Medicare Benefits Schedule - Note MN.16.4

Eating Disorders Services Telehealth – (items 82359, 82367, 82375, 82383; 93075, 93076, 93079, 93084, 93087, 93092, 93095, 93100, 93103; 93108, 93110, 93113, 93118, 93121, 93126, 93129, 93134 and 93137)

This note provides telehealth supporting information for eating disorders items provided via telehealth by a medical practitioner in general practice and should be read in conjunction with Eating Disorders General Explanatory Notes.

Record Keeping

Participating telehealth practitioners must keep contemporaneous notes of the consultation including documenting that the service was performed by video conference, the date, time and the people who participated.

Only clinical details recorded at the time of the attendance count towards the time of the consultation. It does not include information added at a later time, such as reports of investigations.

Aftercare Rule

Video consultations are subject to the same aftercare rules as allied health practitioners providing face-to-face consultations.

Multiple Attendances on the Same Day

In some situations a patient may receive a consultation via video conference and a face-to-face consultation by the same or different clinical psychologist on the same day.

Medicare benefits may be paid for more than one video consultation on a patient on the same day by the same clinical psychologist, provided the second (and any following) video consultations are not a continuation of the initial or earlier video consultations. Clinical psychologists will need to provide the times of each consultation on the patient’s account or bulk-billing voucher.

Referrals

The referral procedure for a video consultation is the same as for conventional face-to-face consultations.

Related Items: 82359 82367 82375 82383 93079 93084 93087 93092 93095 93103 93108 93110 93113 93118 93121 93126 93129 93134 93137

• Previous - Note MN.16.3

Eating disorder psychological treatment service provided to an eligible patient as part of a group of 6 to 10 patients by an eligible social worker if:

(a)     the service is recommended in the patient’s eating disorder treatment and management plan; and

(b)     the attendance is by video conference; and

(c)     the patient is located within a telehealth eligible area; and

(d)     the patient is, at the time of the attendance, at least 15 kilometres by road from the clinical psychologist; and

(e)     the service is at least 60 minutes in duration

Fee: $25.40 Benefit: 85% = $21.60

(See para MN.16.1, MN.16.3, MN.16.4 of explanatory notes to this Category)

Eating disorder psychological treatment service provided by telehealth attendance to an eligible patient by an eligible clinical psychologist if:

(a) the service is recommended in the patient’s eating disorder treatment and management plan; and

(b) the service is provided to the patient individually; and

(c) the service is at least 50 minutes in duration.

Fee: $166.85 Benefit: 85% = $141.85

(See para MN.16.4 of explanatory notes to this Category)

Eating disorder psychological treatment service provided by telehealth attendance to an eligible patient by an eligible psychologist if:

(a) the service is recommended in the patient’s eating disorder treatment and management plan; and

(b) the service is provided to the patient individually; and

(c) the service is at least 20 minutes but less than 50 minutes in duration.

Fee: $80.55 Benefit: 85% = $68.50

(See para MN.16.4 of explanatory notes to this Category)

Eating disorder psychological treatment service provided by telehealth attendance to an eligible patient by an eligible psychologist if:

(a) the service is recommended in the patient’s eating disorder treatment and management plan; and

(b) the service is provided to the patient individually; and

(c) the service is at least 50 minutes in duration.

Fee: $113.65 Benefit: 85% = $96.65

(See para MN.16.4 of explanatory notes to this Category)

Eating disorder psychological treatment service provided by telehealth attendance to an eligible patient by an eligible occupational therapist if:

(a) the service is recommended in the patient’s eating disorder treatment and management plan; and

(b) the service is provided to the patient individually person; and

(c) the service is at least 20 minutes but less than 50 minutes in duration.

Fee: $70.95 Benefit: 85% = $60.35

(See para MN.16.4 of explanatory notes to this Category)

Eating disorder psychological treatment service provided by telehealth attendance to an eligible patient by an eligible occupational therapist if:

(a) the service is recommended in the patient’s eating disorder treatment and management plan; and

(b) the service is provided to the patient individually; and

(c) the service is at least 50 minutes in duration.

Fee: $100.20 Benefit: 85% = $85.20

(See para MN.16.4 of explanatory notes to this Category)

Eating disorder psychological treatment service provided by telehealth attendance to an eligible patient by an eligible social worker if:

(a) the service is recommended in the patient’s eating disorder treatment and management plan; and

(b) the service is provided to the patient individually; and

(c) the service is at least 50 minutes in duration.

Fee: $100.20 Benefit: 85% = $85.20

(See para MN.16.4 of explanatory notes to this Category)

Eating disorder psychological treatment service provided to an eligible patient as part of a group of 6 to 10 patients by an eligible occupational therapist if:

(a)     the service is recommended in the patient’s eating disorder treatment and management plan; and

(b)     the attendance is by video conference; and

(c)     the patient is located within a telehealth eligible area; and

(d)     the patient is, at the time of the attendance, at least 15 kilometres by road from the clinical psychologist; and

(e)     the service is at least 60 minutes in duration

Fee: $25.40 Benefit: 85% = $21.60

(See para MN.16.1, MN.16.3, MN.16.4 of explanatory notes to this Category)

Dietetics health service provided by phone attendance to an eligible patient by an eligible dietitian:

(a) the service is recommended in the patient’s eating disorder treatment and management plan; and

(b) the service is provided to the patient individually; and

(c) the service is of at least 20 minutes in duration.

