GP contribution to a multidisciplinary care plan (RACF / hospital discharge, video telehealth)

Video attendance by a general practitioner contributing to (a) a multidisciplinary care plan for a patient in a residential aged care facility, prepared by that facility, or a review of such a plan; or (b) a multidisciplinary care plan prepared for a patient by another provider before the patient is discharged from a hospital, or to a review of such a plan. Video-telehealth equivalent of in-person item 731. No phone equivalent.

Plain-English summary. See MBS Online for the verbatim descriptor of each item.

Time

Not specified

Frequency

Once per 3-month period (exceptions for significant clinical changes documented as exceptional circumstances).

Referral

Not required

Profession

General Practitioner

Requirements to bill

Conditions imposed by the descriptor that must be met to claim this item.

1All requirements for in-person item 731 (plan prepared by RACF or discharging hospital / another provider, GP non-specialist).
2Service must be by videoconference — a clinically appropriate audio + visual link must be used; phone-only does not satisfy 92027.
3An established clinical relationship with the patient is required for telehealth delivery.
4Patient must not have received a GP chronic condition management plan service (965 / 967 / 92029 / 92030) within the preceding 3 months.
5At least 3 months must have elapsed since the previous 731 / 92027 claim, unless exceptional circumstances apply.

Your notes must show

Documentation tests — what clinical notes need to demonstrate to survive a PSR audit.

All documentation elements required by item 731 (lead provider identification, setting confirmation, GP contribution, communication evidence, GPCCMP exclusion confirmation, frequency-cap dates).
Modality — videoconference, with confirmation that audio + visual link was clinically appropriate.
Established clinical relationship — date the patient was first seen by this GP, or the most recent prior face-to-face attendance.
Any adaptations made for the telehealth context.

Common audit failures

Patterns the Professional Services Review scheme and Medicare audits flag.

Phone-only attendance billed as 92027 — 92027 requires audio + video.
Item billed for a patient with no established clinical relationship with the claiming GP.
Item 92027 claimed within 3 months of a 965 / 967 / 92029 / 92030 claim for the same patient.
Item billed for a non-RACF, non-hospital-discharge patient — should be 92026.
Item billed by a specialist or consultant physician.

Related MBS items

965

GP Chronic Condition Management Plan — preparation

967

GP Chronic Condition Management Plan — review (face-to-face)

731

GP contribution to a multidisciplinary care plan (RACF / hospital discharge, face-to-face)

92026

GP contribution to a multidisciplinary care plan (non-RACF, video telehealth)

92058

PMP contribution to a multidisciplinary care plan (RACF / hospital discharge, video telehealth)

In-depth reading in the Library

Medicare Audit-Ready Documentation: A GP's Guide to MBS Item Number Compliance

Professional Services Review audits can result in repayment demands, exclusion from Medicare, and public referral. Your clinical notes are the primary evidence in any PSR investigation. This guide details exactly what your documentation must contain to withstand scrutiny.

Source authority

Documentation tests on this page reference the descriptor conditions and PSR-audit patterns covered in our existing Library guides. Always confirm current rules against the official descriptor.

Item 92027 on MBS Online

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