Part 3Dictionary

Part 3—Dictionary Note: All references in the Dictionary to a provision are references to a provision in this Schedule of this regulation unless otherwise indicated.     In this regulation: Aboriginal and Torres Strait Islander health practitioner means a person:  (a) who is registered under a law of a State or Territory as an Aboriginal and Torres Strait Islander health practitioner; and  (b) who is employed by, or whose services are otherwise retained by, a medical practitioner in a general practice or a health service to which a direction made under subsection 19(2) of the Act applies. aboriginal health worker means a person:  (a) who holds a Certificate III in Aboriginal or Torres Strait Islander Health Worker Primary Health Care (Clinical) or other appropriate qualification; and  (b) who is engaged by a medical practitioner in a general practice or a health service to which a direction made under subsection 19(2) of the Act applies. ACRRM means the Australian College of Rural and Remote Medicine. Act means the Health Insurance Act 1973. after‑hours period means any of the following:  (a) a public holiday;  (b) a Sunday;  (c) before 8 am, or after 12 noon, on a Saturday;  (d) before 8 am, or after 6 pm, on any day other than a Saturday, Sunday or public holiday. amount under clause 2.1.1 has the meaning given by clause 2.1.1. amount under clause 2.20.2 has the meaning given by clause 2.20.2. amount under clause 2.38.1 has the meaning given by clause 2.38.1. amount under clause 2.40.2 has the meaning given by clause 2.40.2. amount under clause 2.42.1 has the meaning given by clause 2.42.1. amount under clause 2.43.1 has the meaning given by clause 2.43.1. amount under clause 2.43.2 has the meaning given by clause 2.43.2. amount under clause 2.44.4 has the meaning given by clause 2.44.4. amount under clause 2.44.5 has the meaning given by clause 2.44.5. amount under clause 2.44.18 has the meaning given by clause 2.44.18. amount under clause 2.45.1 has the meaning given by clause 2.45.1. amount under clause 2.45.2 has the meaning given by clause 2.45.2. amount under clause 2.45.3 has the meaning given by clause 2.45.3. amount under clause 2.48.1 has the meaning given by clause 2.48.1. approved site:  (a) for item 15338—has the meaning given by clause 2.38.2; and  (b) for items 37220 and 37227—has the meaning given by clause 2.44.1. ASGC, for Division 2.31, has the meaning given by clause 2.31.1. associated medical practitioner:  (a) for item 732—has the meaning given by clause 2.17.2; and  (b) for item 2712—has the meaning given by clause 2.20.5. bulk‑billed:  (a) for items 10931, 10932 and 10933—has the meaning given by subclause 2.28.4(3); and  (b) for Division 2.31—has the meaning given by clause 2.31.1. care recipient means a person receiving residential care under section 21‑2 of the Aged Care Act 1997. case conference team, for item 880, has the meaning given by clause 2.17.17. closed reduction means treatment of a dislocation or fracture by non‑operative reduction, including the use of percutaneous fixation, or external splintage by cast or splints. Commonwealth concession card holder, for Division 2.31, has the meaning given by clause 2.31.1. community case conference means a case conference for community based patients. completes the minimum requirements for a cycle of care of a patient with established diabetes mellitus has the meaning given by clause 2.19.1. completes the minimum requirements of the Asthma Cycle of Care has the meaning given by clause 2.19.2. complex paediatric case, for item 25205, has the meaning given by clause 2.43.3. comprehensive hyperbaric medicine facility, for items 13015, 13020, 13025 and 13030, has the meaning given by clause 2.37.1. contribute to a multidisciplinary care plan, for items 729 and 731, has the meaning given by clause 2.17.3. coordinating, for item 880, has the meaning given by clause 2.17.16. coordinating a review of team care arrangements, for item 732, has the meaning given by clause 2.17.5. coordinating the development of team care arrangements, for item 723, has the meaning given by clause 2.17.4. delivery, for items 16515, 16519, 16522, 16527, 16590 and 16591, has the meaning given by clause 2.40.3. eligible allied health provider:  (a) for items 135, 137 and 139—has the meaning given by clause 2.5A.1; and  (b) for item 289—has the meaning given by clause 2.10.5. eligible area, for Division 