Fee: $70.95 Benefit: 85% = $60.35

(See para MN.16.2, MN.16.4 of explanatory notes to this Category)

Eating disorder psychological treatment service provided to an eligible patient as part of a group of 6 to 10 patients by an eligible psychologist if:

(a)     the service is recommended in the patient’s eating disorder treatment and management plan; and

(b)     the attendance is by video conference; and

(c)     the patient is located within a telehealth eligible area; and

(d)     the patient is, at the time of the attendance, at least 15 kilometres by road from the clinical psychologist; and

(e)     the service is at least 60 minutes in duration

Fee: $29.00 Benefit: 85% = $24.65

(See para MN.16.1, MN.16.3, MN.16.4 of explanatory notes to this Category)

Eating disorder psychological treatment service provided to an eligible patient as part of a group of 6 to 10 patients by an eligible clinical psychologist if:

(a)     the service is recommended in the patient’s eating disorder treatment and management plan; and

(b)     the attendance is by video conference; and

(c)     the patient is located within a telehealth eligible area; and

(d)     the patient is, at the time of the attendance, at least 15 kilometres by road from the clinical psychologist; and

(e)     the service is at least 60 minutes in duration

Fee: $42.35 Benefit: 85% = $36.00

(See para MN.16.1, MN.16.3, MN.16.4 of explanatory notes to this Category)

Eating disorder psychological treatment service provided by phone attendance to an eligible patient by an eligible clinical psychologist if:

(a) the service is recommended in the patient’s eating disorder treatment and management plan; and

(b) the service is provided to the patient individually; and

(c) the service is at least 30 minutes but less than 50 minutes in duration.

Fee: $113.65 Benefit: 85% = $96.65

(See para MN.16.4 of explanatory notes to this Category)

Eating disorder psychological treatment service provided by phone attendance to an eligible patient by an eligible clinical psychologist if:

(a) the service is recommended in the patient’s eating disorder treatment and management plan; and

(b) the service is provided to the patient individually; and

(c) the service is at least 50 minutes in duration.

Fee: $166.85 Benefit: 85% = $141.85

(See para MN.16.4 of explanatory notes to this Category)

Eating disorder psychological treatment service provided by phone attendance to an eligible patient by an eligible psychologist if:

(a) the service is recommended in the patient’s eating disorder treatment and management plan; and

(b) the service is provided to the patient individually; and

(c) the service is at least 20 minutes but less than 50 minutes in duration.

Fee: $80.55 Benefit: 85% = $68.50

(See para MN.16.4 of explanatory notes to this Category)

Eating disorder psychological treatment service provided by phone attendance to an eligible patient by an eligible psychologist if:

(a) the service is recommended in the patient’s eating disorder treatment and management plan; and

(b) the service is provided to the patient individually; and

(c) the service is at least 50 minutes in duration.

Fee: $113.65 Benefit: 85% = $96.65

(See para MN.16.4 of explanatory notes to this Category)

Eating disorder psychological treatment service provided by phone attendance to an eligible patient by an eligible occupational therapist if:

(a) the service is recommended in the patient’s eating disorder treatment and management plan; and

(b) the service is provided to the patient individually person; and

(c) the service is at least 20 minutes but less than 50 minutes in duration.

Fee: $70.95 Benefit: 85% = $60.35

(See para MN.16.4 of explanatory notes to this Category)

Eating disorder psychological treatment service provided by phone attendance to an eligible patient by an eligible occupational therapist if:

(a) the service is recommended in the patient’s eating disorder treatment and management plan; and

(b) the service is provided to the patient individually; and

(c) the service is at least 50 minutes in duration.

Fee: $100.20 Benefit: 85% = $85.20

(See para MN.16.4 of explanatory notes to this Category)

Eating disorder psychological treatment service provided by phone attendance to an eligible patient by an eligible social worker if:

(a) the service is recommended in the patient’s eating disorder treatment and management plan; and

(b) the service is provided to the patient individually; and

(c) the service is at least 20 minutes but less than 50 minutes in duration.

Fee: $70.95 Benefit: 85% = $60.35

(See para MN.16.4 of explanatory notes to this Category)

Eating disorder psychological treatment service provided by phone attendance to an eligible patient by an eligible social worker if:

(a) the service is recommended in the patient’s eating disorder treatment and management plan; and

(b) the service is provided to the patient individually; and

(c) the service is at least 50 minutes in duration.         

Fee: $100.20 Benefit: 85% = $85.20

(See para MN.16.4 of explanatory notes to this Category)