Invoice a private patient who's paying the bill themself and use MA Online or Tyro EasyClaim to process the rebate. MA Online payments use credit cards and are processed within 48 hrs. Tyro EasyClaim payments use debit cards and rebates are received almost immediately.
Requirements
Medicare Easyclaim can be used to claim the following services:
- NEW Patient claims less than 6 months from date of service
- Out-of-hospital items
- Bulk bill claims less than 2 years from the date of service
- Items that are not time-duration dependent
- Patient claims for Group 9 pathology items
- Patient claims and bulk bill claims with standard referrals
- Items where the charge does not exceed $9,999.99
- Non-derived fee items
- Separate sites override if the item is listed under a restrictive override code
- Claims that do not require text.
Branch selection
From Zedmed v37, you can change the branch when billing from a patient's record. The invoice will use the treating doctor's provider number and letterhead for that branch. You do not need to log into another branch. You cannot change the branch if you bill from the Appointment Grid or Waiting Room. Zedmed checks for an appointment matching the branch and doctor. If it does not find one, it creates a new attendance (without a booking).
Invoice a private patient using MA Online
If there is a Medicare rebate, Patient Verification should be selected in the patient record to check eligibility. This can be done when the patient arrives or as part of the billing process.
To bill the patient using MA Online:
- Select Bill using the relevant option:
• If you are billing from the Waiting Room, right-click the patient and select Bill.
• If you are billing from the Patient Record, select Bill from the top menu.
The New Invoice screen will open. - Check that the Payer is the patient and the correct Doctor is shown.
- Add service items to the invoice:
• If billing from the Waiting Room, select Add All to add the code/s in the Doctor Assigned Billing Codes box.
• If billing from the Patient Record, enter item codes in the Item# field. Press Tab to update the fields. Do not select Add.
- Select Properties and review the following:
- Select any relevant Indication flags. For example, if a patient returns later that day, select Not Duplicate Service.
- Select OK to return to the New Invoice screen.
- If you billed from the Patient Record:
- Select Add to add the current item to the invoice and enter any additional items to the invoice.
This is done after reviewing the Properties, so any selections are applied to all items.
- Select Add to add the current item to the invoice and enter any additional items to the invoice.
- Review the invoice items:
- To modify a service, select it and select Change. This will place the service into the editable fields.
- To delete a service, select it and select Change, then select Delete.
- Select Quick Pay.
The Quick Pay screen will open.
This will show the Value to be paid, and if there is a rebate, the amount will be shown as the Gap. - Select the Payments Format, then update the Payments fields and select Add.
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Use the payment method selected to process the payment.
The example below shows a manual over-the-phone payment in which a Card was selected, and VISA was selected as the Card Type.
- Select MA Online.
MA Online is used to process the rebate for the patient and complete the payment of the invoice. If there is no Gap, MA Online is still used to complete the billing process. - Select Yes to the MA Online pop-up advising the invoice will be saved
The Interactive Claim screen will open.
- Select Send to transmit the rebate request to Medicare.
You will get a response with information about the claim.
- Select Ok on the assessment dialog.
- Select Print or Continue.
• Print will print out the claim details, including any remittance advice for the patient.
• Continue will close the prompt.
Invoice a private patient using Tyro EasyClaim
The payment will be processed using a Tyro POS terminal. The patient's rebate eligibility can be checked, and their rebate will be paid directly into their bank account.
To check if Tyro is set up, see the Set up Tyro article.
To bill the patient using Tyro EasyClaim:
- Select Bill using the relevant option:
• If you are billing from the Waiting Room, right-click the patient and select Bill.
• If you are billing from the Patient Record, select Bill from the top menu.
The New Invoice screen will open. - Check that the Payer is the patient and the correct Doctor is shown.
- Add service items to the invoice:
• If billing from the Waiting Room, select Add All to add the code/s in the Doctor Assigned Billing Codes box.
• If billing from the Patient Record, enter item codes in the Item# field. Press Tab to update the fields. Do not select Add. - Select Properties and review the following:
- Select any relevant Indication flags. For example, if a patient returns later that day, select Not Duplicate Service.
- Select OK to return to the New Invoice screen.
- If you billed from the Patient Record:
- Select Add to add the current item to the invoice and enter any additional items to the invoice.
This is done after reviewing the Properties, so any selections are applied to all items.
- Select Add to add the current item to the invoice and enter any additional items to the invoice.
- Review the invoice items:
- To modify a service, select it and select Change. This will place the service into the editable fields.
- To delete a service, select it and select Change, then select Delete.
- Select Quick Pay.
The Quick Pay screen will open.
This will show the Value to be paid and, if there is a rebate, the amount will be shown as the Gap. - Select Tyro EasyClaim.
The Tyro connector application will open and show the total amount due.
- Using the Tyro terminal, the patient can now:
- Swipe their payment card.
Note: This must be a debit card. If it is a credit card, select Cancel Transaction and perform an MA Online payment. - Select the account using the terminal keys.
- Enter their pin
- Press OK.
- Swipe their payment card.
- Once the payment has gone through, select Tyro Easyclaim for the rebate.
The Medicare Australia Online Easy Claims screen will open. - Select Send.
- The patient will be prompted to swipe their card again and follow the terminal's steps for the refund.
Note: The card must be a debit card for a rebate to be refunded.
- Select Close to exit the New Invoice screen.
The print dialog will open. - Select Print or Continue.
• Print will print out the claim details, including any remittance advice for the patient.
• Continue will close the prompt.
