Configuring a patient for Medicare EPC claims

Abstract

Capable 21C supports the Tyro system for Medicare EPC claims via Easyclaim. This article describes how to configure a patient file so that claims may be submitted.

Underlying challenge

Medicare will only pay EPC payments for claims that have the appropriate information included. Follow the steps detailed below to configure a patient for EPC claims.

Resolution

Before configuring these features, it is important to enable Tyro functionality AND configure Capable 21C for Easyclaims.

To configure a patient file for Medicare EPC Payments the following steps must be performed:

  • Go to Patient Details for the patient.
  • Go to the 'Insurance' tab.
  • Go to the 'Basic Claim Details' subtab.
  • Key the patient's Medicare number. It is OK to include spaces.
  • Key the patient's Medicare card position. For example, the first person named on the card will have position 1.
  • Key the GP Referral date. Note that Medicare may check this date. GP Referrals do not last forever, and will need to be updated regularly.
  • Key the name of the referring GP. There is a dropdown button where commonly used GPs may be recorded and selected easily.
  • Key the referring GP's provider number.
  • Click Save and Exit.

Detailed Information

No further detail.

New Page 1 This training resource is designed for use on a Windows (tm) XP system operating at a screen resolution of 1024x768 or better. Windows Media Player must be installed for this training resource to operate correctly.

Copyright 2006 Capable Software Pty Ltd

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