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Medicare Benefits Schedule (MBS) service provider

Identifying and definitional attributes

Metadata item type:Help on this termGlossary Item
Synonymous names:Help on this termMBS service provider
METeOR identifier:Help on this term608802
Registration status:Help on this termCommonwealth Department of Health, Standard 14/10/2015
Definition:Help on this term

To be eligible to provide medical service which will attract Medicare benefits, or to provide services for or on behalf of another practitioner, practitioners must meet one of the following criteria:
(a) be a recognised specialist, consultant physician or general practitioner; or
(b) be in an approved placement under section 3GA of the Health Insurance Act 1973; or
(c) be a temporary resident doctor with an exemption under section 19AB of the Health Insurance Act 1973, and working in accord with that exemption.
 
Any practitioner who does not satisfy the requirements outlined above may still practice medicine but their services will not be eligible for Medicare benefits.
 
NOTE: New Zealand citizens entering Australia do so under a special temporary entry visa and are regarded as temporary resident doctors.

NOTE: It is an offence under Section 19CC of the Health Insurance Act 1973 to provide a service without first informing a patient where a Medicare benefit is not payable for that service (i.e. the service is not listed in the MBS).

Source and reference attributes

Steward:Help on this termDepartment of Health
Reference documents:Help on this term

Australian Government Department of Health. Medicare Benefits Schedule Book Operating from 01 April 2015. Viewed 2 June 2015, http://www.mbsonline.gov.au/internet/mbsonline/publishing.nsf/
Content/downloads

Office of Parliamentary Counsel, Federal Register of Legislation website 2014. Health Insurance Act 1973 (Cwth). Office of Parliamentary Counsel, Canberra. Viewed 12 April 2017, https://www.legislation.gov.au/Details/C2016C01004

Relational attributes

Metadata items which use this glossary item:Help on this term

Service event—amount of Medicare Benefit Schedule (MBS) benefit paid, Australian currency N[NNN].NN Commonwealth Department of Health, Standard 14/10/2015

Service event—date of Medicare service, DDMMYYYY Commonwealth Department of Health, Standard 14/10/2015

Service/care provider—Australian state/territory identifier, ACT-prioritised Australian state/territory code N Commonwealth Department of Health, Standard 14/10/2015

Service/care provider—Medicare referring provider identifier, NNNNNN Commonwealth Department of Health, Standard 14/10/2015

Service/care provider—Medicare referring provider practice location identifier, X Commonwealth Department of Health, Standard 14/10/2015

Service/care provider—Medicare service provider identifier, NNNNNN Commonwealth Department of Health, Standard 14/10/2015

Service/care provider—Medicare service provider practice location identifier, text X Commonwealth Department of Health, Standard 14/10/2015

Service/care provider—number of Medicare services provided, total number N Commonwealth Department of Health, Standard 14/10/2015

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