The questions1. What are the items?
2. Who is eligible for treatment?
3. Who can provide this treatment?
4. Is a referral necessary?
5. May a geriatrician or consultant physician refer patients to allied health?
6. What should a referral to a geriatrician or consultant physician include
7. How does a geriatrician or consultant physician report back to the referring GP?
8. What happens to GP care plans that are already developed?
9. Where can I get more information?
|Medicare Item Number||Item explanation|
|Item 141||Comprehensive assessment and development of a management plan: an initial attendance of 60 minutes duration or more that may occur in a consulting room or hospital.|
|Item 143||Subsequent attendance: a subsequent attendance to review/revise the initial management plan as necessary. This consultation must be of 30 minutes duration or more and may occur in a consulting room or hospital.|
|Item 145||Initial attendance: an initial attendance to undertake a comprehensive patient assessment that facilitates the development of a management plan. This consultation must be of 60 minutes duration or more and must occur in a place other than a consulting room or hospital.|
|Item 147||Subsequent attendance: a subsequent attendance to review/revise the initial management plan. This consultation must be of 30 minutes duration or more and may not occur in a consulting room or hospital.|
- complex and possibly interacting medical, physical and psychological problems
- a significant risk of poor health outcomes.
In the event that a specialist of another discipline seeks to refer a patient, then a referral is still required from a GP. In either case it is the specialist's clinical judgement whether a management plan is developed.
- Items 143 and 147 are available for GP initiated review of a management plan (developed under items 141 and 145), where the current plan is not achieving the anticipated outcome/s.
- managed by their GP using a GPMP and TCA
- referred to eligible services by their GP
- a patient history
- relevant pathology results
- medications and possible interactions (with a focus on presenting symptoms and current difficulties)
- other health professional documentation such as health assessments and care plans.
- where a patient is already being managed by a GP with a GPMP or TCA, but is referred to a geriatrician or consultant physician for further assessment, the specialist's management plan should only enhance the patient’s existing GPMP or TCA. This does not prevent the GP from reviewing the existing GPMP or TCA so as to incorporate the geriatrician’s/consultant physician’s management plan.
- For patients phone Medicare on 132 011
- For practitioners phone Medicare on 132 150
- MBS online.