Appendix E -               Glossary

Term

Description

ABS

Australian Bureau of Statistics

AMS

Aboriginal Medical Services

ANZDATA

Australia and New Zealand Dialysis and Transplant Registry

ATSICC

Aboriginal and Torres Strait Islander Clinical Committee

AV

Arteriovenous

CAGR

Compound annual growth rate, or the average annual growth rate over a specified time period.

Change

When referring to an item, describes when the item and/or its services will be affected by the recommendations. This could result from a range of recommendations, such as: (i) specific recommendations that affect the services provided by changing item descriptors or explanatory notes, (ii) the consolidation of item numbers, and (iii) splitting item numbers (e.g., splitting the current services provided across two or more items).

CKD

Chronic kidney disease

CVC

Central venous catheter

Department, The

Australian Government Department of Health

Delete

Describes when an item is recommended for removal from the MBS and its services will no longer be provided under the MBS.

DHS

Australian Government Department of Human Services

FY

Financial year

DIST

Diagnostic Imaging Services Table

GP

General practitioner

High-value care

Services of proven efficacy reflecting current best medical practice, or for which the potential benefit to consumers exceeds the risk and costs.

Inappropriate use / misuse

The use of MBS services for purposes other than those intended. This includes a range of behaviours, from failing to adhere to particular item descriptors or rules through to deliberate fraud.

Low-value care

Services that evidence suggests confer no or very little benefit to consumers; or for which the risk of harm exceeds the likely benefit; or, more broadly, where the added costs of services do not provide proportional added benefits.

MBS

Medicare Benefits Schedule

MBS item

An administrative object listed in the MBS and used for the purposes of claiming and paying Medicare benefits, consisting of an item number, service descriptor and supporting information, schedule fee and Medicare benefits.

MBS service

The actual medical consultation, procedure or test to which the relevant MBS item refers.

MDT

Multi-disciplinary team

Misuse (of MBS item)

The use of MBS services for purposes other than those intended. This includes a range of behaviours, from failing to adhere to particular item descriptors or rules through to deliberate fraud.

Multiple operation rule

A rule governing the amount of Medicare benefit payable for multiple operations performed on a patient on the one occasion. In general, the fees for two or more operations are calculated by the following rule:

– 100 per cent for the item with the greatest schedule fee.

– Plus 50 per cent for the item with the next greatest schedule fee.

– Plus 25 per cent for each other item.

Modified Monash Model (MMM)

A geographical classification system using up-to-date population data.

MSAC

Medical Services Advisory Committee

No change or unchanged

Describes when the services provided under these items will not be changed or affected by the recommendations. This does not rule out small changes in item descriptors (e.g., references to other items, which may have changed as a result of the MBS Review or prior reviews).

NP&PMCC

Nurse Practitioner and Participating Midwife Clinical Committee

Obsolete services

Services that should no longer be provided as they do not represent current clinical best practice and have been superseded by superior tests or procedures.

PBS

Pharmaceutical Benefits Scheme

GPPCCC

General Practice and Primary Care Clinical Committee

RACGP

Royal Australian College of General Practitioners

CSCC

Consultation Services Clinical Committee

Services average annual growth

The average growth per year, over five years to 2014/15, in utilisation of services. Also known as the compound annual growth rate (CAGR).

The Committee

The Renal Clinical Committee

The Taskforce

The MBS Review Taskforce

Total benefits

Total benefits paid in 2014/15 unless otherwise specified.

UCC

Urology Clinical Committee