Best Practice Software

How Video Telehealth Can Help Practice Sustainability

Practices are feeling the pressure of increased costs and flat Medicare rebates. This year’s General Practice Health of the Nation report by the RACGP found that only 3% of GPs stated that the current Medicare rebate is sufficient to cover the cost of care.

Using technology to deliver health care has several advantages, including cost savings, convenience, and the ability to provide care to people with mobility limitations or those in rural areas who do not have easy access to a clinic. Medicare data indicates that approximately 20% of GP consultations are conducted using telehealth, and patients still have an appetite for telehealth consults post-pandemic.

There are many upsides for a patient to use select telehealth appointments as their preferred method of consultations. But why should your practice offer telehealth?

Well, there are a few reasons to consider.

Flexibility for Doctors

Firstly, telehealth can offer flexibility to your doctors. They can simply login from home to see patients. This is particularly useful if they, or their family, are sick.

Reduced Cancellations

Because of how easy and accessible telehealth appointments are, your practice will likely notice a reduction of cancellations and no-shows. With enough notice, appointments can be converted to video telehealth appointments which still allow a rich clinical interaction. 

Efficiency

Some telehealth booking platforms can seamlessly integrate with your Best Practice appointment book. This two-way communication between the telehealth platform and Bp greatly reduces the risk of double booking an appointment time slot.

Reduce Practice Costs

Delivering consultations via telehealth can reduce overhead costs for your practice. You can streamline your reception by reducing bottlenecking and busy periods, as telehealth can reduce the number of consults booked over the phone. It also removes the need to verify patient details and in-person check-in upon arrival, as this is all done through the telehealth platform.

Grow Your Radius of Care

Your patients no longer need to live within driving distance of your practice. This can also mean that you can offer consults to people living in rural and remote areas who may not have a local GP.

Stay Competitive

And, of course, the convenience it offers to your patients. Appointments can be easily booked through the telehealth platform. Patients no longer need to organise time away from their regular duties to sit in busy waiting rooms. With more and more practices offering telehealth, you could be losing out on consultations by not offering this service.

Dr Jared Dart, practice owner and GP advocate, recommends that practices do whatever they can to reduce costs and increase revenue and suggests that private billing Video Telehealth may be one such way. 

Welio, a doctor-focused telehealth platform, takes a novel approach to improving practice sustainability by charging the patient and not the practice. This minimal $2 charge per patient telehealth video consult means that there is no out-of-pocket cost to the practice and no lock-in subscription.

Created by Dr Jared Dart, GP and practice owner of iHealth Centre Indooroopilly, Welio provides privately billed telehealth consults through seamless access to secure payments, informed patient financial consent, and flexible post-consult billing options. Dr Dart commented that data shows 20% of iHealth Centre revenue is generated by telehealth.

The platform is private and secure with end-to-end encryption. Any personal data stored by Welio is kept in their secure Microsoft Azure cloud platform. The simple user interface means patients can use their Face ID, fingerprint, or passcode to enter the Welio app, and within three clicks, they are in the virtual waiting room. Using the app means that patients don’t have to click a link to open their video consult – something patients are becoming more wary of.

Payments are taken through the app using the PCI-compliant and highly secure Stripe payment platform. Doctors can choose to charge the expected fee to which the patient has already agreed, an increased or decreased fee, or a $0 charge which effectively allows them to bulk bill. If the patient is bulk billed, Welio does not charge them a fee.

For more information about Welio visit their website – www.welio.com

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Calling Australian GPs and General Practice Staff – Join the Discussion on NBCSP!

Bp Blog_Daffodil Centre

The MAIL, GP & SCALE project aims to help the Australian population and reduce the burden of bowel cancer. The Daffodil Centre are conducting a co-design with general practitioners and practice staff of an intervention to increase National Bowel Cancer Screening Program (NBCSP) participation.

The Cancer Council Australia recognises the key role that GPs and other primary health professionals play in the success of the National Bowel Cancer Screening Program (NBCSP). As a health professional, you are integral to the success of the program. Evidence shows that a recommendation by a primary health care provider is a key motivator for participants to screen.

