Education guide - Health assessments and your record keeping responsibilities
Information about health assessments and your record keeping responsibilities for Medicare items 701 to 707 and 715.
Using health assessments
A health assessment is the evaluation of a patient’s health and wellbeing. General practitioners (GPs) use it to help decide if a patient needs:
- preventive health care
- education to improve their health and wellbeing
We recommend you also read the relevant Medicare Benefits Schedule (MBS) item descriptors and explanatory notes available at MBS Online website.
Health assessment items
|Item number||Short description||Used for||Time requirements|
|701||Brief health assessment||A simple health assessment||30 minutes or less|
|703||Standard health assessment||A straightforward assessment where the patient does not have complex health issues, but may need more attention than what is provided in a brief assessment||More than 30 but less than 45 minutes|
|705||Long health assessment||An extensive assessment, where the patient has a range of health issues that need more in-depth consideration and if necessary, longer term plans||More than 45 but less than 60 minutes|
|707||Prolonged health assessment||A complex assessment of a patient with significant, long term health needs that need to be managed through a comprehensive preventative health care plan||60 or more minutes|
|715||Health assessment||Patients of Aboriginal and Torres Strait Islander descent||No time requirements but must meet MBS criteria|
|Items 701, 703, 705 and 707||Frequency of service|
|People 40 to 49 years of age with a high risk of developing type 2 diabetes as determined by the Australian Type 2 Diabetes Risk Assessment Tool||Once every 3 years|
|People 45 to 49 years of age who are at risk of developing chronic disease||Once only|
|People 75 years of age and older||Annually|
|Permanent residents of residential aged care facilities||Annually|
|People with an intellectual disability||Annually|
|Refugees and other humanitarian entrants||Once only|
|Former serving members of the Australian Defence Force||Once only|
|Item 715||Frequency of service|
|Patients of Aboriginal and Torres Strait Islander descent||Once every 9 months|
Record keeping obligations
All health professionals must keep up to date records when they claim MBS items for services that receive a Medicare benefit. Records should be completed at the time of service, or as soon as possible afterwards, and include the following details:
- clearly identify the patient’s name
- have a separate entry for the health assessment
- include the date the service was provided or initiated
- have information about the health assessment, including outcomes and recommendations
- be clear so, if necessary, another health professional can read the health assessment record and continue the patient’s ongoing care
Offer the patient a copy of the health assessment, including recommendations.
Your professional peak body can give you more advice about record keeping requirements.
- MBS Online to view the Schedule
- The Department of Health for health assessment resources
- Education services for health professionals to access other education resources
Contact us for Medicare provider enquiries.
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