On Saturday 14 October 2006 23:34, Richard Hosking wrote:

> When Pt is finished Dr enters items on voucher -> signed
[snip]
>        Billing code - these are numbers for Medicare/DVA/W/C/Private etc
I am familiar with this system but never quite understood it.
This is in effect double-entry of data (the doc writes the item nos then
the receptionist types them), plus (for the majority here) wasting one sheet 
of paper (the receptionist has to print out an invoice at the end with the 
total price, for the patient to take to Medicare)

Why not have:
- a default item no depending on the booked length of the consult. Pap smears 
and other procedures are usually booked as such so this also known.
- automatic 'upgrade' if the consult length exceeds 20minutes/40minutes.
- a simple interface for docs to manually change the item nos. This can have 
various smarts (keyword search for procedural items, automatically using the 
correct after-hours nos, etc.)
- the receptionist prints out a single invoice/voucher when the patient 
returns to the desk at the end of the consult, patient signs it then.

The disadvantage is docs have to use the computer to enter item nos, instead 
of writing, however the big advantage is the voucher does not need to be 
signed in the doctors presence (or is this a medicare requirement??) which
some patients take a remarkably long time to do!

Ian

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