Currently, only 44% of eligible Australians complete the free NBCSP home screening test. Following a comprehensive review of the evidence and the publication of the Clinical Practice Guidelines for the prevention, early detection and management of Colorectal Cancer, immunochemical faecal occult blood testing (iFOBT) every 2 years from age 50-74 was recommended for population screening in Australia. Modelling has shown that with current levels of participation, the NBCSP is expected to prevent 59,000 deaths over the period 2015-2040; an additional 16,800 and 24,800 deaths would be prevented if participation was increased to 50% and 60%, respectively.[1]

Modelling has shown that with current levels of participation, the NBCSP is expected to prevent 59,000 deaths over the period 2015-2040; an additional 16,800 and 24,800 deaths would be prevented if participation was increased to 50% and 60%, respectively.

The Daffodil Centre – a partnership between the Cancer Council NSW and the University of Sydney, is inviting GPs and practice staff to take part in a new study that aims to co-design a general practice led intervention to increase NBCSP participation. Specifically, this study aims to:

  1. Co-design a general practice led intervention to increase National Bowel Cancer Screening Program participation.
  2. Identify potential barriers and enablers that may affect implementation of the intervention.

Focus groups will be held online in late 2022 and early 2023, with reimbursement provided.

What Does the Co-Design Process Involve?
  • Eight focus groups with ~5 participants per group from across Australia, conducted from late 2022 to early 2023.
  • Focus groups will be held online and last approximately 60-90 minutes.
  • Participation is voluntary and there will be reimbursement for participant time.
  • Focus groups will explore participants perspectives of an optimal general practice-led intervention to increase bowel screening participation.
  • Focus group data will be de-identified.
  • After the focus groups, participants are welcome to make further contributions or revisions to design of the intervention, but this is not required.

What Happens Next? 

Findings from these focus groups will support the design of a general practice led intervention. This intervention will be piloted in a trial in within 80 general practices across two Australian states.

Click here to see the Participant Information Statement and indicate your expression of interest or contact bowel@daffodilcentre.org if you would like further information. 

References:

  1. Lew JB, St John DJB, Xu XM, Greuter MJE, Caruana M, Cenin DR, et al. Long-term evaluation of benefits, harms, and cost-effectiveness of the National Bowel Cancer Screening Program in Australia: a modelling study. Lancet Public Health 2017 Jul;2(7):e331-e340 Available from: http://www.ncbi.nlm.nih.gov/pubmed/29253458.

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Retired Doctor Using Skills to Help Homeless

Bp Blog Article Dr Peter McKain

Our Community Partnership program is designed to discover and enable charitable community benefit through our vision of communities connected through medicine.

Recently, we heard about the fantastic work that now-retired general practitioner, Dr Peter McKain, is doing within his local community. Dr McKain works with Beddown and The Vacseen Project, both based in Central Brisbane. These organisations provide a safe, comfortable bed to sleep in and free medical care for homeless people in Brisbane and surrounding areas.

The 2016 census reported 5813 people homeless in Brisbane¹. This figure is based on a broad definition of the term ‘homeless’ and includes rough sleepers, people who are couch surfing and people living in cars, crisis accommodation and boarding houses. Now, living in a post-pandemic world, we can only imagine that this number has drastically increased due to the reduced amount of rental homes available and the overall increased cost of living.

The Role of Beddown

Beddown aims to take bustling spaces during the day and is left vacant upon nightfall as a repurposed space for pop-up accommodation. They provide a bed at night for local homeless and those sleeping rough. Halls, offices, parking lots, industrial buildings and a backpacker hostel in Spring Hill are some spaces repurposed into temporary overnight sanctuaries and short-term accommodation.  

Due to the conditions of living on the streets, many of the homeless suffer from sleep deprivation. This can lead to many severe physical and mental health conditions, including depression, diabetes, hypertension, obesity, memory loss and impaired cognitive function, leading to alcohol and drug use. Not to mention the impact of the fear of being attacked or robbed whilst asleep. By providing a safe, secure, and comfortable bed for the night, Beddown is helping restore health, dignity, and respect for its guests. Beddown also works with other charitable organisations to provide complimentary laundry, showers, clothing, food and beverage, and health and well-being care at their pop-up accommodation locations.

Beddown Image 1

Beddown volunteers preparing beds in a vacant parking lot. 

The Role of The Vacseen Project

One of the organisations partnering with Beddown is The Vacseen Project. An initiative of University Queensland students, The Vacseen Project was initially created to break down the cost and accessibility barriers in helping vulnerable populations access flu vaccines. Today, this GP lead organisation offers health advice and delivers flu and COVID vaccines in homeless shelters, hostels, social housing, and pop-up Beddown locations.

