligible dietitian by the medical practitioner using a referral form that has been issued by the Department of Health, or a referral form that contains all components of the form issued by the Department; and

(d)    the person is not an admitted patient of a hospital; and

(e)    the service is provided to the person individually and in person; and

(f)    the service is of at least 45 minutes duration; and

(g)    after the service, the eligible dietitian gives a written report to the referring medical practitioner mentioned in paragraph (c); and

(h)    in the case of a service in respect of which a private health insurance benefit is payable - the person who incurred the medical expenses in respect of the service has elected to claim the Medicare benefit in respect of the service, and not the private health insurance benefit.

 

Benefits are payable once only in a calendar year for this or any other Assessment for Group Services item (including services to which items 81100, 81110 and item 81120 apply).



Fee: $79.85 Benefit: 85% = $67.90

(See para MN.9.1, MN.9.2, MN.9.3, MN.9.4, MN.9.6, MN.9.7 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $239.55

Results 1 to 10 of 10 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