Current private sector remuneration arrangements MBS items currently available to palliative care specialists A total of 18 professional attendance items are currently available to medical practitioners registered to claim as palliative care specialists on the MBS (under Schedule 24). These items can be grouped into four categories as presented in Table 51. Table : Current MBS item numbers available to all palliative care specialists Professional attendance 3005 3018 - - Subsequent attendance 3010 3023 - - subsequent attendance 3014 3028 - - Min Organise/coordinate duration 15-30 mins - - 3032 3069 – Organise/coordinate duration 30-45 mins - - 3040 3074 – Organise/coordinate duration 45+ mins - - 3044 3078 – Participate duration 15-30 mins - - 3051 3083 – Participate duration 30-45 mins - - 3055 3088 – Participate duration 45+ mins - - 3062 3093 – For palliative care specialists, who may also be registered as physicians with the MBS (Schedule A4), five attendance items are available including: Initial attendance (item 110); Subsequent attendance (item 116); Minor subsequent attendance (item 119); Referred patient treatment and management plan duration 45+ mins (item 132); and – Review of referred treatment and management plan duration 20+ mins (item 133). – Thus co-registered palliative care specialists who are also physicians are given allowance to claim for longer and more complex patient assessments that require detailed treatment and management planning. Variations in access to MBS for assessment Current MBS billing arrangements available to palliative medicine specialists depend upon whether or not they have registered on the MBS as fellows in palliative medicine, or rely upon fellowships they have obtained prior to becoming a recognised fellow of the Chapter of Palliative Medicine. According to Chapter fellowship data around 51% of all
Current private sector remuneration arrangements MBS items currently available to palliative care specialists A total of 18 professional attendance items are currently available to medical practitioners registered to claim as palliative care specialists on the MBS (under Schedule 24). These items can be grouped into four categories as presented in Table 51. Table : Current MBS item numbers available to all palliative care specialists Professional attendance 3005 3018 - - Subsequent attendance Min 3010 3023 - - subsequent attendance 3014 3028 - - Organise/coordinate – duration 15-30 mins - - 3032 3069 Organise/coordinate – duration 30-45 mins - - 3040 3074 Organise/coordinate – duration 45+ mins - - 3044 3078 Participate – duration 15-30 mins - - 3051 3083 Participate – duration 30-45 mins - - 3055 3088 Participate – duration 45+ mins - - 3062 3093 For palliative care specialists, who may also be registered as physicians with the MBS (Schedule A4), five attendance items are available including: Initial attendance (item 110); Subsequent attendance (item 116); Minor subsequent attendance (item 119); Referred patient treatment and management plan – duration 45+ mins (item 132); and Review of referred treatment and management plan – duration 20+ mins (item 133). Thus co-registered palliative care specialists who are also physicians are given allowance to claim for longer and more complex patient assessments that require detailed treatment and management planning. Variations in access to MBS for assessment Current MBS billing arrangements available to palliative medicine specialists depend upon whether or not they have registered on the MBS as fellows in palliative medicine, or rely upon fellowships they have obtained prior to becoming a recognised fellow of the Chapter of Palliative Medicine. According to Chapter fellowship data around 51% of all
1159-FinalContractedAssessmentReportAccessible.docx