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Case Conferences

MULTIDISCIPLINARY CASE CONFERENCE - MEDICAL PRACTITIONER (OTHER THAN A SPECIALIST OR CONSULTANT PHYSICIAN)


These services are for patients who:

    (a)     have at least one medical condition that:

         i.      has been (or is likely to be) present for at least six months; or

         ii.      is terminal; and

    (b)     require ongoing care from a multidisciplinary case conference team which includes:

         i.     a medical practitioner; and

         ii.     at least two other members, each of whom provides a different kind of care or service to the patient and is not a family carer of the patient, and one of whom may be another medical practitioner.


For the purposes of items 735-758, a multidisciplinary case conference is a process by which a multidisciplinary case conference team:

    (a)     discusses a patient’s history; and

    (b)     identifies the patient’s multidisciplinary care needs; and

    (c)     identifies outcomes to be achieved by members of the case conference team giving care and service to the patient; and

    (d)     identifies tasks that need to be undertaken to achieve these outcomes, and allocates those tasks to members of the case conference team; and

    (e)     assesses whether previously identified outcomes (if any) have been achieved.


Participation in a multidisciplinary case conference must be at the request of the person who organises and coordinates the conference.

Category 1 - PROFESSIONAL ATTENDANCES

820

820 - Additional Information

Item Start Date:
01-May-2002
Description Updated:
01-Nov-2019
Schedule Fee Updated:
01-Jul-2021

Group
A15 - GP Management Plans, Team Care Arrangements, Multidisciplinary Care Plans
Subgroup
2 - Case Conferences

Attendance by a consultant physician in the practice of the consultant physician's specialty, as a member of a case conference team, to organise and coordinate a community case conference of at least 15 minutes but less than 30 minutes, with a multidisciplinary team of at least 3 other formal care providers of different disciplines



Fee: $146.90 Benefit: 75% = $110.20 85% = $124.90

(See para AN.0.51 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $440.70

Category 1 - PROFESSIONAL ATTENDANCES

822

822 - Additional Information

Item Start Date:
01-May-2002
Description Updated:
01-Nov-2019
Schedule Fee Updated:
01-Jul-2021

Group
A15 - GP Management Plans, Team Care Arrangements, Multidisciplinary Care Plans
Subgroup
2 - Case Conferences

Attendance by a consultant physician in the practice of the consultant physician's specialty, as a member of a case conference team, to organise and coordinate a community case conference of at least 30 minutes but less than 45 minutes, with a multidisciplinary team of at least 3 other formal care providers of different disciplines



Fee: $220.45 Benefit: 75% = $165.35 85% = $187.40

(See para AN.0.51 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $500.00

Category 1 - PROFESSIONAL ATTENDANCES

823

823 - Additional Information

Item Start Date:
01-May-2002
Description Updated:
01-Nov-2019
Schedule Fee Updated:
01-Jul-2021

Group
A15 - GP Management Plans, Team Care Arrangements, Multidisciplinary Care Plans
Subgroup
2 - Case Conferences

Attendance by a consultant physician in the practice of the consultant physician's specialty, as a member of a case conference team, to organise and coordinate a community case conference of at least 45 minutes, with a multidisciplinary team of at least 3 other formal care providers of different disciplines



Fee: $293.70 Benefit: 75% = $220.30 85% = $249.65

(See para AN.0.51 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $500.00

Category 1 - PROFESSIONAL ATTENDANCES

825

825 - Additional Information

Item Start Date:
01-May-2002
Description Updated:
01-Nov-2019
Schedule Fee Updated:
01-Jul-2021

Group
A15 - GP Management Plans, Team Care Arrangements, Multidisciplinary Care Plans
Subgroup
2 - Case Conferences

Attendance by a consultant physician in the practice of the consultant physician's specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to participate in a community case conference (other than to organise and coordinate the conference) of at least 15 minutes but less than 30 minutes, with the multidisciplinary case conference team



Fee: $105.50 Benefit: 75% = $79.15 85% = $89.70

(See para AN.0.51 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $316.50

Category 1 - PROFESSIONAL ATTENDANCES

826

826 - Additional Information

Item Start Date:
01-May-2002
Description Updated:
01-Nov-2019
Schedule Fee Updated:
01-Jul-2021

Group
A15 - GP Management Plans, Team Care Arrangements, Multidisciplinary Care Plans
Subgroup
2 - Case Conferences

