Billing for MDTs: what's allowed, what's risky, and what's gold

Multidisciplinary case conferences (MDTs) are one of the most underused — and misunderstood — billing opportunities in general practice.

Done well, they improve patient care and create sustainable billing. Done poorly, they're high audit risk.

WHAT'S ALLOWED

MDTs can be billed when:

• There is a chronic or complex condition

• Multiple providers are involved

• A real-time discussion occurs (not just messages or referrals)

• Each provider contributes meaningfully

You can bill:

• Organiser items (e.g. 735, 739, 743) if you coordinate the meeting

• Participant items (e.g. 747, 750, 758) if you attend but don't organise

WHAT'S RISKY

This is where most practices fall down:

• Inviting providers who don't actually attend or contribute

• Minimal or no documentation of discussion

• No clear outcomes or changes to management

• Trying to run MDTs without a true clinical relationship

A big one I see: Running MDTs after a single telehealth consult with no established relationship → high audit risk

WHAT'S GOLD

The practices doing this well:

• Have structured MDT templates

• Clearly document:

   – Attendees

   – Each provider's input

   – Agreed management plan

• Use MDTs as part of ongoing coordinated care

That's where MDTs become:

✔ Defensible

✔ Clinically valuable

✔ Financially sustainable

WHERE BETTERBILLING FITS

We don't just explain MDT billing — we show you:

• How to structure them in real workflow

• What documentation actually needs to say

• How to make them worth doing

If MDTs feel confusing or risky in your clinic, this is exactly what we fix inside our courses and templates.