аЯрЁБс>ўџ 35ўџџџ2џџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџьЅС7 №ПbjbjUU %"7|7|џџџџџџlvvvvvvvŠЖЖЖЖЪŠЙЪђђђђђђђђ8::::::$ƒ Ѓр^vђђђђђ^Њ vvђђsЊ Њ Њ ђжvђvђ8Њ ђ8Њ hЊ r8Tvv8ђц @РЉt ЭФŠ,ЖШтŒ8‰0ЙšžƒЊ ƒ8Њ ŠŠvvvvйGuidelines for Claiming the New Immunisation Practice Nurse Item Number 10993 And the Bulk Bill Item No. 10991 Item 10993 can be used when a practice nurse gives a vaccine registered under the Therapeutic Goods Act which includes all vaccines on the Australian Standard Vaccination Schedule and vaccines covered in the Australian Immunisation Handbook 8th Edition. The following substances cannot be claimed under this Item 10993: vaccines used experimentally homeopathic substances immunotherapy for allergy, eg de-sensitisation preparations other substances that are not vaccines. There may also be state/territory limitations on the administration of some vaccines,such as those for tuberculosis, Yellow Fever and Q-fever. Note that Item 10993 can only be claimed once even if multiple vaccinations are given in one visit. The conditions for claiming Item 10991 the service is provided to a Commonwealth concession card holder OR a child aged under 16 AND the service is unreferred AND the service is not provided to a patient in a hospital or day-hospital facility If these conditions are met then the Item numbers can be used as follows: Scenario 1: Practice Nurse administers vaccine. Patient NOT seen by GP. Patient Bulk Billed. Practice claims 10993 ($8.50) plus 10991 ($7.50) Total paid to practice = $16.00 Plus Gpii Payment is applicable for Childhood Immunisations Scenario 2: Practice Nurse administers the vaccine and patient is also seen by GP. Patient is Bulk Billed Practice claims 10993 ($8.50) plus 10991 ($7.50) for services of Practice Nurse Plus Item 23 (or 3) ($25.70) plus 10991 ($7.50) for services of GP Total paid to practice = $49.20 Plus Gpii Payment is applicable for Childhood Immunisations Note that The new PN Immunisation Item Number 10993 does not have to be bulk-billed GP's can issue an account for their service (ie privately bill) for any of the services provided. However, the medical practitioner is only entitled to claim an additional $5 for each item of service that is bulk billed. This includes attendance and procedural items. Shoalhaven Division of General Practice Immunisation Program SOME EXTRA FREQUENTLY ASKED QUESTIONS: Q: Can the new practice nurse items (10993 and 10996) be used where a patient is being treated under the DVA arrangements? Yes, provided the conditions of items 10993 and 10996 are satisfied. The supplementary veterans payment is available in addition to 100% of the schedule fee for these items. Q: Can the new bulk billing items (10991) be used where a patient is being treated under the Local Medical Officer (LMO) Scheme, ie under the DVA arrangements? No, if a veteran who is the holder of a Gold or White card is being treated under the Local Medical Officer (LMO) Scheme, then the additional $7.50 payment cannot be claimed by the medical practitioner. In this case, the LMO will continue to receive 100% of the schedule fee plus an additional $3.05 for each item of service provided to the veteran. In other words, while the bulk billing incentive items cannot be claimed in respect of patients being treated under the DVA arrangements, the supplementary veteran payment is payable. However, if a Gold or White card holder is also the holder of a Commonwealth concession card and they choose to be treated under the Medicare arrangements, then the medical practitioner can claim item 10990 (or items 64990 and 74990 if relevant) provided the conditions of those items are satisfied. Q: Can item 10990 be claimed in conjunction with other MBS items such as home visits, nursing home visits or the enhanced primary care items? Yes, provided the conditions of item 10991 are satisfied. Q: Can an additional $7.50 payment (item 10990) be claimed for each item of service even where the benefits paid for multiple services reduce in value (eg 100% paid for first item/service, 50% paid for second item/service, 25% paid for third item/service etc.)? 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