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theprivatepractice.com.au
Margaret Faux is
Managing Director
of Synapse Medical
Services.
Telehealth ­ the delivery of a specialist
video consultation through the Internet ­
is recognised as being an ideal medium to
improve accessibility to specialist medical
services in rural and remote Australia.
Numerous telehealth success stories were
trumpeted at the recent Health Informatics
Society of Australia (HISA) conference
in Adelaide, together with real concern
over recognised barriers to using the new
technological system. Among the barriers
was the dearth of knowledge about the
Medical Benefits Scheme (MBS) and how to
correctly bill for these services.
The new MBS telehealth items were first
introduced on 1 July 2011 and include both
specialist and patient-end rebates, which
are claimable for outpatient services in
`telehealth eligible' areas. An eligible-area
exemption applies to all residential aged-care
facilities and aboriginal medical services, so
indigenous people and residents in nursing
homes have access to telehealth at all times.
There are two ends of the service to
consider ­ the (usually rural) patient end
and the (usually metropolitan) specialist
end. From 1 November 2012, these two ends
must be at least 15 kilometres apart. The
specialist-end service must be an eligible
service (meaning a rebate is available).
Questions relating to telehealth claiming
arise in a variety of contexts, some of which
are quite straightforward ­ such as questions
concerning referrals and aftercare. All
requirements for valid referrals (which you
can read about in the Winter 2013 edition of
The Private Practice eZine) apply to telehealth,
as do the aftercare rules ­ so, no rebate for
aftercare, real or virtual.
Access All Areas
While Telehealth is a rational approach to addressing specialist shortages in rural
and remote parts of the country,
Margaret Faux says there are complex issues
for all practitioners to get to grips with.
TELEHEALTH CLAIMING ESSENTIALS
·Thethresholdquestionisalwaysrelatedtothepatient,nottheprovider.
·AllusualMedicarerequirements,suchasreferralsandaftercare,apply.
·Thespecialistservicemustbeclaimablebeforethepatient-endservicebecomesclaimable.
·Bothservicesdonothavetobeclaimedbutmustbeclaimable.