Ian Haywood wrote:

On Sunday 15 October 2006 23:09, Oliver Frank wrote:

1. As the patient heads from the consulting room to the reception
counter after the consultation, the doctor types the item number into

Thanks Oliver, Liz, Greg, ash et al. Please have a look at http://ozdocit.org/tiki-index.php?page=billing+system

On a quick reading, it looks good and covers most of the various processes well.


5. While the patient is still there, the receptionist uses the Medicare
Online Claiming function in Pracsoft to either:

This is interesting. I suspect we would not support online claiming in the first instance

How do you mean, you "would not would not support online claiming in the first instance"? Do you mean that you are philosophically opposed to it? If so, why? Or is there some other reason that you would not support it?

We offer online claiming as an encouragement to our patients to pay us in full. (We also charge 25% extra if they don't pay in full, but despite this a few prefer to pay the resulting gap of $37 (our fee is $69), rather than paying $55 as full payment with a Medicare benefit of $31.45 coming back automatically into their bank account. We don't mind it too much if they pay only the gap, and we therefore have to bank the Medicare benefit cheque, if and when the patient forwards it, because a) we have received $14 extra to compensate us for the delay and for our staff's extra effort, and b) if the patient doesn't send us the Medicare cheque, under the 90 day unpresented cheque scheme the Medicare benefit will turn up in about 100 days by EFT in our bank account anyway.

Oliver, I take it you have a PKI key? Does this require the dreaded dongle, or does the disc-based Location certificate suffice?

Yes, we have a HeSA location key. This does not require the dreaded dongle. It just lives on our server's hard drive. We never have to do anything with the key - that is, we don't have to type it in or look it up - the Pracsoft Medicare Online Claiming function just uses it automatically. (Incidentally, the same location key is used also by Argus to send and receive our clinical messages. However, if you wish, you can set Argus up to use a different location key).

What do you do when the HIC server is down?

This happens every week or two for a few minutes to an hour or so. In these cases our staff just take the right money and process the claim when Medicare is back on line.

--
Oliver Frank, general practitioner
255 North East Road, Hampstead Gardens, South Australia 5086
Phone 08 8261 1355   Fax 08 8266 5149  Mobile 0407 181 683
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