Medicare X-Ray Billing
Abstract
Medicare Australia now supports payments to chiropractors for X-rays under some circumstances. Invoicing these X-rays can be problematic, as the patient/client will not be paying for them, and as other services rendered to the patient are not funded by Medicare, it would be problematic to treat each patient/client as an insurance patient/client purely for billing X-rays. This knowledgebase article describes an alternate strategy for dealing with this challenge.
Underlying challenge
The main problem with the Medicare funded X-rays is that the patient/client will be self funded (or funded by a different third party) for all other services. To this extent, it is not a simple procedure to configure Capable 21C to invoice X-rays to Medicare, and other services to the patient (or another third party).
Resolution
To resolve the problem, complete the following steps:
- Create a new patient/client file called Medicare.
- Update the configuration of the X-ray services so that their item codes are all ???
- Invoice all X-rays using the Walk-In feature to Medicare directly.
When an invoice is raised for the X-ray services, Capable 21C will recognize the special item codes, and will prompt the operator to key their own item codes. In this case, keying the patient/client name is advised.
Detailed Information
To update the configuration of X-ray services, complete these steps:
- Go to Setup|Setup Appointment Types and Fees.
- Locate the first X-ray service. Double click on it.
- On the Service Details window, change the item codes to be ??? (3 question marks
in a row and nothing else).
- Close the Service Details window.
- Repeat steps 2-4 for all other X-ray services.
Note that Walk-In patients may only be invoiced for products. For this
reason, it will be advantageous for the office to setup a Product Group for the
Medicare services, and Add the services to that group.
It is also possible to adapt the
Invoice/Receipt Design so that the Patient/Client's Medicare number is displayed.
Note that this functionality will only work if the Medicare Number has been recorded
on the Patient/Client file via Patient/Client Details.
|
This knowledge resource is designed
for use on a Windows (tm) XP system operating at a screen
resolution of 1024x768 or better. Windows Media Player must be
installed for this training resource to operate correctly.
Copyright 2008 Capable Software
Pty Ltd
Training Sessions
Fundamentals
Training Modules
Intermediate
Training Modules
Advanced
Training Modules
Other Resources
Return to Capable
Software home
Contact Technical Support
|