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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 - Additional Information
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)
Category 1 - PROFESSIONAL ATTENDANCES
822 - Additional Information
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)
Category 1 - PROFESSIONAL ATTENDANCES
823 - Additional Information
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)
Category 1 - PROFESSIONAL ATTENDANCES
825 - Additional Information
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)
Category 1 - PROFESSIONAL ATTENDANCES
826 - Additional Information
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)
Category 1 - PROFESSIONAL ATTENDANCES
827 - Additional Information
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 - Additional Information
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)
Category 1 - PROFESSIONAL ATTENDANCES
829 - Additional Information
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 - Additional Information
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)
Category 1 - PROFESSIONAL ATTENDANCES
832 - Additional Information
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)
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