Billing Types

Table 1. Billing Types
Visit Type	Description
Medicare	Select to bulk bill the patient's consult to Medicare. There is no charge to the patient. Select Medicare billing items: in the Code field, enter a new code or description to display a list of options. From the Service fee type list, select an appropriate fee type. This is used to group invoices together. In the Service text column, click Menu, and select an option or enter text in the Service text field and click OK. This displays as a note on the invoice. To delete a row, click Delete. For eligible patients and those registered with MyMedicare, additional incentive items may be added automatically. For more information, see Medicare Bulk Billing Incentives and Regular centre.
DVA	Select to bulk bill the patient's consult to Department of Veterans' Affairs. There is no charge to the patient. In the DVA panel, enter the Treatment location, Authorised by, and Condition treated details (if the patient has a DVA white card). Select DVA billing items, in the Code field, enter a new code or description to display a list of options. From the Service fee type list, select an appropriate fee type. This is used to group invoices together. In the Service text column, click Menu, and select an option or enter text in the Service text field and click OK. This displays as a note on the invoice. To delete a row, click Delete. For eligible patients, additional incentive items may be added automatically. For more information, see Medicare Bulk Billing Incentives.
Private	Select if the consult is charged at a higher rate than the Medicare rebate and the patient must make a gap payment. To prepare a claim for a private consultation: Check in the patient header that the payer details have been recorded. For more information, see Edit Patient Record. If the patient is under 12 years old, the payer details must be entered here. If the patient is a payer, select Patient Is Payer. In the Create Visit panel, select a practitioner. To initiate the billing for that visit, click Process Billing. In the Code field, enter a new code to add a new charge. Record the payment, and click Issue: If multiple payment types were used, enter the amount for each type. If no payment was made, a warning message is displayed when you select Create Visit. In the Private section, click Prepare Claim. The Patient Prepare Claim panel is displayed. Ensure with the patient that Services Australia has their contact and bank details. If not, select Send contact details to Medicare checkbox. To submit a claim, click Submit. The claim is submitted to Services Australia. A success message is displayed to indicate that it was created. For more information about patient claims, see Patient Claims.
Pre Employment	In the Pre Employment section, record the Employer and Account holder names for a pre-employment consultation. Tip: If the Employer or Account holder cannot be found, you can create a new one. In the Code field, enter pre-employment codes in the rows. The Amount is displayed for each row and the Total is displayed at the bottom of the panel. The available payment methods are: HICAPS EFTPOS Credit Card (Includes a surcharge) Cash Note: If multiple payment types are used, enter the amount for each type. To change the payment method, click the Payment icon and select a new Payment option. If excessive money was paid, a refund can be performed in the Transaction History section. For more information, see Transaction History. From the Service fee type list, select an appropriate fee type. This is used to group invoices together. In the Service text column, click Menu, and select an option or enter text in the Service text field and click OK. This displays as a note on the invoice. To delete a row, click Delete.
Workers Compensation	Select to bill the patient's consult to an employer if the employee has been injured at work. There is no charge to the patient. In the Workers Compensation section, enter the following details: In the Employer and Account holder fields, enter an account holder name or select from the list: In the Employer and Account holder fields, start typing an employer and select an existing employer from the list. To add a new employer or account holder, click Add New Address and add the employer's details. In the Type of injury field, enter the patient's injury type. In the Date of injury field, enter a date of injury. In the Claim date field, enter the claim date. In the Claim # field, specify the claim number. To add a Claim diary entry, select Claim diary > New claim diary entry. In the New claim diary entry field, enter the details you want and then click Add. In the Contacted? field, select the appropriated status from the list: Yes, Approved Yes, Pending approval Yes, NOT approved No, Employer unavailable In the Employer contact section, enter the employer's Name, Position, and Number. In the Code field, enter worker compensation codes. The amount is displayed but there is no charge to the patient. From the Service fee type list, select an appropriate fee type. This is used to group invoices together. In the Service text column, click Menu, and select an option or enter text in the Service text field and click OK. This displays as a note on the invoice. To delete a row, click Delete.

Medicare

Select to bulk bill the patient's consult to Medicare. There is no charge to the patient.

