MBS Items Online Checker and patient care plan history search in HPOS 133-20111745

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Services Australia website

MBS education for health professionals

Viewing a patient’s care plan history

Using the MBS items online checker in HPOS

Reporting Health fraud

FAQs from health professionals about a patient care plan history search

Table 1: in the following table 'I' and 'you' refers to the health professional.

Item	Description
1	What items appear when I use the care plan search? HPOS displays items that are part of: General Practitioner (GP) Management Plans Team Care Arrangements Multidisciplinary Care Plans GP Mental Health Treatment Plans
2	I cannot access specific details about my patient’s care plan This resource is not intended to provide detailed clinical information. It is available for checking whether a care plan exists to assess whether additional treatment is clinically appropriate. Patients may share relevant clinical details with health professionals using their My Health Record or getting a previous health professional to send their records over.
3	How do I access the View patient care plan history? You need to have access to Health Professional Online Services (HPOS). Instructions are available on the Services Australia website.
4	Can my practice manager or practice staff member access this information on my behalf? Yes, delegates can access this service on your behalf. Health professionals can nominate a delegate in HPOS Go to: My details My delegates Add new delegate Enter RA number Search Nominate Delegate gets an email notification. Delegates can request access in HPOS Go to: HPOS Homepage > My providers Request delegation Enter RA number Search Nominate The health professional can then approve the request.

FAQs from patients about care plans

Table 2: in the following table 'I' and 'you' refers to the patient.

Item

Description

I am on a care plan. Can a general practitioner (GP) other than my regular GP check the details?

No, they can only check if you are on a care plan or not. For further information, the health professional who has created the care plan will be able to provide more information. Alternatively, you can allow different health professionals access to your clinical records using My Health Record.

Note: Service Officers, see Medicare online account - Care plan search history screen for more information about the Care plan search history screen.

FAQs from health professionals about MBS Items Online Checker

Table 3: in the following table 'I' refers to the health professional.

Item	Description
1	What items are available on the items online checker? The MBS Items Online Checker displays a full list of the items available. Select the relevant item range tab to find if your item number is listed or use the Search item number option to search for a MBS item. The list is updated regularly. Health professionals can use the Filter by Care Plan option. This will group MBS items related to specific Care Plan types. Note: Service Officers, see the screenshot of the MBS Items Online Checker screen in HPOS. The screenshot is an example only and item numbers displayed may not be current.
2	Why would I use the Item checker? The MBS Items Online Checker enables health professionals to check eligibility to claim an item for a patient.
3	What will happen when a patient has seen another health professional who has provided the same service on an earlier date, Medicare has not received and assessed the claim, and/or the previous claim is pending and not yet in the patient’s history? The MBS Items Online Checker will return a ‘Yes’ response.
4	Can I use the MBS Items Online Checker without my provider numbers and/or the patient’s Medicare information? Without this information, the system cannot determine if the search has returned the correct response.
5	Does a 'Yes' answer indicate the patient is eligible for me to bill Yes. The patient is eligible at the time of checking the item, however it is important to bill the item close to the time that the check was undertaken.
6	I am searching 5 items at a time, why is the MBS Items Online Checker returning incorrect results? It is best to search for one item number at a time. This is because some numbers restrict with each other, which may show incorrect results.
7	Can I check items well in advance of the service being provided? No, it is important to verify the patient eligibility using the MBS Items Online Checker close to the date of the service. If the check is done too far in advance, there is a risk of other claims being lodged and paid.
8	Can I check a patient’s eligibility for the Child Dental Benefits Schedule (CDBS)? Yes, however, restrictions that apply to a particular tooth cannot be checked through this service.

Intranet link

Health Professional Online Services (HPOS)

Screenshots

$\\INTERNAL.DEPT.LOCAL\Shared\NAT\SERDELEXCEL\WORKPRODIMP\Operation Blueprint Migration\RDT Release Icons\32w\icon-attachment.png$ Medicare online account - Care plan search history screenshots

$\\INTERNAL.DEPT.LOCAL\Shared\NAT\SERDELEXCEL\WORKPRODIMP\Operation Blueprint Migration\RDT Release Icons\32w\icon-attachment.png$ View patient care plan history - find patient record screenshot

$\\INTERNAL.DEPT.LOCAL\Shared\NAT\SERDELEXCEL\WORKPRODIMP\Operation Blueprint Migration\RDT Release Icons\32w\icon-attachment.png$ View patient care plan history - patient consent screenshot

$\\INTERNAL.DEPT.LOCAL\Shared\NAT\SERDELEXCEL\WORKPRODIMP\Operation Blueprint Migration\RDT Release Icons\32w\icon-attachment.png$ View patient care plan history - care plan history (results) screenshot

$\\INTERNAL.DEPT.LOCAL\Shared\NAT\SERDELEXCEL\WORKPRODIMP\Operation Blueprint Migration\RDT Release Icons\32w\icon-attachment.png$ MBS Items Online Checker screenshot