All information is current as at 1 November 2016.

Completion of the annual cycle of care for patients with Diabetes Mellitus

Service type Consultation at consulting rooms by a GP in which the annual cycle of care in completed for a patient
 MBS Item 2620 (5-25 mins); MBS Item 2622 (25-45 mins); MBS Items 2624 (> 45 mins)
Level B MBS 2517; Level C MBS 2521; Level D MBS Item 2525
Consultation at a place other than consulting rooms by a GP
MBS Item 2622 (5-25 mins); MBS Item 2633 (25-45 mins); MBS Items 2635 (>45mins)
MBS Item 2518; MBS Item 2522; MBS Item 2526
Ensure patient / client eligibility Eligibility Criteria
A person with diagnosed Diabetes Mellitus
Role of the GP Level of attendance correlates to the time spent, complexity of the consultation, and completing the minimum requirements of a cycle of care.
Level A
GP to take a short patient history; limited examination and management if required
Level B
GP to take patient history; perform a clinical examination; arrange any necessary investigations; implement a management plan; and provide appropriate preventive health care.
Level C
GP to take patient history; perform a clinical examination; arrange any necessary investigations; implement a management plan; and provide appropriate preventive health care.
Role of the PN or AHW To identify eligible clients, establish or manage a patient recall and practitioner reminder system.
Elements of a cycle of care Every visit
Self care education; review diet; physical activity; ascertain and review smoking status; check weight.
Every 6 months
Measure weight; height and calculate BMI; Measure Blood pressure; Foot examination.
Every Year
Measurement of HbA1c; Lipid profile; Micro-albuminuria and eGFR.
Every 2 years
Comprehensive eye assessment.
Period of completion Over a period of 11 and up to 13 months.
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

Completion of the annual cycle of care for patients with Asthma

Service type Consultation at consulting rooms by a GP in which the asthma cycle of care is completed
 Level B MBS Item 2546 (<20 mins); Level C MBS Item 2552 (20 mins); Level D MBS Items 2558 (40 mins)
or
Consultation at a place other than consulting rooms by a GP in which the asthma cycle of care is completed
Level B MBS Item 2547 (<20 mins); Level C MBS Item 2553 (20 mins); Level D MBS Items 2559 (40 mins)
Ensure patient / client eligibility Eligibility Criteria
Patients who meet the following criteria can be assumed to have been assessed as having moderate to severe asthma: Symptoms on most days, OR Use of preventer medication, OR Bronchodilator use at least 3 times per week, OR hospital attendance or admission following an acute exacerbation of asthma.
Role of the GP Level of attendance correlates to the time spent, complexity of the consultation, and obtaining a cervical smear from the identified target group.
Level A
GP to take a short patient history; limited examination and management if required.
Level B
GP to take patient history; perform a clinical examination; arrange any necessary investigations; implement a management plan; and provide appropriate preventive health care.
Level C
GP to take patient history; perform a clinical examination; arrange any necessary investigations; implement a management plan; and provide appropriate preventive health care.
Role of the PN or AHW To identify eligible clients, establish or manage a patient recall and practitioner reminder system.
Elements of a cycle of care At a minimum the Asthma Cycle of Care must include: - at least 2 asthma related consultations within 12 months for a client with moderate to severe asthma (at least 1 ( the review) is a consultation that was planned at a previous consultation) - documented diagnosis and assessment of level of asthma control and severity of asthma - review of the clients use of and access to asthma related medication and devices - provision to the client of a written asthma action plan (if the client is unable to use a written asthma action plan - discussion with the client about an alternative method of providing an asthma action plan, and documentation of the discussion in the client's medical records)- provision of asthma self-management education to the client.
Claiming period

Each 12 month period unless clinically indicated by exceptional circumstances.

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
National Asthma Council Australia

Taking a Cervical Smear from a Person who is unscreened or Significantly Under-screened

Service type

Provision of a cancer screening service for a person who is unscreened or significantly under-screened.

Consultation at consulting rooms by a GP in which a cervical smear is taken:
Level A MBS Item 2497; Level B MBS Item 2501 (<20 mins); Level C MBS Item 2504 (20 mins); Level D MBS Items 2507 (40 mins)

Consultation at a place other than consulting rooms by a GP in which a cervical smear is taken:
Level B MBS Item 2503 (<20 mins); Level C MBS Item 2506 (20 mins); Level D MBS Items 2509 (40 mins)

Ensure patient / client eligibility Eligibility Criteria
Applies only to a person between the ages of 20 and 69 years inclusive who has a cervix, has had intercourse and has not had a cervical smear in the last four years.
Role of the GP Level of attendance correlates to the time spent, complexity of the consultation, and obtaining a cervical smear from the identified target group.
Level A
GP to take a short patient history; limited examination and management if required.
Level B
GP to take patient history; perform a clinical examination; arrange any necessary investigations; implement a management plan; and provide appropriate preventive health care.
Level C
GP to take patient history; perform a clinical examination; arrange any necessary investigations; implement a management plan; and provide appropriate preventive health care.
Role of the PN or AHW To identify eligible clients, establish or manage a patient recall and practitioner reminder system.
Frequency of service

Once every 4 years.

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