Certain MBS items allow health practitioners, such as nurses, Aboriginal health workers, and midwives, to perform services under the supervision of a GP or specialist. This delegation enhances practice efficiency while maintaining high standards of patient care.
Key MBS Items for GPs
1. 10997 – Care Plan Review by Nurse
Supports chronic disease management as part of a GP Management Plan (GPMP). Nurses provide follow-up care under the supervision of a GP,
ensuring patients receive continuity of care.
2. 10987 – Follow-Up Post-715 Health Assessment
Available for Indigenous patients who have completed a 715 Health Assessment, enabling Aboriginal health workers to deliver follow-up care.
3. 16400 – Antenatal Services
Midwives can provide antenatal care under the supervision of a GP, ensuring a comprehensive approach to maternity care.
4. 10988 – Immunisation Service
Aboriginal health workers can administer immunisations under this item. It can also be co-billed with a professional attendance item.
5. 10989 – Wound Care Service
Covers wound care services provided by Indigenous health workers, with oversight and care planning by a GP.
6. COVID-19 Vaccine Suitability Assessments
COVID-19-related suitability assessments remain crucial for both telehealth and in-person care.
Key MBS Items for Hospitalists
1. 13706 – Blood Transfusion
Covers transfusion services delivered in hospital settings, ensuring patient safety and quality care.
2. 14221 – Long-Term Device Management
Includes services related to managing or flushing implanted devices, such as PICC lines.
3. 13950 – Administration of Antineoplastic Agents
Supports the administration of chemotherapy drugs to patients in hospitals.
Example Billing Scenarios
1. Immunisation and Consultation
A nurse administers a flu vaccine for an Indigenous patient under item 10988, while the GP addresses diabetes management during the same consultation using item 23.
2. Chronic Disease Follow-Up
A nurse reviews a GPMP under item 10997, following up on the patient’s progress and adjusting care plans. This allows the GP to focus on new consultations.
3. PICC Line Management
A hospitalist oversees the flushing of a patient’s long-term PICC line under item 14221, ensuring continuity of care for patients with complex needs.
Conclusion
Delegating services under supervised MBS items enhances efficiency and improves patient care by utilising a collaborative approach. By leveraging these items, healthcare teams can optimise workflows, maintain compliance, and provide comprehensive care tailored to diverse patient needs.
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