Set up Fee Scalers and Subsidisers

On this page:

• Setup Fee Scalers
• Setup Subsidisers.

If a database does not already have Fee Scalers and Subsidisers created, the following table shows the records that need to be created for a VIP.net database.

Fee Scaler	Abrv_FS	% of FS	Subsidiser	Abrv SUB	% of SUB
ADF- Garrison Health	ADF FS	100	ADF- Garrison Health	ADF SUB	NC
Aus Health Service Alliance	AHSA FS	NC	Aus Health Service Alliance	AHSA SUB	NC
BUPA_No Gap	BUPA_NG FS	NC	BUPA	BUPA SUB	NC
BUPA_Known Gap	BUPA_KG FS	NC	BUPA	BUPA SUB	NC
Department of Veterans Affairs	DVA FS	NC	Department of Veterans Affairs	DVA SUB	NC
DVA HOSPITAL	DVAH FS	NC	DVAH	DVAH SUB	NC
Frank Health Insurance	FRANK FS	NC	Frank Health Insurance	FRANK SUB	NC
GUH	GUH FS	NC	GUH	GUH SUB	NC
HBF	HBF FS	NC	HBF	HBF SUB	NC
HCF_Known Gap	HCF_KG FS	NC	HCF_KG	HCF_KG SUB	NC
HCF_No Gap	HCF_NG FS	NC	HCF_NG	HCF_NG SUB	NC
Medibank Private	MBP FS	NC	Medibank Private	MBP SUB	NC
MILDURA	MILD FS	NC	MILDUR	MILD SUB	NC
NIB	NIB FS	NC	NIB	NIB SUB	NC
ST LUKES HEALTH FUND	STLK FS	NC	ST LUKE HEALTH FUND	STLK FS SUB	NC
PRIVATE (STANDARD)	PVT	NC
PENSION (DISCOUNT)	PENS	NC
MEDICARE (REBATE)	REBATE	85	Medicare Standard	MSTD	85
WORK COVER	WC FS	NC	WORK COVER	WC SUB	NC
SCHEDULE	SCHED FS	NC	SCHEDULE	SHED SUB	NC
			MEDICARE Hosp.	MHOSP	75

Setup Fee Scalers

1. Create the organisation and record the Role as Fee Scaler and enter a Code as shown in the table.
2. Click OK.

TIP   When creating the Fee Scalers for Private (Standard) and Pension (Discount), add a 1 before Private and a 2 before Pension. This will sort the two columns to the front of the Charges screen and make it easier to enter the fees as recorded by the site on the Site Assessment. When you have finished adding the fees, edit the Private and Pension records and remove the numbers from the name.

Minimal details are required for the Fee Scaler as charging details will be recorded against the Subsidiser.

Set up Subsidisers

1. Create the organisation and record the Role as Subsidiser and enter a Code as shown in the table.
2. Click on the Charging Details tab.
3. Leave the Generate a single batch for all providers/revenue accounts unticked.
4. If the Subsidiser is DVA, ensure The Treatment Location Code is selected.

DVA = Rooms; DVA Hospital = Hospital.

5. Enter the required Percentage as per the table above and enter Up to Nearest 5c.
6. Select Base Calculations on: Subsidy.
7. Select Invoicing to: Print the Patient Invoice Only.
8. Select For Invoices to this Redirector: Health Insurance Invoice. This auto template must be created with the name Health Insurance Invoice.
9. Batching Method only for DVA and Medicare.

Method
DVA = Easyclaims DVA	Batch = 50
Medicare Easy claim for Standard and Hospital.	Batch = 50
Tick Send Batches Electronically.
Print Batch immediately on creation	Print Batch immediately on creation
Do you want to print the form – untick

10. Click OK.

 

Last modified: 27 January 2023