All information is current as at 1 November 2016.

MBS items for Case Conferencing by a GP in a Residential Aged Care Facility or a community case conference or a discharge case conference

Service type GP case conferencing
MBS item 735 (15-20 mins); MBS item 739 (20-40 mins); MBS item 743 (40 mins)

GP to organise or coordinate a case conference in a Residential Aged Care facility or a community case conference or a discharge case conference.  
or
MBS item 871
GP to lead and coordinate a multidisciplinary case conference on a patient with cancer to develop a multidisciplinary treatment plan.
Ensure patient / client eligibility For patients with at least one medical condition that: has been (or is likely to be) present for at least six months; or is terminal; and require ongoing care from a multidisciplinary case conference team which includes: a medical practitioner; and at least two other members, each of whom provides a different kind of care or service to the patient and is not a family carer of the patient, and one of whom may be another medical practitioner.
Obtain patient consent The GP must explain to the patient the nature of a multidisciplinary case conference, and ask the patient for their consent to the conference taking place; which must be documented in the patient's notes.
Role of the GP To explain to the patient the nature of a multidisciplinary case conference, and ask the patient for their agreement to the conference taking place; record the patient's agreement to the conference; record he day on which the conference was held, and the times at which the conference started and ended; record the names of the participants; offer the patient and the patient's carer (if any, and if the practitioner considers it appropriate and the patient agrees) a summary of the conference and provide this summary to other team members; discuss the outcomes of the conference with the patient and the patient's carer (if any, and if the practitioner considers it appropriate and the patient agrees); and record all matters discussed and identified by the case conferencing team and put a copy of that record in the patient's medical records.
Case conference team
Examples of persons who, for the purposes of care planning and case conferencing may be included in a multidisciplinary care team are allied health professionals: Aboriginal health care workers; asthma educators; audiologists; dental therapists; dentists; diabetes educators; dietitians; mental health workers; occupational therapists; optometrists; orthoptists; orthotists or prosthetists; pharmacists; physiotherapists; podiatrists; psychologists; registered nurses; social workers; speech pathologists. A team may also include home and community service providers, or care organisers, such as: education providers; "meals on wheels" providers; personal care workers; probation officers. The patient's informal or family carer may be included as a formal member of the team in addition to the minimum of three health or care providers.  The patient and the informal or family carer do not count towards the minimum of three.
Elements of a case conference
Elements of a case conference (MBS Items 735-758)
Process by which a multidisciplinary team discusses a patients history; identifies the patients multidisciplinary care needs; identifies the outcomes to be achieved by members of the case conference team giving care and service to the patient; identifies tasks that need to be undertaken to achieve these outcomes and allocates those tasks to members of the case conference team and assess whether previously identified outcomes if any have been achieved.
Frequency of service A rebate will not be paid within 12 months of a previous claim for item 721, or within three months of a claim for items 729, 731 or 732 (for a review of a GP management plan), except where there are exceptional circumstances that require the preparation of a new GP management plan.
Further information MBS Online - Medicare Benefits Schedule
Australian Department of Health - Primary care (GP, nursing, allied health)
Australian Department of Human Services - Education services for health professionals

MBS items for GP participation in case conferencing in a Residential Aged Care Facility; Community case conference or a discharge case conference.

Service type GP participation in case conferencing
MBS item 747, MBS item 750, MBS item 758

GP to participate in a case conference organised/ coordinated by another provide in a Residential Aged Care facility or a community case conference or a discharge case conference.  
or
MBS item 872
GP to participate in a multidisciplinary case conference on a patient with cancer to develop a multidisciplinary treatment plan.
Ensure patient / client eligibility For patients with at least one medical condition that: has been (or is likely to be) present for at least six months; or is terminal; and require ongoing care from a multidisciplinary case conference team which includes: a medical practitioner; and at least two other members, each of whom provides a different kind of care or service to the patient and is not a family carer of the patient, and one of whom may be another medical practitioner.
Obtain patient consent The provider must explain to the patient the nature of a multidisciplinary case conference, and ask the patient for their consent and document in the patient's notes.
Role of the GP Attendance by a GP as a member of a case conference team, to participate in a case conference in a residential aged care facility or a community case conference or a discharge case conference (not being a service associated with a service to which items 721 to 732 apply).
Role of the case conferencing provider
The patient does not have to be present at a case conference, though in some cases their presence may be appropriate.
Arrange for the case conference to occur face-to-face, by phone or by video conference, or through a combination of these. The minimum three care providers (including the GP) must be in communication with each other throughout the conference.
Document all meeting and outcomes.  
Provide copies of outcomes to all participants.
Develop a plan Discuss a patient's history; and
Identify the patient's multidisciplinary care needs; and
Identify outcomes to be achieved by each team member; and
Identify tasks that need to be undertaken to achieve these outcomes, and allocate those tasks to members of the case conference team; and
Assess whether previously identified outcomes (if any) have been achieved.
Frequency of service MBS item 747 (15-20 mins); MBS item 750 (20-40 mins); MBS item 758 (40 mins)
Maximum of 5 conferences per resident in 12 month period.
Further information MBS Online - Medicare Benefits Schedule
Australian Department of Health - Primary care (GP, nursing, allied health)
Australian Department of Human Services - Education services for health professionals