2.31, has the meaning given by clause 2.31.1. eligible disability has the meaning given by clause 2.5A.2. eligible non‑vocationally recognised medical practitioner has the meaning given by clause 1.1.1. embryology laboratory services, for items 13200, 13201 and 13206, has the meaning given by clause 2.37.2. family carer, of a patient, includes a person if the person is:  (a) a relative or friend of the patient; and  (b) providing care to the patient other than for payment. focussed psychological strategies has the meaning given by clause 2.20.1. foreign body, for items 35360 and 35363, has the meaning given by clause 2.44.13. (G) has the meaning given by clause 1.1.5. general intensive care unit means a separate hospital area that:  (a) is equipped and staffed so that it is capable of providing to a patient:  (i) mechanical ventilation for a period of several days; and  (ii) invasive cardiovascular monitoring; and  (b) is supported by:  (i) during normal working hours—at least one specialist, or consultant physician, in the specialty of intensive care, who is immediately available, and exclusively rostered, to that area; and  (ii) at all times—at least one registered medical practitioner who is present in the hospital and immediately available to that area; and  (iii) at least 18 hours each day—at least one registered nurse; and  (c) has admission and discharge policies in operation. general practice means a business, consisting of one or more medical practitioners, that provides a general practice of medical services. general practitioner has the meaning given by clause 1.1.1A. GP management plan, for item 10997, has the meaning given by clause 2.30.1. (H) has the meaning given by clause 1.1.6. immunisation means the administration of a registered vaccine to a person for any purpose other than as part of a mass immunisation of persons. immunisation recommended for a 4 year old child means the immunisation recommended for a 4 year old child by the National Immunisation Program Schedule as in effect on 1 July 2013. Note: The National Immunisation Program Schedule could in 2014 be viewed on the Department’s website (http://www.immunise.health.gov.au). institution means a place (other than a hospital or residential aged care facility) at which residential accommodation or day care is, or both residential accommodation and day care are, made available to:  (a) disadvantaged children; or  (b) juvenile offenders; or  (c) aged persons; or  (d) chronically ill psychiatric patients; or  (e) homeless persons; or  (f) unemployed persons; or  (g) persons suffering from alcoholism; or  (h) persons addicted to drugs; or  (i) physically or intellectually disabled persons. intensive care unit means a general intensive care unit or a neo‑natal intensive care unit. item means:  (a) an item mentioned, by number, in column 1 of:  (i) Part 2; or  (ii) Part 2 of the diagnostic imaging services table; or  (iii) Part 2 of the pathology services table; and  (b) in a reference immediately followed by a number—the item so numbered. Note: Because of the determination about allied health services under subsection 3C(1) of the Act, certain health services are treated as if there were an item for the service mentioned in the table. A note is included at the end of a provision of this regulation if an item mentioned in the provision is that kind of item: see subclause 2.20.3(2) for an example. living in a community setting, for item 900, has the meaning given by clause 2.18.1. maxilla:  (a) for items 45720 to 45752—has the meaning given by clause 2.44.19; and  (b) for items 52342 to 52375—has the meaning given by clause 2.50.1. mental disorder, for Division 2.20, has the meaning given by clause 2.20.1. minor attendance, for an attendance on a patient by a consultant physician, means an attendance that:  (a) is a second or subsequent attendance on the patient, in the course of a single course of treatment by the consultant physician, during which it is not necessary for the consultant physician to carry out a physical examination of the patient; and  (b) does not result in a substantial alteration to the treatment of the patient. multidisciplinary care plan:  (a) for items 729 and 731—has the meaning given by clause 2.17.6; and  (b) for item 10997—has the meaning given by clause 2.30.1. multidisciplinary case conference has the meaning given by clause 1.1.2. multidisciplinary case conference in