The MBS Items tab is available when a compatible billing system is used and correctly configured in CAT4. The details on how to configure your preferences to collect billing data as well as clinical data can be found here: Choosing and configuring your Billing System
The data is displayed as a bar graph of:
- Count of patients with MBS items recorded
- Count of patients with no MBS items not recorded
- Count of patients with After Hour MBS Claims
- Count of patients with MBS Telehealth and Nurse Practitioner
- Count of patients with Covid-19 temporary MBS items introduced during the Covid-19 pandemic
The MBS items are extracted from your billing system.
Where relevant, items specific for 'other providers' have been added. Other providers are non vocationally registered clinicians who can perform the same services (health assessments, care plans and others) but have to use different item numbers from vocationally registered clinicians. These items are listed under the relevant activity and are treated the same, as the patient has received the same service.
Please note that we are reporting rejected items on the 'count' tab of the report, as it is assumed that the work (health assessments, care-planing and other) has been performed. This is likely to change with an upcoming review of the MBS item reports.
Notes
- You can use the Results filter to find the most recent MBS items that have been billed in a specific time period.
- Old item numbers are still collected and displayed in the appropriate bar segment of the graph. Refer to the table below. The item number will be viewable via the Reidentify report.
- Old items - Diabetes SIP and Asthma COC are displayed in the report to represent past data.
- MP = Medical Practitioner, NP = Nurse Practitioner, PN = Practice Nurse, AHW = Aboriginal Health Worker
- Other Provider - non vocationally registered clinicians
Old item numbers still collected Health Assessment 75+ 700 – 75+ Health Assessment Health Assessment 45-49 717 – 45-49 Health Assessment Health Assessment Other This can cover a number of case where health assessments are performed for any of the following 715, 228, 92004, 92016, 92011, 92023 (55+ Indigenous Health Assessment) 704/706 – 55+ AHC 715, 228, 92004, 92016, 92011, 92023 (15-54 Indigenous Health Assessment) 710 – 15-54 AHC 715, 228, 92004, 92016, 92011, 92023 (<15 Indigenous Health Assessment) 708 – CHC 721, 229, 92024, 92068, 92055, 92099 – CDM - GP Management Plan 723, 230, 92025, 92069, 92056, 92100 – CDM - Team Care Arrangement 732, 233, 92028, 92072, 92059, 92103 – CDM Review 725 – GP Management Plan Review 900, 245 – DMMR 903, 249 – RMMR GP MH Care Plan – includes item numbers: 272, 276, 277, 92118, 92130, 92119, 92131, 92120, 92132 2702 – GP MH Care Plan 2712, 92114, 92126 – GP MH Care Plan Review 2713, 92115, 92127 – GP MH Care Consultation Diabetes SIP 2517, 2518, 2521, 2522, 2525, 2526, 2620, 2622, 2624, 2631, 2633, 2635, 259, 260, 261, 262, 263, 264 Asthma COC 2546, 2547, 2552, 2553, 2558, 2559, 2664, 2666, 2668, 2673, 2675, 2677, 265, 266, 268, 269, 270, 271 Respiratory - includes items 11506, 11503,11505,11507,11508,11512 AH Urgent Soc – includes items 597, 598 AH Urgent Unsoc – includes items AH Non-Urgent – includes items MP Telehealth at consulting room - includes items 2100, (attendance), 2126 (attendance < 20mins), 2143 (attendance > 20 mins), 2195 (attendance > 40 mins), 812, 829, 867, 873, 885, 892 MP Telehealth not at consulting room - includes items 2122 (attendance), 2137 (attendance < 20mins), 2147 (attendance > 20 mins), 2199 (attendance > 40 mins), 827, 868, 869, 881, 891 PN or AHW - includes items 10983 (attendance) PN or AHW at RACF - includes items 10984 (attendance) NP Telehealth - includes items 82221 (attendance > 20 mins), 82222 (attendance > 40 mins) NP Telehealth at RACF - includes items 82223 (attendance < 20mins), 82224 (attendance > 20 mins), 82225 (attendance > 40 mins) NP Consult - includes items 82200 (attendance), 82205 (attendance < 20mins), 82210 (attendance > 20 mins), 82215 (attendance > 40 mins) 91192, 91193, 91178, 91189, 91179, 91190, 91180, 91191 Covid-19 Testing include 69485, 69494, 69495, 69496
MBS Items currently collected are:
where Health Assessment includes item numbers: 701, 703, 705, 707, 224, 225, 226, 227, 10986
702 – 75+ Health Assessment (home)
where Health Assessment includes item numbers: 701, 703, 705, 707, 224, 225, 226, 227,10986
where Health Assessment includes item numbers: 701, 703, 705, 707, 224, 225, 226, 227,10986
patient groups:
diabetes as determined by the Australian Type 2 Diabetes Risk Assessment Tool
727 – Team Care Arrangement Review10987 - PN/AHP review for indigenous patients 10997 - PN/AHP review for patients with a chronic condition
2700, 2701, 2715, 2717, 92112, 92124, 92113, 92125, 92116, 92128, 92117 , 92129
2710 – GP MH Care Plan
599, 600
5000, 5020, 5040, 5060, 5200, 5203, 5207, 5208
5003, 5010, 5023, 5028, 5043, 5049, 5063, 5067, 5220, 5223, 5227, 5228, 5260, 5263, 5265, 5267 Heart Health Check - includes item 699 or 177 Covid-19 GP Telehealth items include 91790, 91800, 91801, 91802 Covid-19 GP Telephone items include 91795, 91809, 91810, 91811 Covid-19 Other Provider Telehealth items include 91792, 91803, 91804, 91805, 91806, 91807,91808, 91794 Covid-19 Other Provider Telephone items include 91797, 91812, 91813, 91814, 91815, 91816, 91817, 91799 Covid-19 Other Provider Nurse Practitioners telehealth items include 91192, 91178, 91179, 91180, 91193, 91189, 91190, 91191 Covid-19 Medication Assessment 93716, 93717
Some item numbers have a follow up item number attached. For example, patients who have had a 2710 (Mental Health Plan) should have a follow up 2712 (Review of Mental Health Plan). You are able to identify patients that have not had the follow up item number by using selecting item 2710 from the recorded tab and item 2712 from the not recorded tab and using the 'Report' button to do a cross-tabulation.