Appointments that may not be eligible for Medicare-subsidised telehealth services

The Appointments that may not be eligible for Medicare-subsidised telehealth services metric identifies patients with upcoming booked appointments who may not qualify for a Medicare telehealth rebate — helping your practice proactively manage billing and patient communication.

Under current Medicare rules, patients who have not visited the practice for a face-to-face consult in the past 12 months are not eligible for a Medicare-subsidised telehealth service.

To check exceptions to this rule, view the latest Telehealth Factsheet on the Department of Health (MBS Online) website.

This metric can be found under Clinic Optimisation > Appointment Optimisation

The sections included in this article related to Appointments that may not be eligible for Medicare-subsidised telehealth services are:

List of appointments that may not be eligible for Medicare-subsidised telehealth services
Appointments that may not be eligible for Medicare-subsidised telehealth services
Current exceptions from the rule

List of appointments that may not be eligible for Medicare-subsidised telehealth services

This patient list shows the details of patients who currently have appointments booked, and who may not be eligible for Medicare-subsidised telehealth services.

Their eligibility is based on whether the patient has been logged as having a face-to-face service at the practice in the past 12 months.

Use the tickbox filter Telehealth appointments only to refine this patient list to only those patients who have booked an upcoming Telehealth appointment type, as determined by your practice in our Cubiko Settings.

Cubiko is not able to determine all eligibility criteria as set out by the Department of Health (DOH). The following exceptions are not included in this data set:

Patients who are less than 12 months old
Patients who are currently experiencing homelessness

These patients may still be eligible for Medicare-subsidised telehealth services, though practices will need to determine whether these specific sets of patients meet these exemptions outside of Cubiko.

TOP TIP! Use this list to contact patients to let them know that they may be required to pay a fee for their Telehealth service as they do not meet the current criteria for medicare-rebate eligibility.