Commonwealth Consolidated Regulations

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HEALTH INSURANCE REGULATIONS 2018 - REG 55

Pathology services--other particulars

  (1)   This section applies to a professional service that is a pathology service.

Requested pathology services

  (2)   If the service is rendered in accordance with subsections   16A(2) and (3) of the Act, the following particulars are prescribed:

  (a)   the name of the treating practitioner who requested the service;

  (b)   if the request was made at a place of practice of the treating practitioner:

  (i)   the address of the place of practice; or

  (ii)   if the treating practitioner has been allocated a provider number in respect of the place of practice--the provider number;

  (c)   if the request was not made at such a place of practice:

  (i)   the address of any place of practice of the treating practitioner; or

  (ii)   the provider number of the treating practitioner in respect of any place of practice;

  (d)   the date on which the treating practitioner determined that the service was necessary.

Pathologist - determinable services

  (3)   If the service is a pathologist - determinable service that was determined to be necessary by the approved pathology practitioner by whom, or on whose behalf, the service was performed, a prescribed particular is an indication that the service was determined to be necessary by that approved pathology practitioner.

Services rendered by a member of a group of medical practitioners

  (4)   If the service is rendered in the circumstances described in paragraph   16A(7)(b) of the Act, the following particulars are prescribed:

  (a)   the name of the treating practitioner who requested the service;

  (b)   the date on which the treating practitioner made the request.

Initiation of a patient episode by collection of a specimen

  (5)   If the service is initiation of a patient episode by collection of a specimen, a prescribed particular is an identification of the collection point as follows:

  (a)   for a collection made at an approved collection centre--the identification number of the centre;

  (b)   for a collection made at a recognised hospital--the recognised hospital collection point identification number assigned by the Chief Executive Medicare;

  (c)   for any other collection--"A01".



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