Just got off the phone with Medicare. The following are my interpretations,
not gospel...

1. There are actually three banks signed on: NAB, CBA and "MoneySwitch"

2. Online Patient Claiming is used by 7%-10% of transactions. The lady I
spoke to conceded that if this was significantly higher, EasyClaim would
probably not be about to exist.

I guess this boils down to the fact that patients are more likely to carry
around their EFTPOS card than their BSB & Account Number. Further, some
practices are reluctant to store patient bank details which compounds the
problem. The vast majority of online patient claims, therefore, result in a
cheque being sent to the patient.

3. Promotion will commence circa late May.

4. Medicare's justification for not launching it with practice software
integration is as I assumed - it would inevitably slow deployment. From the
discussion, my understanding now is that there won't be a "Medicare API",
but rather "Bank EFTPOS Terminal" interfaces that practice software vendors
will need to deal with. Discussions are already underway, but I don't know
between who.

5. As most have assumed, the information that needs to be keyed per
consultation is the item number/s. Other information needs to be keyed
including the provider number and cost. Potentially a lot of numbers, but
"keypad shortcuts" are possible and will streamline this process somewhat. I
presume integration with practice software may eliminate this.

6. The AMA have been involved in the process for a long time, as have the
banks (January 05 for the banks apparently).

7. Practices won't be financially incentivised to adopt the solution.

8. I didn't catch any reference to "real world trials".

9. The person I spoke to had an accounting background, and conceded Oliver's
point about the fact that the cash flow improvement EasyClaim would deliver
won't significantly alter the amount of cash entering a practice per week.

10. All banks are paid per transaction at the same rate. Medicare determines
this rate.

Have a good weekend all.
Simon

> Hi Simon
> 
> One thing I forgot to mention is I sadly assume it is to late to prevent
> this mess (efpos swipe card) being forced on us. CBA, NAB and other banks
> share holders (like me) should love the government's action on this one.


 
> The Governments multimillion dollar advertising Campain (or pre election
> guff) will misinform all our clients about some thing we can already do
> better do with all the existing 20 odd ways of making Medicare claims
> especially HIC online.
> 
> THE AMA and RACGP appear to be rather toothless bureaucratic tea parties
> committees for the boys or girls- Wonder if we could get Dr Kerryn Phelps
> back- (I miss her - she said it like it is).
> 
> The Government has blind sided us. Far too few people have taken the time to
> try and stop this from occurring. Perhaps I am naive or unaware how often
> the government shafts doctors and taxpayers like this. I thought people
> would care to tell our politicians of the sheer stupidity of giving the
> banks $50 million plus each year for something GAP billing would to
> significantly more equitably with the same significant cost savings and with
> out padding the banks pockets with truckloads of our tax.
> 
> 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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