Comply with MBS telehealth item rules + continuous-care rules
MBS telehealth requires existing-patient relationship (12-month rule) for most consultations.
Who must comply
GPs + specialists claiming MBS telehealth items.
What triggers it
Providing a telehealth consultation.
When due
Per consultation; recordkeeping.
Evidence required
Patient records demonstrating prior face-to-face contact; consultation notes.
Max penalty
Recovery of incorrect claims; Practitioner Review Program referral
Summary
Medicare Benefits Schedule telehealth items require an established clinician–patient relationship (typically a face-to-face consultation in the prior 12 months). Limited exceptions for some specialties + populations. Non-compliant claims attract recovery.
Source legislation
Industries
Topics
Source: https://www.mbsonline.gov.au. Rules Mate is not a law firm. Always verify against the live regulator source before acting.