Attendance by a consultant physician in the practice of the consultant physician's specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to participate in a community case conference (other than to organise and coordinate the conference) of at least 30 minutes but less than 45 minutes, with the multidisciplinary case conference team



Fee: $168.25 Benefit: 75% = $126.20 85% = $143.05

(See para AN.0.51 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $500.00

Category 1 - PROFESSIONAL ATTENDANCES

827

827 - Additional Information

Item Start Date:
01-Jul-2018
Description Updated:
01-Jul-2018
Schedule Fee Updated:
01-Jul-2021

Group
A7 - Acupuncture and Non-Specialist Practitioner Items
Subgroup
12 - Non-Specialist Practitioner video conferencing consultation

Professional attendance not in consulting rooms of at least 5 minutes in duration (whether or not continuous) by a medical practitioner providing clinical support to a patient who:

(a) is participating in a video conferencing consultation with a specialist or consultant physician; and

(b) is not an admitted patient; and

(c) is not a care recipient in a residential care service; and

(d) is located both:

(i) within a telehealth eligible area; and

(ii) at the time of the attendance—at least 15 kms by road from the specialist or physician mentioned in paragraph (a);

for an attendance on one or more patients at one place on one occasion—each patient



The fee for item 812, plus $21.60 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 812 plus $1.70 per patient.
Ready Reckoner

(See para AN.7.1, AN.7.26 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

828

828 - Additional Information

Item Start Date:
01-May-2002
Description Updated:
01-Nov-2019
Schedule Fee Updated:
01-Jul-2021

Group
A15 - GP Management Plans, Team Care Arrangements, Multidisciplinary Care Plans
Subgroup
2 - Case Conferences

Attendance by a consultant physician in the practice of the consultant physician's specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to participate in a community case conference (other than to organise and coordinate the conference) of at least 45 minutes, with the multidisciplinary case conference team



Fee: $231.05 Benefit: 75% = $173.30 85% = $196.40

(See para AN.0.51 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $500.00

Category 1 - PROFESSIONAL ATTENDANCES

829

829 - Additional Information

Item Start Date:
01-Jul-2018
Description Updated:
01-Jul-2018
Schedule Fee Updated:
01-Jul-2021

Group
A7 - Acupuncture and Non-Specialist Practitioner Items
Subgroup
12 - Non-Specialist Practitioner video conferencing consultation

Professional attendance of at least 5 minutes in duration (whether or not continuous) by a medical practitioner providing clinical support to a patient who:

(a) is participating in a video conferencing consultation with a specialist or consultant physician; and

(b) is a care recipient in a residential care service; and

(c) is not a resident of a self‑contained unit;

for an attendance on one or more patients at one place on one occasion—each patient



The fee for item 812, plus $38.85 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 812 plus $2.70 per patient.
Ready Reckoner

(See para AN.7.1, AN.7.26 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

830

830 - Additional Information

Item Start Date:
01-May-2002
Description Updated:
01-Nov-2019
Schedule Fee Updated:
01-Jul-2021

Group
A15 - GP Management Plans, Team Care Arrangements, Multidisciplinary Care Plans
Subgroup
2 - Case Conferences

Attendance by a consultant physician in the practice of the consultant physician's specialty, as a member of a case conference team, to organise and coordinate a discharge case conference of at least 15 minutes but less than 30 minutes, with a multidisciplinary team of at least 3 other formal care providers of different disciplines



Fee: $146.90 Benefit: 75% = $110.20 85% = $124.90

(See para AN.0.51 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $440.70

Category 1 - PROFESSIONAL ATTENDANCES

832

832 - Additional Information

Item Start Date:
01-May-2002
Description Updated:
01-Nov-2019
Schedule Fee Updated:
01-Jul-2021

Group
A15 - GP Management Plans, Team Care Arrangements, Multidisciplinary Care Plans
Subgroup
2 - Case Conferences

Attendance by a consultant physician in the practice of the consultant physician's specialty, as a member of a case conference team, to organise and coordinate a discharge case conference of at least 30 minutes but less than 45 minutes, with a multidisciplinary team of at least 3 other formal care providers of different disciplines



Fee: $220.45 Benefit: 75% = $165.35 85% = $187.40

(See para AN.0.51 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $500.00

Results 1 to 10 of 14 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