Medicare and DVA incentives

Bp Premier will automatically add Medicare Bulk Bill Incentive or Veterans Access Payment items to a patient account if the following are true:

• When creating the patient account, the Bill to field is set to ‘Medicare Direct Bill’ or ‘DVA Direct Bill’.
• The patient is under 16 years old, or holds a pensioner, health care, senior’s, or DVA card.
• If the patient holds a concession card, the Pension / HCC No, Expiry and Pension card type must be completed on the patient demographic.
• If the patient has a DVA card, the DVA No, DVA Type and DVA Conditions (if applicable) must be completed on the patient demographic.
• The account item claimed is eligible for the incentive according to the Medicare Benefits Schedule or DVA Fee Schedules for Medical Services.

These incentive items are applied based on the Modified Monash Location that each of your practice locations belong to.

Add Modified Monash locations for each of your practice locations via Setup > Practice Details > Edit. For more information, see Add practice location details.

Visit the Department of Health website for more information about the Modified Monash Model.

Use the Department of Health's Health Workforce Locator to determine which Modified Monash Location your practice location is in.

You cannot add an incentive item manually. Bp Premier will determine whether the account is eligible for the incentive using the rules provided by Medicare and DVA.

Last updated: 04 January 2022