In May 2022, The Vacseen Project launched its first regular health clinic, run entirely by a team of medical students with the support and supervision of Dr Peter McKain. They provide weekly, comprehensive health clinics at the Spring Hill backpacker hotel to guests at no cost. A vast majority of the patients the team assists do not have a regular GP due to constant relocation. Dr McKain cannot bulk bill the treatment he provides to Medicare as many of the patients he sees do not have or have lost their Medicare cards. Often, he also provides free medication to patients who are unable to have their prescriptions filled.

Dr McKain commented, “We are now regularly seeing 4-6 people each session with students seeing patients, taking histories, and examining as required, usually in pairs. We are recording in Best Practice, and I will then sit with the students while they present the patient’s concerns.” The team will then discuss and organise appropriate care for the patient.

“We are now regularly seeing 4-6 people each session with students seeing patients, taking histories, and examining as required, usually in pairs. We are recording in Best Practice, and I will then sit with the students while they present the patient’s concerns.”

When speaking on the benefits of medical students volunteering, Dr McKain said, “The service provides an opportunity for the students to be exposed to a clinical side of medicine that they may not see in their training.” He has been very impressed by their enthusiasm and knowledge.

The team plan to develop two additional clinics across different locations to broaden their reach, plus mental health plans with Brisbane North Mental Health Unit in the new year.

The Vacseen Project Image 1

Dr Peter McKain and medical student Evi with a patient.

The Vacseen Project Image 2

Dr Peter McKain and medical students Norm, Lara, Evi, Suki, Nipun and Aidan.

Poor health is a significant contributor to, and resultant of, homelessness. With less and less GPs providing bulk billed health care, people experiencing disadvantage are priced out of preventative care. All too often, hospital emergency departments are the entry point into the healthcare system for people from vulnerable groups. These presentations are usually entirely preventable with early intervention and regular touchpoint primary care.

Both Beddown and The Vacseen Project rely on volunteers, nurses, medical students, and GPs, like Dr McKain, who are ready to roll up their sleeves and make a difference.

Best Practice Software provides software licensing to Dr McKain to support his charitable volunteer work, enabling him to record his patient contact details, medical history, investigations, and script writing. The team are slowly developing a database with demographics that will help inform their future planning.

To learn more or get involved, please visit Beddown and The Vacseen Project’s websites.

 

¹ Source: Census of Population and Housing, 2016

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Bp VIP.net Tips & Tricks

VIP.net Tips and Tricks

Our Bp VIP.net Training and Deployment Specialist, Johanna Monson, has five handy tips and tricks to share with you to help you become more efficient using Bp VIP.net.

1. The Email Search

Our first tip looks at using the new, convenient email search functionality that was made available in the Bp VIP.net Topaz release. The Email Search lets you quickly link emails in your Inbox to the corresponding patient in Bp VIP.net. Type the @ symbol before the email address to quickly activate the email search function or select the Email Address (@) radio button.

VIP.net Tips & Tricks Image 1
2. Using the Window Menu

Did you know that the Window menu drop-down lets you see all the screens you currently have open in Bp VIP.net?

The ticked screen title identifies which screen you currently have in focus, and you can select another open screen by clicking on the various titles listed. This is particularly handy if you have accidentally clicked outside of the Bp VIP.net screen and lose the screen that you were working on. Simply click on the screen title you need and resume your task.

VIP.net Tips & Tricks Image 2
3. Advanced Formatting Tools

The formatting of Templates in Bp VIP.net can be enhanced by using your right-click on the Template screen. When you right-click at the top or bottom of a template, you will get an advanced option to set up Margins and Paper, Headers and Footers, and Columns and Borders.

When you right-click in the template’s body, you will see the advanced option to set Paragraph-Formatting and Indents, and Frame and Page Breaks.

The pagination settings are similar to the tools that you would be familiar with using in Microsoft Word and are handy in ensuring your letters are well formatted over multiple pages.

When you right-click within a table, you can open the Table Properties to change cell margins, borders, cell colours, and alignment.

When creating new templates, it’s advantageous to keep the formatting symbol turned on to make your current formatting visible. This conveniently identifies any hidden extra spaces, font size variations, line breaks, and other pesky hidden formatting that may be wreaking havoc in your template.

