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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

743

743 - Additional Information

Item Start Date:
01-May-2010
Description Updated:
01-Jul-2018
Schedule Fee Updated:
01-Jul-2019

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

Attendance by a general practitioner, as a member of a multidisciplinary case conference team, to organise and coordinate:

(a) a community case conference; or

(b) a multidisciplinary case conference in a residential aged care facility; or

(c) a multidisciplinary discharge case conference;

if the conference lasts for at least 40 minutes (other than a service associated with a service to which items 721 to 732 apply)



Fee: $204.90 Benefit: 75% = $153.70 100% = $204.90

(See para AN.0.49 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $500.00

Category 1 - PROFESSIONAL ATTENDANCES

747

747 - Additional Information

Item Start Date:
01-May-2010
Description Updated:
01-Jul-2018
Schedule Fee Updated:
01-Jul-2019

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

Attendance by a general practitioner, as a member of a multidisciplinary case conference team, to participate in:

(a) a community case conference; or

(b) a multidisciplinary case conference in a residential aged care facility; or

(c) a multidisciplinary discharge case conference;

if the conference lasts for at least 15 minutes, but for less than 20 minutes (other than a service associated with a service to which items 721 to 732 apply)



Fee: $52.75 Benefit: 75% = $39.60 100% = $52.75

(See para AN.0.49 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $158.25

Category 1 - PROFESSIONAL ATTENDANCES

750

750 - Additional Information

Item Start Date:
01-May-2010
Description Updated:
01-Jul-2018
Schedule Fee Updated:
01-Jul-2019

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

Attendance by a general practitioner, as a member of a multidisciplinary case conference team, to participate in:

(a) a community case conference; or

(b) a multidisciplinary case conference in a residential aged care facility; or

(c) a multidisciplinary discharge case conference;

if the conference lasts for at least 20 minutes, but for less than 40 minutes (other than a service associated with a service to which items 721 to 732 apply)



Fee: $90.40 Benefit: 75% = $67.80 100% = $90.40

(See para AN.0.49 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $271.20

Category 1 - PROFESSIONAL ATTENDANCES

758

758 - Additional Information

Item Start Date:
01-May-2010
Description Updated:
01-Jul-2018
Schedule Fee Updated:
01-Jul-2019

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

Attendance by a general practitioner, as a member of a multidisciplinary case conference team, to participate in:

(a) a community case conference; or

(b) a multidisciplinary case conference in a residential aged care facility; or

(c) a multidisciplinary discharge case conference;

if the conference lasts for at least 40 minutes (other than a service associated with a service to which items 721 to 732 apply)



Fee: $150.55 Benefit: 75% = $112.95 100% = $150.55


Extended Medicare Safety Net Cap: $451.65

Category 8 - MISCELLANEOUS SERVICES

81100

81100 - Additional Information

Item Start Date:
01-May-2007
Description Updated:
01-Oct-2017
Schedule Fee Updated:
01-Jul-2019

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: $81.15 Benefit: 85% = $69.00

(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: $243.45

Category 8 - MISCELLANEOUS SERVICES

81110

81110 - Additional Information

Item Start Date:
01-May-2007
Description Updated:
01-Oct-2017
Schedule Fee Updated:
01-Jul-2019

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: $81.15 Benefit: 85% = $69.00

(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: $243.45

Category 8 - MISCELLANEOUS SERVICES

81120

81120 - Additional Information

Item Start Date:
01-May-2007
Description Updated:
01-Oct-2017
Schedule Fee Updated:
01-Jul-2019

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: $81.15 Benefit: 85% = $69.00

(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: $243.45

Category 1 - PROFESSIONAL ATTENDANCES

92028

92028 - Additional Information

Item Start Date:
30-Mar-2020
Description Updated:
06-Apr-2020
Schedule Fee Updated:
30-Mar-2020

Group
A40 - COVID-19 services
Subgroup
13 - COVID-19 Chronic Disease Management (CDM) Service – Telehealth Service

Telehealth attendance by a general practitioner to review or coordinate a review of:

(a) a GP management plan prepared by a general practitioner (or an associated general practitioner) to which item 721 of the general medical services table, or item 229 or item 92024 or 92068 applies; or

(b) team care arrangements which have been coordinated by the general practitioner (or an associated general practitioner) to which item 723 of the general medical services table, or item 230 or item 92025 or 92069 or items applies

NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed.

 



Fee: $86.10 Benefit: 85% = $73.20

30-Sep-2020

Category 1 - PROFESSIONAL ATTENDANCES

92059

92059 - Additional Information

Item Start Date:
30-Mar-2020
Description Updated:
06-Apr-2020
Schedule Fee Updated:
30-Mar-2020

Group
A40 - COVID-19 services
Subgroup
13 - COVID-19 Chronic Disease Management (CDM) Service – Telehealth Service

Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), to review or coordinate a review of:

(a) a GP management plan prepared by a medical practitioner (or an associated medical practitioner) to which item 229, 721 or item 229 or item 92024, 92055, 92068 or 92099 applies; or

(b) team care arrangements which have been coordinated by the medical practitioner (or an associated medical practitioner) to which item 230, 723, 92025, 92056, 92069 or 92100 applies.

NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed.

 



Fee: $68.85 Benefit: 85% = $58.55

30-Sep-2020

Category 1 - PROFESSIONAL ATTENDANCES

92072

92072 - Additional Information

Item Start Date:
30-Mar-2020
Description Updated:
06-Apr-2020
Schedule Fee Updated:
30-Mar-2020

Group
A40 - COVID-19 services
Subgroup
14 - COVID-19 Chronic Disease Management (CDM) Service – Phone Service

Phone attendance by a general practitioner to review or coordinate a review of:

(a) a GP management plan prepared by a general practitioner (or an associated general practitioner) to which item 721 of the general medical services table or item 229 or items 92074 to 92078 or 92030 to 92034 or item 92024 or 92068 applies; or

(b) team care arrangements which have been coordinated by the general practitioner (or an associated general practitioner) to which item 723 of the general medical services table or item 92025 or 92069 or items applies

NOTE: It is a legislative requirement that the service must be bulk-billed where the service is provided to a concessional or vulnerable patient at the time the service is provided. For all other patients the service may be bulk-billed.

 



Fee: $86.10 Benefit: 85% = $73.20

30-Sep-2020

Results 21 to 30 of 31 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