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 item has been ‘done’ and is ready for claiming. This applies to most of the items we use (GP MP, 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 as ‘up to date’ in the Topbar MBS App.
We are prompting for the following items:
| MBS Item Number | Name/Comments | Eligibility Criteria | How to record it in the clinical system |
|---|---|---|---|
| 721 | GP 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 |
| 723 | Team Care Arrangement | as above | coded reason for visit |
| 732 | GPMP/TCA Review | claimed GPMP/TCA recorded and at least 3 months ago | coded reason for visit |
| 701, 703, 705, 707 | Health 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 |
| 900, 903 | Domestic or Residential Care Medication Review | No claim recorded within the last 12 months | Medication 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 |
| 2712 | GP MHTP Review | claimed GP MHTP recorded and at least 3 months ago | coded reason for visit |
| 2517, 2512, 2525 | Diabetes Cycle of Care | Diabetes diagnosis all indicators entered within the prescribed time frame No claim recorded within the last 12 months | all required activities have been recorded in |
| 715 | Indigenous Health Assessment | Ethnicity = Indigenous No claim recorded within the last 12 months | Under Health Assessments or as coded reason for visit |
| 2546, 2552, 2558 | Asthma Cycle of Care | Diagnosis Asthma all required information entered within the prescribed No claim recorded within the last 12 months | all required activities have been recorded in |
To access the MBS App click on the 'mbs' title in Topbar. This will display guidelines, activities and claims under the three headings. Apps in Topbar are by default only displayed when there is any activity indicated for the patient open in the clinical system.