ExMI factsheet - September 2019.pdf
ExMI factsheet - September 2019.dotx
What are the changes?
From 1 November 2019, the Department of Health will, subject to parliamentary scrutiny, amend the definition of a ‘non-Medicare’ service in the Health Insurance (General Medical Services Table) Regulations 2019 to include Extracorporeal Magnetic Innervation (ExMI).
Why are the changes being made?
ExMI has not been approved for public funding under the Medical Benefits Schedule (MBS). This change will prevent the claiming of any Medicare service provided in connection with ExMI.
The amendment is being introduced to ensure correct use of the MBS.
What does this mean for providers?
This clause reinforces the appropriate use of the MBS. The amendment clarifies that ExMI cannot be claimed for sessions provided at the same time as, or in connection with, a Medicare service.
Unless practitioners are misusing the MBS, this change will have no effect on providers.
How will these changes affect patients?
There should be no impact on patients because there has been no change in services which are eligible for MBS funding. Patients will continue to have access to clinically relevant services.
How will the changes be monitored and reviewed?
The Department of Health regularly reviews the usage of new and amended MBS items in consultation with the profession.
All MBS items may be subject to compliance processes and activities, including random and targeted audits which may require a provider to submit information about the services claimed.
Where can I find more information on other changes?
The full item descriptor(s) and information on other changes to the MBS can be found on the MBS Online website at www.mbsonline.gov.au. You can also subscribe to future MBS updates by visiting MBS Online and clicking ‘Subscribe’.
The Department of Health provides an email advice service for providers seeking advice on interpretation of the MBS items and rules and the Health Insurance Act and associated regulations. If you have a query relating exclusively to interpretation of the Schedule, you should email askMBS@healt.h.gov.au
Subscribe to ‘News for Health Professionals’ on the Department of Human Services website and you will receive regular news highlights.
If you are seeking advice in relation to Medicare billing, claiming, payments, or obtaining a provider number, please go to the Health Professionals page on the Department of Human Services website or contact the Department of Human Services on the Provider Enquiry Line – 13 21 50.
The data file for software vendors is expected to become available on [date] and can be accessed via the MBS Online website under the Downloads page.