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FREQUENTLY ASKED QUESTIONS FOR RESIDENTIAL AGED CARE
Q: Do you offer Reviews for Residential Aged Care residents (RMMR - MBS item 903) and what are they?
A: Yes, we do offer RMMRs. A RMMR Service consists of a Patient Interview, clinical assessment and written initial RMMR report provided to the Referrer and the multidisciplinary team and up to two follow-up services if clinically indicated.
Q: Does the patient or facility have to pay for a RMMR? and does the doctor get paid via the MBS?
A: No and Yes. This service is free of charge to the patient and facility through referral from their doctor/appropriate specialist. General Practitioners are entitled to a MBS fee (Item 903) of $116.70 for the service (current 19/12/2023). For more information visit this link: MBS Item 903.
Q: I am a doctor who provides services to a Residential Aged Care Facility, where do I find more information about RMMRs?
A: If you can't find an answer to your question on our page, check out the Australian goverment information for GPs at this link: MMR/RMMR Fact Sheet for GPs. If you can't find the information you need there, either check out the link in the previous question to MBS item 903, or contact us.
Q: Does the nursing home require a contract with the accredited pharmacist to perform RMMRs? and can we get you to do a review if we already have another contracted provider?
A: Yes the nursing home is required to have a RMMR service agreement before RMMRs can be performed. From 21/4/2020, a nursing home may enter into agreements with more than one provider and the requirement that only one service provider may be contracted with a single facility is removed. Here is a link to a sample RMMR service agreement. Please contact us if you would like to discuss an agreement with us.
Q: Do the recent Aged Care Onsite Pharmacist (ACOP) changes alter the RMMR process?
A: Yes, if you engage an ACOP pharmacies, your access to RMMR services does change. For more information see: ACOP information.
Q: Does the Pharmacist need to be specially qualified to conduct the medication review (DMMR/HMR/RMMR), or can all pharmacists conduct them?
A: In order to conduct a Home Medicines Review the pharmacist must have done extra training and be accredited to conduct the reviews. These pharmacists are called "Credentialed Pharmacists".
Q: I am a doctor, how do I do a referral for a RMMR?
A: Many of the current prescribing software can create a referral for you, otherwise if we have a service agreement with your RACF, we can send you a referral form. Please ask your RACF if you would like us to conduct reviews for your residents.
Q: How often can I get a RMMR done for an eligible resident?
A: A subsequent RMR may only be conducted if more than 24 months has elapsed since the date of the most recent Patient Interview or when the referring doctor specifically deems a subsequent review is clinically necessary, such as when there has been a significant change to the Patient’s condition or medication regimen.
Reasons why an additional review may be requested include but are not limited to:
•Discharge from hospital after an unplanned admission in the previous four weeks
•Significant change to a patient’s medication regimen in the past three months
•Change in medical condition or abilities (including falls, cognition, physical function)
•Prescription of a medicine with a narrow therapeutic index or requiring therapeutic monitoring
•Presentation of symptoms suggestive of an adverse drug reaction
•Sub-therapeutic response to therapy
•Suspected non-compliance or problems with managing medication-related devices
Note: Program Rules indicate 24 months between reviews, whereas MBS Item number 900 indicates 12 months
Q: What is the RMMR service?
A: A RMMR Service consists of a Patient Interview, clinical assessment and written initial RMMR report provided to the Referrer and the multidisciplinary team and up to two follow-up services if clinically indicated.
Q: I have a question about Residential Medication Management Reviews?
A: If you have any questions at all, please contact us at: ramseykr@protonmail.com
Q: Do you protect the privacy of the doctors and patients?
A: Yes, our operations are governed by strict privacy principles. We must obtain consent prior to conducting the Patient review to allow sharing of necessary Patient information between health care providers. In order to maximise confidentiality, we use protonmail which is a HIPAA complaint email service. We also use password protection on documents we send through email to add another layer of security.
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