MBS Item 900 supports Domiciliary Medication Management Reviews (DMMRs), enabling GPs to collaborate with accredited pharmacists to address the needs of patients with chronic conditions or complex medication regimens. This service ensures that patients receive personalised medication reviews in the comfort of their homes.
Steps to Complete a DMMR
1. Assess & Refer: Obtain the patient’s consent, assess their condition, and refer them to an accredited pharmacist.
2. Pharmacist Visit: The pharmacist visits the patient’s home, compiles an updated medication list, and provides education on medication use (e.g., puffer techniques, warfarin monitoring).
3. Review Report: The pharmacist sends a detailed report back to the GP for review.
4. Discussion: Discuss the pharmacist's findings with the patient and pharmacist to align on next steps.
5. Medication Plan: Develop a written medication management plan and send it to the patient’s chosen community pharmacy.
Key Features of MBS Item 900
- Frequency: Billable once every 12 months, or sooner if there is a significant change in the patient’s condition or medication regimen.
- Comprehensive Assessment: Provides detailed recommendations on optimising medication use and management.
- Collaborative Care: Enhances teamwork between GPs and pharmacists to improve patient outcomes.
- Additional Opportunities: Often generates follow-up billing items, such as care plans (721), health assessments (715), or vaccine suitability assessments.
Example Use Case Patient Profile:
A 68-year-old patient with diabetes, hypertension, and arthritis is struggling with medication management and experiencing frequent side effects.
Steps Taken:
- You assess the patient’s condition and refer them for a DMMR.
- The pharmacist conducts a home visit, compiles an updated medication list, and educates the patient on proper use.
- The pharmacist identifies overlapping medications causing side effects and recommends changes.
- You review the report, discuss the findings with the patient and pharmacist, and develop a new medication management plan.
- Updated summaries and plans are shared with the community pharmacist.
Billing Example:
- 900 – DMMR
- 721 – GP Management Plan
- 10997 – Chronic Disease Monitoring (if applicable)
Conclusion
MBS Item 900 enhances patient care by supporting personalised medication reviews through GP-pharmacist collaboration. It improves medication safety, adherence, and outcomes, while offering opportunities to optimise billing and workflow efficiency.
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