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To access the MBS App click on the 'mbs' title in Topbar. This will display guidelines for eligible patients. Apps in Topbar are by default only displayed when there is any activity indicated for the patient open in the clinical system.


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The MBS app can assist a provider in determining which MBS item is relevant for the patient currently open in the clinical system.  Topbar looks at the billing history of the patient at the clinic only - Medicare does currently not allow third party access to information about billing elsewhere. We extract the information from your local billing and clinical system.

Topbar also looks at the coded reason for visit to establish if an activity required to claim an item has been ‘done’ and is ready for claiming. This applies to most of the items we use (GPMP, TCA, health checks,…). Free text or entry as part of a progress note will not be picked up, it needs to be a coded reason for the presentation/visit.

Once an item has been successfully claimed (not just submitted) it will be marked with the green tick as ‘up to date’ in the Topbar MBS App.

For details on the Eligibility and Settings tab see here:


We are prompting for the following items:

 

MBS Item NumberName/CommentsEligibility CriteriaHow to record it in the clinical system
721GP Management Plan

Diabetes

Asthma

CHD active and inactive

COPD

Hypertension chronic

Heart failure

Peripheral vascular disease

Stroke

Mental health

Osteoporosis

Osteoarthritis

Rheumatoid arthritis

Coeliac

Chronic renal failure

Palliative care

Cancers


No claim recorded within the last 12 months

Not in residential care

coded reason for visit
723Team Care Arrangementas abovecoded reason for visit
732GPMP/TCA Reviewclaimed GPMP/TCA recorded and at least 3 months ago - can't be claimed
within 3 months of a Diabetes cycle of care
coded reason for visit
701, 703, 705, 707Health Assessments

patient in correct age group and no claim recorded in the

respective time frame for the item

coded reason for visit, different MBS item
depending on age

900, 903

Domestic or Residential Care

Medication Review

No claim recorded within the last 12 monthsMedication review field in clinical system
OR coded reason for visit
2700, 2701, 2715, 2717

GP Mental Health Treatment Plan

(GP MHTP)

Anxiety

Schizophrenia

Bipolar

Depression

No claim recorded within the last 12 months

Not in residential care

coded reason for visit
2712GP MHTP Reviewclaimed GP MHTP recorded and at least 3 months agocoded reason for visit
2517, 2512, 2525Diabetes Cycle of Care

Diabetes diagnosis

all indicators entered within the prescribed time frame

No claim recorded within the last 12 months, can't be claimed within 3 months of a GPMP/TCA review

all required activities have been recorded in
the prescribed time frame and in the correct
field in the CIS

715Indigenous Health Assessment

Ethnicity = Indigenous

No claim recorded within the last 12 months

Under Health Assessments or as coded reason
for visit
2546, 2552, 2558Asthma Cycle of Care

Diagnosis Asthma

all required information entered within the prescribed
time frame

No claim recorded within the last 12 months

coded reason for visit and built in cycle of care

10997Practice Nurse or Aboriginal Health
Worker item GPMP/TCA patient

Service provided to a person with a chronic disease if:

(a) the service is provided on behalf of and under the supervision of a medical practitioner; and

(b) the person is not an admitted patient of a hospital; and

(c) the person has a GP Management Plan, Team Care Arrangements or Multidisciplinary Care
     Plan in place; and

(d) the service is consistent with the GP Management Plan, Team Care Arrangements or
     Multidisciplinary Care Plan

to a maximum of 5 services per patient in a calendar year

successfully claimed item
10987

Practice Nurse or Aboriginal Health

Worker item follow up HA

Follow up service  on behalf of a medical practitioner, for an Indigenous person who has received
a health assessment if:

a)    The service is provided on behalf of and under the supervision of a

medical practitioner; and

b)    the person is not an admitted patient of a hospital; and

c)    the service is consistent with the needs identified through the health assessment;

    -    to a maximum of 10 services per patient in a calendar year

successfully claimed item