What is the Diagnostic Imaging Multiple Service Rule?
Diagnostic imaging items are subject to a multiple services rule. There are 3 rules, A, B and C, which may apply together.
Rule A. If 2 or more diagnostic imaging services are provided to a patient on the same day, the fee for the second and subsequent items is reduced by $5.
Rule B. When at least one consultation is provided to a patient on the same day, there is a reduction in the fee for the diagnostic imaging service of $35. Consultations are defined as items 1 to 10816.
Rule C. When a diagnostic imaging service and at least one non-consultation service is provided to the same patient on the same day, the fee for the diagnostic imaging service with the highest Schedule fee is reduced by $5.
Full details of the multiple diagnostic imaging rule is give at this link on the Medicare website.
Related Articles
Multiple operation rules
For surgeons and assistant surgeons, where there are several billable surgical items on an invoice the appropriate Multiple Operation Rule will apply. CESoft will apply the appropriate rule when you select a fund. In most cases this is the MBS rule ...
Cutting Edge Concierge Service
As a part of your basic subscription, Cutting Edge support staff provide training and advice on the software, by email, phone and remote sessions. Should you require additional support for rejected, unpaid, part-paid, overdue accounts etc, Cutting ...
How to login to Self Service Support and Knowledge Base
If you have a support query or an issue to report, the best way to do so is through our Self-Service Support Portal. It has a wide range of articles on useful topics, and if you don't find your answer there you can also submit new support tickets and ...
Handling two or more identical services on the same day with Not Duplicate Service flags
Medicare checks that electronic claims are not duplicates of other claims that have already been paid. This can cause issues where a patient requires more than one consultation on the same day, or is taken back to the operating theatre. To improve ...
Assistant Surgeon Invoices
The Invoices screen for Surgeons has an Assist check box which should be ticked for Assistant claims. Uncheck the Assist box for other claims, such as consultations and non-surgical procedures, or if you are the primary surgeon. NOTE: You don't need ...