Bulk Billed Diagnostic Imaging Items – New rebate amounts.

As of the 1st of November 2009 Medicare Australia has revised their rebate figures for bulk billed diagnostic imaging items. Providers will now receive 95% of the schedule fee when bulk billing diagnostic imaging services.

For this change to be reflected in practiX, you will need to make the following changes to the Bill values and the Rebate billing scale.

Bill Values

Creating a new Billvalue with TWO effective dates

  1. Administration>System Configuration>Billing Set-up>Billvalue
  2. Modify
  3. New
  4. Description; Copy and Paste the following description

      MBSBBrebate

  1. Effective Date; Enter 01/01/2005
  2. Value; Copy and Paste the following description

      iif(lower(doctor.doctortype) = 'g' and (val(price.itemdisp) < 100 or    lower(price.itemtype) = 'c') and not request.referralno > 0, 1, 0.85)

  1. Select Save
  2. Bill Value; Using the drop down arrows select the Bill Value you just created (MBSBBrebate)
  3. Select New
  4. Do you wish to create a new effective date entry for billvalue mbsbbreabte?
  5. Select Yes
  6. Effective Date; Enter 01/11/09
  7. Highlight and delete the information previously entered in the Value box
  8. Value; Copy and Paste the following description

      iif(lower(doctor.doctortype) = 'g' and (val(price.itemdisp) < 100 or    lower(price.itemtype) = 'c') and not request.referralno > 0, 1,            iif(inlist(lower(price.itemtype), 'r','n'), 0.95,0.85))

  1. Select Save

 

Screenshot Modify Bill Values

Tip: To ensure you have entered the value correctly with no errors, select the Check Syntax button. If you receive an error, try the copy and paste again.

Rebate Billing Scale

Change the Rebate billing scale to ensure the correct rebate is reflected.

  1. Administration>System Configuration>Billing Set-up>Billing Scale
  2. Modify
  3. Scale; Using the drop down arrow select the billing scale called Rebate
  4. Billing Tab; Calculation: Highlight and delete the current calculation
  5. Billing Tab; Calculation: Copy and paste the following

      max(roundit(basefee.schedule  * billvalue.MBSBBrebate, m.rndopt, 0.05),   basefee.schedule - billvalue.mbsmaxgap)

  1. Billing Tab; Rebate: Highlight and delete the current calculation
  2. Billing Tab; Rebate: Copy and paste the following

      max(roundit(basefee.schedule  * billvalue.MBSBBrebate, m.rndopt, 0.05),   basefee.schedule - billvalue.mbsmaxgap)

  1. Select Save

Screenshot Billing Scales

Tip: To ensure you have entered the value correctly with no errors, select the Check Syntax button. If you receive an error, try the copy and paste again.

 

If you experience any issues with your new bill values and scales please email Support at primary.support@isofthealth.com and they will assist you in due course.