Medicare claims being rejected due to little-known new rule

GPs say they weren't told about changes to the item descriptor for UV phototherapy

GPs are having their Medicare claims rejected for a popular skin treatment, after the item’s descriptor was changed with little warning.

claim denied

Last month, the Federal Government brought in a rule that GPs could only claim for ultraviolet phototherapy if the treatment had been “initiated and supervised” by a dermatologist.

The change was buried among more than 200 revisions to Medicare introduced on 1 November, in response to recommendations from the MBS Review Taskforce that also saw the two Medicare items for phototherapy consolidated in a single item

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