[karenbooth1@BIGPOND.COM Subject: Re: Revenue streams In-Reply-To:]

Hi Lana,

It depends who runs the clinic. If the clinic is run as a private billing
business (Medicare or fee for service) then you can charge an MBS rebatable
fee for the Dr or NP services. The patient needs to be aware of claims for
rebates against Medicare made on their behalf.

If it is part of a funded state health service then you may not be able to
charge the MBS. Your hospital admin should be able to advise you where your
clinic sits with MBS fees and funding.

In private GP & primary care practices the MBS works:-

*There are no MBS items for nurses to do health checks or give
immunisations unless they are part of a GP consultation. There are no
standard health checks that are billable under a separate MBS item unless
the person is over 40 & at risk of diabetes, or heart disease or over 75 has
a chronic health conditions. http://www9.health.gov.au/mbs/search.cfm?q705

&Submit&soptS . There are some other checks for refugees, disabled and all
eligible health checks have the same set of item numbers (701-707).

*Most wellness checks are done as a standard consult with follow-up
as needed. Technically employment, travel, and insurance health checks are
not covered under Medicare.
*There are some items for GPs managing chronic complex disease & care
planning http://www9.health.gov.au/mbs/search.cfm?q721
&soptS & there are
nurse MBS items with small rebates attached to them (5 CDM visits).
*There are specific item number for Aboriginal and Torres Strait
Islander people with 10 nurse support visits attached to item 715.

Mass vaccination for epidemics probably falls under public health and funded
by states not federal health even though the vaccines may be federally
funded under NIP. Staff vaccination will be as per above. Hope this is
helpful

Kind regards

Karen

Karen Booth

RN BHSCN GAICD

President APNA

Australian Primary Health Care Nurses Association

M: 0411 898 884

karenbooth1@bigpond.com

APNA Office
Level 2, 159 Dorcas St, South Melbourne VIC 3205
T: (03) 9669 7400 F: (03) 9669 7499
http://www.apna.asn.au

Girle

Good Afternoon gurus,

I am doing some research into revenue streams, especially around Medicare
that are applicable to nurse lead Infection Prevention and Management
programmes

Are there any nurse programme coordinators out there, that know of eligible
MBS items in this space?

*staff vaccination clinics with short consultations and injections
*staff wellness checks and immunisation status assessment with long
consultations and possible referral for pathology
*administration of vaccinations during outbreaks
*consultation in complex care cases

I would love to hear how others are getting on with revenue.

And appreciate being a part of this network.

Lana Girle | Clinical Nurse Specialist | Infection Prevention and
Management

Gove District Hospital | Top End Health Service

H Northern Territory Government

Gove District Hospital|Matthew Flinders Way, Nhulunbuy, NT 0880
* PO Box 421, Nhulunbuy, NT 0881
‘ p.. (08) 8987 0322 m.. 0419805055

* lana.girle@nt.gov.au |
http://www.nt.gov.au/health

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