In-Patient Medical Claims (IMC)

This article provides additional information for In-patient medical claims sent to a health fund, where information about the procedure may need to be supplied with the claim, or an entire claim is denied.

On this page:

• Editing operation details
• IMC Duplicate Services

Editing operation details

1. Run the OPV on the patient to check their Healthfund status. To carry out an IMC, the procedure must be booked as an Operation.
2. Click CTRL+D in the Appointment Book if the operation needs to be edited.



IMPORTANT Selecting the location in the Operation screen will ensure you are sending the location through to Medicare and the location will display next to the description in the invoice.

3. Click OK to save the Operation Details.
4. Click F5 to bill.
5. Click the chevron at the right side end of the item row to open the Medicare Consultation Item popup to record the procedure location as service text.



6. Add the Healthfund into the 1. Less Redirection field and continue as normal.

IMC Duplicate Services

If the operation is done on both sides, e.g., L and R eye. Click on the chevron beside each item code to select NOT Duplicate Service and record the service text.

 

Last modified: November 2021