Select Medicare billing items: in the Code field, enter a new code or description to display a list of options.
From the Service fee type list, select an appropriate fee type. This is used to group invoices together.
In the Service text column, click Menu, and select an option or enter text in the Service text field and click OK. This displays as a note on the invoice.
To delete a row, click Delete.

For eligible patients and those registered with MyMedicare, additional incentive items may be added automatically. For more information, see Medicare Bulk Billing Incentives and Regular centre.

DVA

Select to bulk bill the patient's consult to Department of Veterans' Affairs. There is no charge to the patient.
DVA

In the DVA panel, enter the Treatment location, Authorised by, and Condition treated details (if the patient has a DVA white card).
Select DVA billing items, in the Code field, enter a new code or description to display a list of options.
From the Service fee type list, select an appropriate fee type. This is used to group invoices together.
In the Service text column, click Menu, and select an option or enter text in the Service text field and click OK. This displays as a note on the invoice.
To delete a row, click Delete.

For eligible patients, additional incentive items may be added automatically. For more information, see Medicare Bulk Billing Incentives.

Private

Select if the consult is charged at a higher rate than the Medicare rebate and the patient must make a gap payment.

To prepare a claim for a private consultation:

Check in the patient header that the payer details have been recorded. For more information, see Edit Patient Record. If the patient is under 12 years old, the payer details must be entered here. If the patient is a payer, select Patient Is Payer.
In the Create Visit panel, select a practitioner.
To initiate the billing for that visit, click Process Billing.
In the Code field, enter a new code to add a new charge.
Record the payment, and click Issue:
- If multiple payment types were used, enter the amount for each type.
- If no payment was made, a warning message is displayed when you select Create Visit.
In the Private section, click Prepare Claim.

The Patient Prepare Claim panel is displayed.
Ensure with the patient that Services Australia has their contact and bank details. If not, select Send contact details to Medicare checkbox.
To submit a claim, click Submit.
The claim is submitted to Services Australia. A success message is displayed to indicate that it was created. For more information about patient claims, see Patient Claims.

Pre Employment

In the Pre Employment section, record the Employer and Account holder names for a pre-employment consultation.
Tip: If the Employer or Account holder cannot be found, you can create a new one.
In the Code field, enter pre-employment codes in the rows. The Amount is displayed for each row and the Total is displayed at the bottom of the panel.
The available payment methods are:
- HICAPS
- EFTPOS
- Credit Card (Includes a surcharge)
- Cash
Note:
- If multiple payment types are used, enter the amount for each type.
- To change the payment method, click the Payment icon and select a new Payment option.
- If excessive money was paid, a refund can be performed in the Transaction History section. For more information, see Transaction History.
From the Service fee type list, select an appropriate fee type. This is used to group invoices together.
In the Service text column, click Menu, and select an option or enter text in the Service text field and click OK. This displays as a note on the invoice.
To delete a row, click Delete.

Workers Compensation

Select to bill the patient's consult to an employer if the employee has been injured at work. There is no charge to the patient.

In the Workers Compensation section, enter the following details:
- In the Employer and Account holder fields, enter an account holder name or select from the list:
  - In the Employer and Account holder fields, start typing an employer and select an existing employer from the list.
  - To add a new employer or account holder, click Add New Address and add the employer's details.
- In the Type of injury field, enter the patient's injury type.
- In the Date of injury field, enter a date of injury.
- In the Claim date field, enter the claim date.
- In the Claim # field, specify the claim number.
- To add a Claim diary entry, select Claim diary > New claim diary entry.
- In the New claim diary entry field, enter the details you want and then click Add.
- In the Contacted? field, select the appropriated status from the list:
  - Yes, Approved
  - Yes, Pending approval
  - Yes, NOT approved
  - No, Employer unavailable
- In the Employer contact section, enter the employer's Name, Position, and Number.
In the Code field, enter worker compensation codes. The amount is displayed but there is no charge to the patient.
From the Service fee type list, select an appropriate fee type. This is used to group invoices together.
In the Service text column, click Menu, and select an option or enter text in the Service text field and click OK. This displays as a note on the invoice.
To delete a row, click Delete.