Current Practical Issues Item Specific Restrictions MBS Rule 18 - Episode Coning MBS Rule 13 - Bundling of Tissue Pathology and/or Cytology Services Patient Episode Initiation AMA Fees List About you Complete AMA Fees List - Pathology Subgroup Review SurveyThe AMA is currently undertaking an internal review of pathology services within the AMA Fees List, with a focus on ensuring that item structures, explanatory notes, and supporting guidance accurately reflect contemporary clinical practice and the practical realities of Medicare claiming.As part of this review, we are seeking input from pathologists to better understand how the current MBS rules, restrictions, and supporting resources operate in practice. Your insights will play a critical role in helping us contextualise the challenges experienced by practitioners and identify areas where improvements may be required. This consultation will directly inform the AMA’s advocacy and engagement with the Department of Health, Disability and Ageing, including any feedback or recommendations for change relating to the structure, clarity, and application of pathology services and associated rules. We greatly value your input in this process. As specialists in the field, the experience and expertise you can provide are essential to our review process and will help ensure any proposed changes are both clinically appropriate and practically workable. Practical IssuesThe AMA understands that there are a lot of rules and regulations that apply to the claiming of pathology items and that these are not always immediately obvious to the billing pathologist. We would like to know how you inform yourself and which types of rules cause you the most difficulty with billing compliance. When you are unsure about a pathology claiming rule, where do you usually look? (select all that apply) MBS Online (item specific page) Related Explanatory Notes MBS Pathology Rules Relevant Legislation e.g. Health Insurance (Pathology Services Table) Regulations Services Australia Guidance AskMBS Discussion with a Colleague Resources from another organisation e.g. The Royal College of Pathologists of Australasia Ask the AMA Other… Enter other… Which of these services do you find the most helpful? (select up to 2 options) MBS Online (item specific page) Related Explanatory Notes MBS Pathology Rules Relevant Legislation e.g. Health Insurance (Pathology Services Table) Regulations Services Australia Guidance AskMBS Discussion with a Colleague Resources from another organisation e.g. The Royal College of Pathologists of Australasia Ask the AMA Other… Enter other… How often do you directly refer to the relevant legislation (i.e. Health Insurance (Pathology Services Table) Regulations 2020)? How often do you directly refer to the relevant legislation (i.e. Health Insurance (Pathology Services Table) Regulations 2020)? - Select -DailyWeeklyMonthlyEvery couple of monthsYearlyNeverOther… Enter other… Which of the following causes you the most difficulty for the correct claiming of pathology services? (select up to 3 options) Frequency Restrictions Rules about multiple tests on the same specimen in the same episode Understanding Patient Episode Rules Eligibility (requester, provider, or patient) Request/referral Requirements Co-claiming Restrictions Date of Service Rules Split Billing - Referring and Receiving APPs, who bills what Patients being unexpectedly denied benefits Other… Enter other… How often do you encounter Medicare claiming issues? How often do you encounter Medicare claiming issues? - Select -Most daysWeeklyMonthlyYearlyNeverUnsureOther… Enter other…