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Changes to MBS most relevant to GPs from 1st November 2018:
1. Changes to office-based spirometry items:
• New #11505 for Office-Based Spirometry for Diagnosis
Item: Measurement of spirometry (diagnosis).
Service: Permanently recorded tracing, performed before and after inhalation of a bronchodilator – to confirm diagnosis of asthma, chronic obstructive pulmonary disease (COPD) or other causes of airflow limitation.
Billing requirement: Each occasion at which 3 or more recordings are made. Applicable only once per patient in any 12 month period.
MBS Fee: $34.95.
• Change to #11506 description to Office-Based Spirometry for Monitoring
Item: Measurement of spirometry (monitoring).
Service: Permanently recorded tracing, performed before and after inhalation of a bronchodilator – to confirm diagnosis of chronic obstructive pulmonary disease (COPD), assess acute exacerbations of asthma, monitor asthma and COPD, assess other causes of obstructive lung disease or the presence of restrictive lung disease.
Billing requirement: Each occasion at which recordings are made.
MBS Fee: $17.50.
2. GPs directly referring patients for home or laboratory-based sleep studies will need to determine patient’s eligibility by using approved assessment tools:
• Either one of:
• STOP-BANG score≥ 4
• OSA-50 score ≥5, or
• Berlin Questionnaire – high risk
• Epworth Sleepiness Scale score ≥8
3. Removal the following skin items:
4. GP will not be able to request knee MRI for patients ≥50 years of age.
5. For non-VR GPs in MM2-7 regions, items 181, 187, 191, 206 and 183, 188, 202, 212 will have their fees amended.
A new immunisation module has been added under GP Resources.
This module provides practical immunisation information for GPs including:
1. Where to access the latest National and State/Territory immunisation schedules
2. Risk classification of the immunisation schedule
3. Eligible criteria for common funded and private vaccines
4. Pre-vaccination procedures
5. Procedures for administering intramuscular and subcutaneous vaccines.
To access this module, please go to http://primaryhealthcare.mrooms.net/course/view.php?id=7#section-3
There are 2 pathways in which GPs can obtain completion of MHST
- Completing a minimum 6 hour online course accredited as MHST by the GPMHSC Committee, or
- Completing a face to face course accredited as MHST by the GPMHSC Committee
If you would like to complete Mental Health Skills Training, there is an online option available via gplearning.
94398 - Mental Health Skills Training with a focus on youth mental health (gplearning)
The Mental Health Skills Training with a focus on youth mental health active learning module (ALM) provides general practitioners (GPs) with the skills to recognise and assess mental illnesses and to prepare evidence-based GP mental health treatment plans.
In recognition of these increased skills, GPs who have completed mental health skills training (MHST) gain access to additional MBS items 2715 and 2717.
The MHST modular pathway and this ALM consist of two modules:
A Mental Health Core Module, which provides an overview of the Australian mental healthcare system, aetiology of the common mental illnesses seen in general practice and how to complete mental health treatment plans.
A Mental Health Clinical Enhancement Module which provides participants with the opportunity increase their skills in detecting and managing mental illness in young people.
Please click on the below link to access the course on the RACGP website:
Every fortnight the RACGP's GPMHSC send a report to Medicare of GPs who have completed their Mental Health Skills Training and have a Medicare provider number in their system.
Medicare usually takes 4-6 weeks to process this and then they will send you a letter confirming that you are able to begin using the new MBS item numbers.
Another additional Mental Health Training with specific item number: 4001: for non-directive pregnancy support counselling services provided to women who are concerned about a current pregnancy, or a pregnancy that occurred in the preceding 12 months. Rebates for up to three non-directive pregnancy support counselling services per patient, per pregnancy, may be claimed.
GPs who complete the Pregnancy advice and support (including assessment) activity on gplearning can use Medicare Benefits Schedule (MBS) item number 4001 when consultations meet the necessary requirements.
Please contact the gplearning Helpdesk if you have questions about these courses:
T: 1800 284 789
(Edited by Shirley Fung - original submission Friday, 23 June 2017, 10:12 AM)