HI Simon

The Medicare office is/has rolling out a sideshow promoting Medicare EFPOS
swipe card claims at GP divisions. I attended one recently at Whitehorse
WDGP(VIC). The AMA was planning to doing the same! The AMA cancelled the one
in Melbourne 'claiming lack of interest'- I personally know of many people
who registered to go to the AMA event so I assume the AMA is backing off
support for this due to the numbers of its members very unhappy with this.


At the meeting at WDGP. The nice people from Medicare acknowledged:
1-GAP billing would do this without giving $50 million plus per year to the
banks
2- Gap billing is more equitable for privately billed people including the
many pensioners and concession card holders who have no access to Bulk
billed services. Allows people to see their doctor with only the gap fee-
not he entire amount
3- Several hundred Medicare staff will be sacked 
4- Practices already using Online patient claims have no benefit in using
the new EFPOS swipe card process
5- Medicare is about to spend a lot of money advertising that doctors can
use the EFPOS swipe card process. About 10 to 20 million in May June July
2007 (My assumption on the amount!)
6- Only CBA has agreed to provide the service at the .23 cents per
transaction meaning that the estimated 50 million paid to the banks per year
may increase significantly!

Almost all the practices expressed frustration that the new system:
1-Is not integrated with out clinic/admin software systems
2-We will be almost forced to use it or lose customers to large corporate
centres or even other practices who do use it 
3- Increase our work load with no benefit except for paper based claiming
practices- (I would love to know how many of these actually still exist) 
4- $50 million or more per year paid to the banks for something we can/could
do is a shocking waste of taxpayer's money

It was a very interesting to see almost everyone at the meeting agreed on
most if not all the above including two of the three Medicare staff. Honesty
rather than the waffle from the guff used to prompt the swipe card was very
appreciated. I hope this is of use to you.


Regards
 
James Bishop
Longevity Medical
Ph  03 98482009
Fax 03 98407064
Mb  0413582615
 
-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]
On Behalf Of Simon James
Sent: Friday, 13 April 2007 9:42 AM
To: GPCG Talk
Subject: [GPCG_TALK] Electronic Medicare Claiming / EasyClaim

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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