HEALTH FUND NEWS allow another practitioner , student or staff member to use their provider details , as this constitutes health fund fraud . Misrepresenting the service ( s ) provided on the invoice also constitutes health fund fraud . Health fund fraud is a criminal offence which may involve a police investigation and expulsion from the ATMS Register of Members .
It is of note that the health funds require practitioners to be in private practice . Some health funds will not recognise claims where accommodation , facilities or services are provided or subsidised by another party such as a public hospital or publicly funded facility . Rebates are only claimable for the face to face consultation ( not the medicines or remedies ); however this does not extend to mobile work including markets , corporate or hotels .
MOBILE SERVICES ARE NOT RECOGNISED FOR HEALTH FUND REBATES . Health Funds that do not allow mobile services for rebates are : AHM , ARHG , BUPA , HCF and Medibank .
ONLINE OR PHONE CONSULTATIONS ARE NOT RECOGNISED FOR HEALTH FUND REBATES .
Please be aware that whilst a health fund may indicate that they provide a rebate for specific modalities , this rebate may only be claimable if the client has the appropriate level of health cover with that fund and has not exceeded any limits on how much they are eligible to claim back over a certain period of time .
Please note : All health funds require a minimum of $ 5 million Professional Indemnity Insurance and $ 10 million for Public Liabilities Insurance for all Acupuncture & Chinese Herbal Medicine practitioners .
Australian Health Management ( AHM )
Names of eligible ATMS members will be sent to AHM each month . AHM ’ s eligibility requirements are listed on the ATMS website www . atms . com . au . ATMS members can check their eligibility by checking the ATMS website or by contacting the ATMS Office on 1800 456 855 . Please contact AHM on 13 42 46 for your provider number .
Australian Regional Health Group ( ARHG )
This group consists of the following health funds :
• ACA Health Benefits Fund Ltd
• CUA Health Limited
• Defence Health▼▼
• HBF ( Including GMF Health ) ▼▼
• GMHBA ▼▼ ( Including Frank Health Fund & Health . com . au )
• Health . com . au
• Health Care Insurance Limited
• Health Partners
• HIF WA
• Hunter Health ( previously known as Cessnock DHBF )
• Latrobe Health Services ( Federation Health )
• Mildura District Hospital Fund
• MyOwn Health ▼▼ ( AIA Health Insurance ) ▼
• Navy Health Fund
• Nurses & Midwives Health
• Onemedifund
• Peoplecare Health Insurance
• Phoenix Health Fund
• Police Health Fund ( Including Emergency Services )
• Queensland Country Health Fund Ltd
• Railway and Transport Fund Ltd
• Reserve Bank Health Society
• St Luke ’ s Health
• Teachers Health
• Teachers Union Health
• Transport Health
• Westfund ▼▼ Special condition applies for Remedial
Massage
Details of eligible members , including member updates are sent to ARHG by ATMS monthly . The details sent to ARHG are your name , address , telephone and accredited discipline ( s ). These details will appear on the ARHG websites . If you do not wish your details to be sent to ARHG , please advise the ATMS office on 1800 456 855 .
The ARHG provider number is based on your ATMS number with additional lettering . To work out your ARHG provider number please follow these steps :
1 Add the letters AT to the front of your ATMS member number
2 If your ATMS number has five digits go to step 3 . If it has two , three or four digits , you need to add enough zeros to the front to make it a five digit number ( e . g . 123 becomes 00123 ).
3 Add the letter that corresponds to your accredited modality at the end of the provider number ;
A ACUPUNCTURE C CHINESE HERBAL MEDICINE U NUTRITION
If ATMS member 123 is accredited in Acupuncture , the ARHG provider number will be AT00123A .
4 If you are accredited in several modalities , you will need a different provider number for each modality ( e . g . if ATMS member 123 is accredited for Chinese Herbal Medicine and Nutrition , the ARHG provider numbers are AT00123C and AT00123U .
ARHG - Remedial Massage and Chinese Massage
Remedial Massage and Chinese Massage therapists who graduated after March 2002 must hold a Certificate IV or higher from a registered training organisation .
Members who are accredited for Remedial Massage or Chinese Massage , will need to use the following letters .
M MASSAGE THERAPY R REMEDIAL THERAPY The letter at the end of your provider number will depend on your qualification , not the modality in which you hold accreditation *. All members who meet the ARHG eligibility requirements , who hold a Diploma of Remedial HLT50302 , HLT50307 or HLT52015 or a Diploma of Chinese Remedial Massage HLT50102 , HLT50107 or HLT50112 will be able to use both the ‘ M ’ and ‘ R ’ letters . It is recommended to use the ‘ R ’ as often as possible , but as not all health funds under ARHG cover ‘ Remedial Therapy ’, it will be necessary to use the ‘ M ’ at the end of the provider number for those funds only . All other eligible Remedial
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