Information about health assessments and your record keeping responsibilities for Medicare items 224 to 227, 701 to 707, 228 and 715.
Using health assessments
A health assessment is the evaluation of a patient’s health and wellbeing. Eligible practitioners use it to help decide if a patient needs:
- preventive health care
- education to improve their health and wellbeing
Make sure you read the relevant Medicare Benefits Schedule (MBS) item descriptions and explanatory notes at MBS Online.
Health assessment items
The table below shows information for claiming health assessment items.
|Item numbers||Item name||Item description||Time requirements|
|224, 701||Brief health assessment||A simple health assessment||30 minutes or less|
|225, 703||Standard health assessment||An assessment for when the patient needs more than a brief assessment, but doesn’t have complex health issues||More than 30 but less than 45 minutes|
|226, 705||Long health assessment||An extensive assessment for when the patient has complex health issues||More than 45 but less than 60 minutes|
|227, 707||Prolonged health assessment||A complex assessment of a patient with significant, long-term health needs managed through a comprehensive preventative healthcare plan||60 or more minutes|
|228, 715||Health assessment||A health assessments for patients of Aboriginal and Torres Strait Islander descent||No time requirements but must meet MBS criteria|
The table below shows patient eligibility requirements for health assessment items and how frequently you can claim the items.
|Who is eligible for item 224, 225, 226, 227, 701, 703, 705 or 707||How frequently they can access the 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 a chronic disease||Once|
|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|
|Former serving members of the Australian Defence Force||Once|
|Who is eligible for item 228 or 715||How frequently they can access the 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 get a Medicare benefit. They need to complete the records at the time of service, or as soon as possible afterwards. The records should:
- clearly identify the patient’s name
- have a separate entry for the health assessment
- include the date they provided or began the service
- have information about the health assessment, including outcomes and recommendations
- be clear so other health professionals can read the health assessment record and continue the patient’s ongoing care
- be current and up-to-date
- be in paper or electronic form
Make sure you:
- offer the patient a copy of the health assessment, including recommendations
- retain patient records until there is no risk of litigation arising from the patient’s treatment. This depends on medical record legislation and statutory limitation periods in your state or territory
The Privacy Act 1988 covers information about medical records.
Your professional peak body can give you more advice about record keeping requirements.
Read more about:
- the Schedule at MBS Online
- education services for health professionals
- health assessment resources
- our website disclaimer
Contact us for MBS item interpretation.
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