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.
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