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.
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.
For details on the Eligibility and Settings tab see here:
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 - can't be claimed within 3 months of a Diabetes cycle of care | 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 |
| 715 | Indigenous Health Assessment | Ethnicity = Indigenous No claim recorded within the last 12 months | Under Health Assessments or as coded reason for visit |
| 10997 | Practice 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 (d) the service is consistent with the GP Management Plan, Team Care Arrangements or 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) 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 |
| 699 or 177 | Heart Health Check | The intention of this item is to identify cardiovascular disease (CVD) in people not known to have CVD including: (a) Aboriginal or Torres Strait Islander persons who are aged 30 years and above; (b) Adults aged 45 years and above. Claimable once only in a 12 month period. The heart health assessment item cannot be claimed if a patient has had a health assessment service (items 701, 703, 705, 707, 715) in the previous 12 months. | All required activities are present in the patient record and the item was successfully claimed |