4. Accessing MIMS

Have you ever wanted to check the MIMS database in Bp VIP.net without starting the prescribing process? Clinical users can click the Help menu, then MIMS to open and view the MIMS database.

VIP.net Tips & Tricks Image 3

 5. Faster Prescribing in Bp VIP.net

When creating a script for a commonly prescribed medication in Bp VIP.net, the Save button at the top of the details section allows you to save the directions included in the orange section of the Prescription Item Details. This feature will save your clinicians time when prescribing a regular medication as they can conveniently select from the saved default.

Likewise, you can create a prescription, complete the directions, and enter the first dose. Then, click save in the Saved Default section, alter the Dose and click Save again. You will now have all the regular doses for the selected medication pre-saved.

VIP.net Tips & Tricks Image 4

The saved default list can also be deleted in the clinician’s Provider Screen. Select Setup, then Internal Providers, select the provider record and click on the Internal tab. Click the Doses button to manage the list of the provider’s pre-saved doses.

If you have one provider you prefer to maintain the list of saved Doses, other providers can access their list by entering the provider’s name in the Use Dose Entries From field.

 

For more tips and tricks, check out our recent Be In The Know webinar recording covering Advanced Prescribing in Bp VIP.net. Now accessible from the Knowledge Base!

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TeamBp Spotlight: Cath

Cath Phibben Blog Image

Welcome to our Employee Spotlight series, where we’re introducing you to the hardworking and talented individuals who make up TeamBp! 

 

Today, we’re featuring Cath Phibben. In addition to being one of our Partnership Specialists, she was also recently nominated for the Australasian Institute of Digital Health (AIDH) Queensland committee seat. AIDH is Australasia’s peak body for digital health representing a united and influential single voice for health informatics and digital health leaders and practitioners.

 

Under the current healthcare system, information about patients is not recorded efficiently or effectively, clinicians can’t easily share information and there are numerous adverse events (a preventable medical error is the third leading cause of death). The Institute’s purpose is to create a connected health system and a digitally competent health workforce.

 

There is growing acknowledgement that digital health is the key to realising high-quality, safe and efficient care that delivers improved health outcomes. The AIDH’s Leadership and Advocacy strategy provides high-level, organisation-wide strategic direction and guidance to the Institute’s policy and advocacy priorities, and to the engagement of experts across the health sector. 

 

Part of this strategy is the establishment of Expert Advisory Groups (EAGs), which will be the driving force behind further development, continual refinement, and delivery.

 

Cath joined the AIDH in 2019 and particularly enjoys attending networking events in Queensland as well as national events such as the summit. She is also a Certified Health Informatician Australasia (CHIA) graduate. 

 

As a member of the Best Practice Partnerships team, Cath has an excellent understanding of the digital health landscape in Australia as she works with these vendors on a daily basis. She is a strong advocate for digital health, and believes that it, “has the potential to transform the way we provide and receive care”. 

 

Prior to joining Best Practice, Cath also held similar roles in the UK, which has given her a well-rounded understanding of health informatics issues in different markets.

 

Cath is passionate about, “using her skills to make a difference in the healthcare system” and is looking forward to the opportunity to work with other members to help progress the digital health agenda both locally and nationally.


Stay tuned for future posts in this series, where we’ll introduce you to more members of our team.

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Integrative Visual Aid to Support Patient Understanding of Anatomy

3DAnatomica Blog Image

Understanding a medical diagnosis can be tricky for patients, especially when the areas of their body affected are internal. Attempting to explain internal organs or their bodies’ inner workings and elements can be time-consuming and difficult. Some people are visual learners, so it makes sense that your practice would have visual aids readily available to assist.

Gone are the days of clunky 3D models collecting dust and taking up space on the doctor’s desk. When it comes to 3D interactive models, technology has advanced.

3D anatomy programs are now fully interactive and can be integrated right into your Bp premier clinical work screen. Allowing the doctor to educate and better explain elements and features of the body as well as medical concepts and conditions to their patients during consults.

How Will It Support Patient Health Literacy?

These programs allow doctors to visually explore human anatomy, body systems and organ functions with their patients during consultation. The interactive models provide visuals of common conditions with linked media to support further patient learning. Doctors can save images to file, draw on screen and bookmark items for future reference or discussion.

What Features Will Support Me In My Practice?

With access to male and female content available via a modern graphics engine, 3D anatomy tools can allow the importing of custom content and exporting of visuals as image files, enabling you to provide accurate anatomical education to your patients clearly and conveniently.

