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Guideline for substantiating that a patient had a pre-existing condition at the time of the service

This guideline outlines what you can do to substantiate that an individual had a specified condition before the service is eligible. This relates to Medicare Benefits Schedule (MBS) items 11823, 18350 and 30511.

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Guideline for substantiating that a patient had a pre-existing condition at the time of the service [PDF - 145 KB]

Guideline for substantiating that a patient had a pre-existing condition at the time of the service [Word - 54 KB]

About this resource

Publication date:

January 2016

Publication type:

Guideline

Language:

English

Part of 2 collections

Practitioner Review Program – Health professional guidelines, Guidelines for substantiating services for Medicare compliance

Tags:

Medicare
Practitioner Review Program

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Guideline for substantiating that a patient had a pre-existing condition at the time of the service

About this resource

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