Dear All,

I'm commencing research on the new Electronic Medicare Claiming (EasyClaim)
system and will be interviewing some folks from Medicare in the coming days.

I'm posting to see if list members have any outstanding questions or
concerns about the proposed system, which will assist me to research and
prepare a comprehensive article for release in my May edition.

In terms of currently available info, I expect most would be aware of
Medicare's website:

http://www.medicare.gov.au/providers/programs_services/medicare/electronic-c
laiming.shtml

As well as some basic info, this site contains has a video that outlines the
following scenarios:

Paying Patients
---------------
1. Practice generates invoice.
2. Patient pays with cash/cheque/eftpos
3. Receptionist swipes EFTPOS card
4. Receptionist enters "some basic information", "5-keystrokes or less".
5. EFTPOS terminal sends info to Medicare Australia
6. Medicare Australia sends EFTPOS terminal approval message.
7. Patients "bank debit card" is swiped.
8. EFTPOS terminal prints receipt and money is transferred to patient.

Bulk Bill Claims
----------------
1. Medicare card swiped.
2. "Information entered into the keypad" by patient.
3. Patient approves benefit to the doctor by pressing "OK".
4. Receipt printed for patient.

I've dredged out some questions and comments from previous posts relating to
this subject (hopefully the context is obvious):

Q) How many more?  What is the minimum number and what is the maximum
number of keystrokes that specialists' staff will have to enter?

Q) Why only on the next working day and not within the next minute?  What
prevents payment within the next minute?

Q) As a patient, how do I know that my consultation details (demographics,
medicare no, Items claimed, etc) are not being harvested at the POS by
an Insurance Company affiliated with the bank?

Comment) Also one of the set of keystrokes is obviously the item number, so
there is lots of potential for data entry errors, and there is no
information about how they'd be handled. Do you need the patient to swipe
their card again, as its obviously the confirmation that the patient is
involved in the process?

Comment) What is missing from this list is where the patient pays the gap or
some lesser portion of the bill: this is neither a "paid patient claim" nor
an "unpaid account" as described on the Medicare page.  Presumably the
patient pays the gap, possibly by credit or debit card (one swipe) and
then swipes his or her Medicare card to get the Medicare benefit cheque
generated (2 swipes).

Comment from me) I note that this week, NAB joined CommBank as the (only 2?)
banks signed on for the scheme.

Does anyone have any more to add?

Thanks,
Simon


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