Commonwealth Numbered Regulations

HEALTH INSURANCE (1999-2000 DIAGNOSTIC IMAGING SERVICES TABLE) AMENDMENT REGULATIONS 2000 (NO. 2) 2000 NO. 147 - SCHEDULE 1

(regulation 3)

[1] Schedule 1, Part 1, rule 10AA

substitute

(1)

Items 55028 to 55739 apply only to an ultrasound service (the eligible service ) performed for items marked with the symbol ( R ):

(a)

under the professional supervision of a specialist or a consultant physician in the practice of his or her specialty who is available:

(i)

to monitor and influence the conduct and diagnostic quality of the examination; and

(ii)

if necessary, to personally attend the patient; or

(b)

under the professional supervision of a practitioner who:

(i)

is not a specialist or consultant physician; and

(ii)

meets the requirements of subrule (2); and

(iii)

is available to monitor and influence the conduct and diagnostic quality of the examination and, if necessary, to personally attend the patient; or

(c)

in circumstances mentioned in subrule (3), and under the professional supervision of a practitioner who is available:

(i)

to monitor and influence the conduct and diagnostic quality of the examination; and

(ii)

if necessary, to personally attend the patient; or

(d)

if paragraph (a), (b) or (c) cannot be complied with:

(i)

in an emergency; or

(ii)

in a remote location that is not less than 30 kilometres by the most direct road route from another practice where services that comply with paragraph (a) or (b) are available.

(2)

The requirements of this subrule are that, between 1 September 1997 and 31 August 1999, at least 50 services were rendered by or on behalf of the practitioner at the location where the eligible service was rendered, and the rendering of those services resulted in the payment of a medicare benefit.

(3)

For paragraph (1) (c), the circumstances are that, between 1 September 1997 and 31 August 1999, at least 50 services were rendered in nursing homes or patients' residences by or on behalf of the practitioner, and the rendering of those services resulted in the payment of medicare benefits.