3DAnatomica With Bp Premier

3DAnatomica is a Gold Bp Partner offering current Bp Premier users a discounted subscription to their 3DGlassman clinical program. Accessible directly by clicking the 3DA icon on the Bp Premier patient record screen. 3DGlassman can be used during face-to-face consults, telehealth consultations, as well as remotely via iPhone and tablet.

To learn more about 3DAnatomica and 3DGlassman please click here to view their Bp Partner profile or click here to visit their website.

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SMS Electronic Prescribing Funding Extended

SMS electronic prescribing funding extended blog image

SMS Electronic Prescribing Funding Extended until 31st March 2023

In great news for Bp Premier users who have been utilising electronic prescribing, the Department of Health and Aged Care (DoHAC) has recently advised that funding for electronic prescriptions sent via SMS will be extended until at least 31st March 2023.

The DoHAC has funded SMS electronic prescriptions since first introduced in 2020, with the funding cut-off date extended several times previously.

In Bp Premier whilst funding continues, you can also send electronic prescriptions to patients via Best Health App free of charge. Alternatively, you can email free of charge, or print an electronic prescription token on paper and provide it to the patient if preferred.

If you’re interested in electronic prescribing via SMS from Bp Premier, keep in mind that you’ll first need to set up a Bp Comms account. Bp Comms allows you to easily send communications such as electronic prescriptions directly to a patient’s phone via SMS or to the Best Health App from Bp Premier.

Bp Comms isn’t just for sending electronic prescriptions though, as it can also be used for sending a variety of communications to patients, such as:

  • appointment reminders
  • clinical reminders
  • health awareness communication
  • clinical communication

Need Further Assistance?

To find out more about enabling Bp Comms at your practice, contact sales@bpsoftware.net, or select Help > Online in Bp Premier to access the knowledge base.

If you don’t have a Bp Comms account set up, you won’t be able to send electronic prescriptions via SMS or to the Best Health App. However, you will still have the option to send electronic prescriptions to patients via email, or you can print the token.

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R U OK? DAY 2022

R U OK? Day 2022 Image

I was reading a recent interview with seven times world surfing champion Layne Beachley where she recounted a time when her husband, Kirk Pengilly (one of the multi-talented musicians from the uber successful band INXS) asked her that simple little question “R U OK?” (Lambert, 2022).  She described that question as the “absolute circuit breaker” which gave her a safe space to confidently express her feelings of depression.

What’s that you say? Someone with seemingly “everything” isn’t happy all the time?

Each year one in five Australian adults are formally diagnosed with a mental illness – a wide range of conditions defined as a “clinically diagnosable disorder that significantly interferes with a person’s cognitive, emotional or social abilities (COAG, 2017)

To put that into context, in an organization like Best Practice Software with over 250 staff, there could be 50 team members coping with all sorts of issues as a result of mental ill-health.  Anxiety, Depression, Affective Disorders, Substance Abuse etc – all very common, sometimes life-long challenges, but thankfully largely treatable and manageable. 

But while 1 in 5 is the official “diagnosed” statistics, the reality is that EVERYONE will experience some degree of mental illness, stress, unhappiness or negativity during their lifetime.  It is a myth that everyone is happy all the time.

Mental illness and impairment doesn’t carry the “stigma” as it did in the past.  It is just a part of being human. 

The R U OK? Website has a wealth of resources and links to services who can help anyone in distress themselves or concerned about someone they know. 

It provides some guidance on how you can confidently be that “safe space” to someone who is doing it tough.  If you are ready to ask that question – R U OK? – please remember that you are not a therapist – you are just a concerned friend who is prepared to listen without judgement. 

Authored by:

COVID-19 Vaccines Blog Article Lorraine Author Image

Lorraine Pyefinch
Chief Relationship Officer at Best Practice Software

Sources

COAG. (2017). The Fifth National Mental Health and Suicide Prevention Plan. Canberra, ACT, Australia: https://www.mentalhealthcommission.gov.au/Monitoring-and-Reporting/Fifth-Plan.

Lambert, C. (2022, September 7). “Listen up, it helps”. Courier Mail “Smart Daily”, p. 1.

