![]() but it's the consultant who should have been named as the referring doctor. reissued if a genuine error has occurred. This example can therefore be viewed as falling within that category and, as such, the most sensible course of action is to call the hospital which you will inevitably have to do anyway negotiate being put through to the consultant, explain to him or her what has occurred and seek confirmation that the referral was issued on the relevant date by him or her. Then correct your claim and resubmit. correct referring doctor will usually be the director of the department or, in the case of a larger emergency department, one of the staff specialists. requirements for some items such as the Geriatrician services covered by items 141-147. These must be GP referred and are very specific regarding reporting back to the GP. Always check the MBS if you are unsure. Electronic Transactions Act 1999. Importantly, referrals for outpatient services in public hospitals are covered by the National Healthcare Agreement and, as such, are not the subject of this article. of building your practice as a business asset. And now you have been assured that there is no Medicare requirement to specifically name the specialist to whom the patient is being referred, this no longer needs to be viewed as an impediment to building your practice for sale. scheme, their role in state-run, public- hospital clinics is unimaginably labyrinthine in comparison. As many of us struggle to reconcile the federal legislation and the National Healthcare agreement in the context of regularly changing national- partnership agreements, contentious Council of Australian Governments conferences held by health ministers and the potential impact of the National Disability Insurance Scheme perhaps we should be thankful private- sector referrals are fairly straightforward! that indefinite but most of you will know this is simply not the case. |