a residential aged care facility, for items 735, 739, 743, 747, 750 and 758, has the meaning given by clause 2.17.13. multidisciplinary case conference team has the meaning given by clause 1.1.3. multidisciplinary discharge case conference, for items 735, 739, 743, 747, 750 and 758, has the meaning given by clause 2.17.12. neo‑natal intensive care unit means a separate hospital area that:  (a) is equipped and staffed so that it is capable of providing to a patient who is a newly born child:  (i) mechanical ventilation for a period of several days; and  (ii) invasive cardiovascular monitoring; and  (b) is supported by:  (i) during normal working hours—at least one consultant physician in paediatric medicine who is immediately available, and exclusively rostered, to that area; and  (ii) at all times—at least one registered medical practitioner who is present in the hospital and immediately available to that area; and  (iii) at least 18 hours each day—at least one registered nurse; and  (c) has admission and discharge policies in operation. non‑directive pregnancy support counselling, for item 4001, has the meaning given by clause 2.22.1. non‑medicare service means any of the following:  (a) endoluminal gastroplication, for the treatment of gastro‑oesophageal reflux disease;  (c) gamma knife surgery;  (d) intradiscal electro thermal arthroplasty;  (e) intravascular ultrasound, except if used in conjunction with intravascular brachytherapy;  (f) intro‑articular viscosupplementation, for the treatment of osteoarthritis of the knee;  (g) low intensity ultrasound treatment, for the acceleration of bone fracture healing, using a bone growth stimulator;  (h) lung volume reduction surgery, for advanced emphysema;  (i) photodynamic therapy, for skin and mucosal cancer;  (j) placement of artificial bowel sphincters, in the management of faecal incontinence;  (k) selective internal radiation therapy for any condition other than hepatic metastases that are secondary to colorectal cancer;  (l) specific mass measurement of bone alkaline phosphatise;  (m) transmyocardial laser revascularisation;  (n) vertebral axial decompression therapy, for chronic back pain;  (o) autologous chondrocyte implantation and matrix‑induced autologous chondrocyte implantation;  (p) vertebroplasty. open reduction means treatment of a dislocation or fracture by either:  (a) operative exposure, including the use of any internal or external fixation; or  (b) non‑operative (closed) reduction using intra‑medullary fixation or external fixation. organise and coordinate:  (a) for items 735, 739, 743, 820, 822, 823, 825, 826, 828, 830, 832, 834, 835, 837, 838, 855, 857, 858, 861, 864 and 866—has the meaning given by clause 2.17.14; and  (b) for items mentioned in Subgroups 2 and 4 of Group A24—has the meaning given by clause 2.21.1. outcome measurement tool, for Division 2.20, has the meaning given by clause 2.20.1. participate:  (a) for items 747, 750, 758, 825, 826, 828, 835, 837 and 838—has the meaning given by clause 2.17.15; and  (b) for items 2958, 2972, 2974, 2992, 2996, 3000, 3051, 3055, 3062, 3083, 3088 and 3093—has the meaning given by clause 2.21.2. participating in a video conferencing consultation has the meaning given by clause 1.2.9. patient’s medical condition requires urgent treatment, for items 597 to 600, has the meaning given by clause 2.15.1. patient’s usual medical practitioner means a medical practitioner:  (a) who has provided the majority of services to the patient in the past 12 months; or  (b) who is likely to provide the majority of services to the patient in the following 12 months; or  (c) located at a medical practice that:  (i) has provided the majority of services to the patient in the past 12 months; or  (ii) is likely to provide the majority of services to the patient in the next 12 months. person with a chronic disease, for item 10997, has the meaning given by clause 2.30.1. practice location has the meaning given by clause 2.31.1. practice nurse means a registered or an enrolled nurse who is employed by, or whose services are otherwise retained by, a general practice or by a health service to which a direction made under subsection 19(2) of the Act applies. preparation of a GP mental health treatment plan has the meaning given by clause 2.20.3. preparing a GP management plan, for item 721, has the meaning given by clause 2.17.7. previous significant surgical complication, for item 51318, has the meaning given by clause 2.45.4. problem focussed history, for items 501, 503 and 507, has the meaning given by clause 2.14.2. qualified medical acupuncturist has the meaning given by clause 2.9.1. qualified radiologist, for item 31542, has the meaning given by clause 2.44.7.  (a) for items 12203, 12207, 12213 and 12217—has the meaning given by subclause 2.34.2(1); and  (b) for items 12210 and 122015—has the meaning given by subclause 2.34.2(1A); and  (c) for item 12250—has the meaning given by subclause 2.34.2(1AA). qualified surgeon, for items 31539 and 31545, has the meaning given by clause 2.44.6. RACGP means the Royal Australian College of General Practitioners. recognised emergency department, for Division 2.14, has the meaning given by clause 2.14.1. referral means referral by a referring practitioner. referring practitioner, for the referral of a patient, means:  (a) for all referrals—a medical practitioner; or  (b) for a referral made to a specialist who is an ophthalmologist—an optometrist; or  (c) for a referral that arises out of a dental service provided by a dental practitioner and that is made to a specialist (but not a consultant physician)—a dental practitioner; or  (d) for a referral that arises out of a dental service provided by a dental practitioner who is approved by the Minister for the purposes of paragraph (b) of the definition of professional service in subsection 3(1) of the Act and that is made to a consultant physician—a dental practitioner; or  (e) for a referral made to a specialist in the specialty of obstetrics or paediatrics (however described) that arises out of a midwifery service provided by a participating midwife—a participating midwife; or  (f) for a referral made to a specialist or consultant physician that arises out of a nurse practitioner service provided by a participating nurse practitioner—a participating nurse practitioner. regional, rural or remote area means an area classified as RRMAs 3‑7 under the Rural, Remote and Metropolitan Areas Classification. registered vaccine means a vaccine that is included in the part of the Australian Register of Therapeutic Goods for registered goods, being the Register maintained under section 9A of the Therapeutic Goods Act 1989. Report, for Division 2.34, has the meaning given by clause 2.34.1. residential aged care facility means a facility where residential care (within the meaning given by section 41‑3 of the Aged Care Act 1997) is provided. residential care service has the meaning given by clause 1 of Schedule 1 to the Aged Care Act 1997. residential medication management review, for item 903, has the meaning given by clause 2.18.2. responsible person, for items 597 to 600, has the meaning given by clause 2.15.2. reviewing a GP management plan, for item 732, has the meaning given by clause 2.17.8. review of a GP mental health treatment plan has the meaning given by clause 2.20.4. risk assessment:  (a) for items 135, 137 and 139—has the meaning given by clause 2.5A.1; and  (b) for item 289—has the meaning given by clause 2.10.5. Rural, Remote and Metropolitan Areas Classification means the document so titled, as in force on 1 January 2001, setting out certain categories of areas in Australia that have been determined by the Department by reference to population size and remoteness of locality on the basis of 1991 census data published by the Australian Bureau of Statistics in 1994. (S) has the meaning given by clause 1.1.7. service time, for an item in subgroups 21, 24, 25 and 26 of Group T10, has the meaning given by clause 2.43.4. single course of treatment has the meaning given by clause 1.1.4. SLA, for Division 2.31, has the meaning given by clause 2.31.1. SSD, for Division 2.31, has the meaning given by clause 2.31.1. team care arrangements means a plan under item 723 or 732 (for a review of team care arrangements under item 723). telehealth eligible area means an area classified as a telehealth eligible area by the Minister. Note: Maps showing telehealth eligible areas could in 2014 be viewed on the Department’s Medicare Benefits Schedule website (http://www.mbsonline.gov.au). treatment cycle, for clause 2.37.4 and items 13200 to 13209, 13215 and 13218, has the meaning given by clause 2.37.3. unreferred service, for Division 2.31, has the meaning given by clause 2.31.1. unsociable hours means the period starting at 11 pm and ending at 7 am on any day.