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Online Claiming with Medicare Web Services Changes

Medicare Web Services FAQs Image

Answers to Our Support Team's Most Commonly Asked Questions Regarding Online Claiming with Medicare Web Services

We succeeded! It took a tremendous amount of work, but we are happy to report that most of our practices have successfully upgraded to a Bp Premier version that is compatible with Medicare Web Services before the deadline of August 28, 2022. We are aware that this is a time of transition and that many of our users are still adjusting to some of the changes made to the claiming workflows by the new technology.

To help you to adjust to some of the new Online Claiming with Medicare Web Services workflows we’ve compiled a selection of the most frequently asked questions our Support Team have received and answered them below.

Error 9202 - Invalid value supplied for Service Text. The value supplied must be alpha (A-Z and a-z), numeric (0-9), space ( ) and special characters @ # $ % + = : ; , . –

What does this error mean, and how can I resolve this? 

When submitting claims to Medicare or DVA online, you may encounter the Medicare Online Error ‘9202 Invalid value supplied for Service Text’. If this occurs, you must ensure that the Service Details field in the Account Item or Fee Amount screens only contains the below mentioned characters.

The character set that can be used in service text for items is restricted to letters (A-Z and a-z), numbers (0-9), and the following special characters @ # $% + =: ;,. -. Slash characters, apostrophes, and brackets are not allowed.

TIP – When transmitting a Medicare or DVA batch with multiple services, you can quickly identify which services are affected by looking at the last line in the error; there will be a line at the bottom which refers to ‘Medical Event 01’; this means it’s the first patient in the batch who is affected. If it says, “Medical Event 08”, it’s the 8th patient listed in the batch. 

For more information on troubleshooting issues with your connection to Medicare Web Services (MWS) and PRODA, select Help > Online from inside Bp Premier to open the online knowledge base, and search for ‘troubleshoot mws’.

New Statuses When Checking for Payments. What Do They Mean?

The messages returned from a check for payments from the Online claiming screen have changed under Medicare Web Services. Your employees may be unaware of the new messages’ meanings or whether any action is required.

Depending on the claim’s status with Services Australia, the following alerts may appear:

REPORT_NOT_FOUND The claim information does not match Services Australia’s records. You will need to contact Services Australia for more information.

REPORT_NOT_READY The claim has not yet been finalised by Services Australia. Perform a check for payments again later.

REPORT_NOT_AVAILABLE The claim was processed and has been rejected. Check the processing report for more information.

For more information on the new check for payments statuses, select Help > Online from inside Bp Premier to open the online knowledge base, and search for ‘Online claiming direct bill’. 

What Happens if We Haven’t Upgraded Yet?

Don’t put off upgrading to Medicare Web Services. Delaying your upgrade may result in longer support call times and being unable to claim if you have not switched over by the end of the grace period. In Bp Premier, the latest versions of Saffron SP3 are fully compliant with Medicare Web Services functionality.

Need Further Assistance?

As always, help is available! If you need assistance with anything related to Saffron SP3, Medicare Web Services, or any other enquiries, our Support team are available via phone or email, so please get in touch!

You can contact our Software Support team on 1300 40 1111 (Australia) or 0800 40 1111 (New Zealand) and selecting Bp General Products (Option 1/1) on the menu or by emailing us at support@bpsoftware.net.

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Pendable to Pended Invoices and Medicare Web Services

Pending to pendable invoices blog image

After you upgrade to Topaz Service Pack 1 and begin submitting claims under the Medicare Web Services framework, you will notice different statuses in return messages and the Transactions history, particularly PENDABLE and PENDED.

The new PENDABLE to PENDED workflow may change the way your practice searches for and actions unpaid claims. Best Practice Software recommend actioning PENDABLE claims and resubmitting the invoice immediately if an invoice is returned with PENDABLE, rather than reviewing such claims as an end of day activity.

This article explains why.

For more information on how to resubmit a PENDABLE invoice, review Modify a pendable claim.

What Do the Pending Statuses Mean?

Simple claims that have the Assessment Code of : Assessed do not require manual operator assessment. Such claims are submitted, assessed, and paid or unpaid like they were in previous versions of Bp VIP.net.

However, if the claim has supporting information such as service text, the claim may require an operator to check the supplementary information provided with the invoice before the claim can be accepted. If this is the case, the claim will return the status of PENDABLE (or MEDICARE_PENDABLE) indicating a further action and resubmission is required.

The PENDABLE status could be applied for several reasons, such as:

  • Service text is required for a standard item number, for example, ‘Not normal aftercare’
  • Item numbers and duplicate items that require additional service text information, such as reasons for Multiple procedure overrides
  • An individual item deemed assessable prior to approval, for example, some diagnostic imaging and pathology items.

