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CONFUSION. CONFUSION. CONFUSION!
31280? 31281? 31283? Correct Medicare billing can be a nightmare. Matt Woollard, co-presenter of the HealthCert Skin Cancer Business Management Workshop presents the following brain teaser scenarios to help you manage the mayhem. Correct answers and explanations will be posted soon.
The next one day workshop will be held in Melbourne, 19 November so why not organise a group booking and implement changes in your practice immediately after the workshop!
ESSENTIAL WORKFLOW MANAGEMENT SYSTEMS, TEMPLATES, PATIENT INFORMATION, MARKETING, MEDICO-LEGAL INFORMATION AND MORE….
CLICK HERE for the next Business Management Workshop
Scenario 1A patient is booked in for removal of a naevus one week after the initial consultation by Dr X. Dr X removes the lesion. No other service is provided. The patient is billed for Item 31205 - tumour, cyst ulcer scar, lesion up to 10mm, plus Item 23 (Level B consultation)
Q: Is this appropriate?
Scenario 2
A doctor had previously excised an lesion. The pathology report shows a BCC extending to the margin of excision. Item 31265 - BCC/SCC is billed. Four weeks later the doctor performs a re-excision however the pathology this time shows only scar tissue. Item 31266 - BCC/SCC residual same practitioner is billed.
Q: Is this appropriate?
Scenario 3
A doctor has excised a suspicious lesion and the pathology shows a melanoma extending to the margin of excision. The doctor bills Item 31325 - malignant melanoma.
Q: Is this appropriate?
Scenario 4
A doctor sees a patient for a skin check, he takes a full history and conducts a head to toe skin examination and finds a suspicious non-pigmented lesion on the right ear, the skin check takes 16 minutes. The doctor then takes the patient to the treatment room and spends another 15 minutes doing the punch biopsy. The doctor charges an item 36 for the consult and a 30071 for the punch biopsy.
Q: Is this appropriate?
Scenario 5
The patient returns for the results of their excision of a BCC 5 days after the procedure and is advised that the lesion has been completely removed. The doctor charges an item number 3 for this consultation
Q: Is this appropriate?
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