Any supplemental information with the potential to require manual assessment can return as PENDABLE, even for otherwise non-complex invoices for item numbers your practice processes daily.

Can I Modify a PENDABLE Claim?

Yes. While a claim is PENDABLE, it has not yet been received for manual assessment by Medicare. This enables you to check that all necessary information is provided in the service text and to immediately resubmit the claim. 

Resubmitting the claim to Medicare will update the status to PENDED to notify you that the claim has been received and will be manually assessed by an operator before payment of the rebate to the patient, or notification to the patient of the decline.

While the claim has the status of PENDABLE, two actions can be performed:

  1. Modify the invoice within the hour of creation to provide more information in the Service Text section under the chevron (F5), and resubmit.
  2. Reverse or Requote the Invoice if you have made a genuine error and do not wish to proceed with the claim.

How Do I Review and Modify a PENDABLE Claim?

When the claim is in PENDABLE status, you can review and modify the invoice through the patient’s Transactions (F8) screen. Record supplementary information on affected items by clicking on the chevron (>) at the end of line, selecting the appropriate options, and recording service text.

IMPORTANT  Once a claim has the status of PENDABLE, you cannot delete either the Payment or Invoice line in Transactions (F8). Reversing or Requoting the Invoice line is the only way of removing the invoices as a Debit.

After you are satisfied with the information provided in the invoice, click the Medicare button on either the Consultation screen or the top of the Transactions screen to send to Medicare and update the claim status to PENDED.

The Lodgement Advice should be immediately printed for the Patient as this is a manually assessed – you may wish to record on the printout the Manual Assessment status to notify the patient. The Lodgement Advice can only be printed when the claim is PENDED, because the claim has been now fully transmitted to Medicare.

Best Practice Software recommend that the Bp VIP.net user immediately actions a PENDABLE claim and resubmits to PENDED so that you are confident the claim has been submitted to Medicare and the Lodgement advice can be printed.

How Long Do I Have to Review a PENDABLE Claim?

The PENDABLE status is only applied to an invoice after the Send Claim button is clicked on the Patient Claims screen for the first time. You have within the hour of invoice submission to review and resend the claim to Medicare (either from the Consultation screen again or from the Transactions F8 screen).

After one hour you will have to repeat the Penable to Pended submission from the Transactions screens to modify and resubmit the claim.

IMPORTANT  Because it is essential to resubmit a PENDABLE invoice to PENDED within the hour, Best Practice Software recommend all pendable invoices are actioned immediately.

When Can I Print the Lodgement Advice for the Patient?

You can only print the Medicare Lodgement Advice form when a claim is transmitted with a PENDED status. No Lodgement Advice or Benefit of Claim statement is printed for pendable claims (the claim has not yet been fully transmitted or assessed by Medicare).

Because you receipted the entire balance of the invoice at the end of the consult, Medicare will make payment of the rebate directly to the patient like a normal claim, based on their assessment. Print and give the patient the Lodgement Advice for the claimant’s own record. Your practice may retain a copy in electronic or hard copy form.

Your practice will not receive assessment advice back from Medicare on a Pended claim as this is communicated to the patient or claimant and it is their responsibility to speak to Medicare if their claim is rejected.

For more information on the Lodgement Advice and Benefit of Claim documents, review Medicare Claim Forms.

Can I Same Day Delete PENDED and PENDABLE Claims?

No. Pendable claims have not been fully submitted to Medicare, so won’t show in the same day delete screen.

Pended indicates that the invoice has been resubmitted, so won’t show in the same day delete screen. All deletions must be done by phoning Medicare to action a deletion.

Can I Modify a PENDED Invoice?

You cannot modify a PENDED invoice and resubmit, as the invoice has now been transmitted to Medicare for assessment.

You will need to contact Medicare directly if there are any issues with a MEDICARE_PENDED status claim.

How Do I Find Pendable Claims in the Transactions Screen?

Pendable claims have EZ in the Batch column of the Transactions screen (F8). The Status field in the footer of the Transactions screen also shows the current status of a claim, if the related invoice line in the history is selected.

A pended claim will display with an E for electronic submission and display PENDED in the Status field in the footer of the Transaction screen.

Pendable claim showing 'Z' in the transaction history

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