PBS Authorities quality checking in QST 111-20061010

Highly specialised drugs

PBS for pharmacists

PBS for prescribers

Department of Health and Aged Care - The Pharmaceutical Benefits Scheme

Service Delivery Quality Centre

Enterprise Quality Framework

Report a Privacy Incident – Privacy Incident Notification form

Privacy and Secrecy

Pharmaceutical Benefits Scheme (PBS) - General enquiries

PBS Pharmaceutical Advisers

Health Service Delivery Division - Quality, Performance and Technical Support

Health Service Delivery Division - Program areas - Pharmaceutical Benefits Scheme (PBS)

Pharmaceutical Benefits Scheme (PBS)

Table 1

Table 2: Mainframe or Online PBS Authorities system errors and recording errors. For example, typographical or selection errors. For processes, see:

• Processing new Authority requests in the Pharmaceutical Benefits Scheme (PBS)
• Mainframe Authority approval processing for Pharmaceutical Advisers (PA)
• Processing Complex Authority Required Listings

  Error codes	Error definition
  B01 Critical	Quantity error. Incorrect quantity approved.
  B02 Critical	Repeat error. Incorrect repeats approved.
  B03 Critical	Authority number error. Incorrect authority number.
  B04 Critical	Item code error. Incorrect item code recorded.
  B05 Critical	Dosage error. Incorrect dosage.
  B06 Critical	Prescribing date error. Incorrect prescribing date.
  B07 Critical	Assessment result error. Incorrect assessment results recorded.
  B08 Critical	Q&A error. Q&A recorded incorrectly or incomplete. Includes all recording errors in question responses.
  B09 Critical	Restriction code error. Incorrect or omitted restriction codes.
  B10 Critical	Application type error. Incorrect channel identified (written or telephony).
  B11 Critical	Hospital provider number (S100) error. Incorrect hospital provider number.
  B12 Critical	Patient error. Recorded against the incorrect patient.
  B13 Critical	Prescriber ID error. Incorrect prescriber ID.
  B14 Critical	Record not updated. Record not updated or no record created.
  B18 Non-critical	System Comments minor error. Omitted, incomplete or incorrect comments.
  B19 Critical	System Comments critical error. This error could impact the reputation of agency
  B20 Critical	System Privacy Breach. Information recorded is a breach of privacy.
  B21 Non-critical	System Date of lodgement error. Incorrect date of lodgement.
  B22 Critical	Attachment error. Supporting document attached is incorrect or incomplete.

Table 3. for processes, see:

• Preparing, quality and peer to peer checking of Medicare external mai
• Mainframe Authority approval processing for Pharmaceutical Advisers (PA)
• Processing new Authority requests in the Pharmaceutical Benefits Scheme (PBS)
• PBS letter template

  Error codes	Error definition
  D01 Critical	Address error. Letter sent to the correct recipient but used an incorrect address.
  D02 Critical	Attachment error. The incorrect attachment is included with the letter.
  D03 Critical	Information error. Incorrect standard letter or wording. Incorrect or irrelevant information. Critical information is missing.
  D04 Critical	Patient identification error. The incorrect patient appears on the letter. Note: if the incorrect patient is also the incorrect recipient, select D05 error.
  D05 Critical	Recipient error. Letter sent to the incorrect recipient. Note: this error code can capture patient identification and address errors.
  D06 Non-critical	Minor message error. Administration reference information is missing or incorrect. Spelling errors in free text areas. Patient name or date of birth keyed incorrectly.

Table 4: for the process, see Processing new Authority requests in the Pharmaceutical Benefits Scheme (PBS).

Table 5: for processes, see

• Processing and National Demand Allocation (PaNDA)
• Processing new Authority requests in the Pharmaceutical Benefits Scheme (PBS)
• Preparing, quality and peer to peer checking of Medicare external mail
• Processing Complex Authority Required Listings

  Error codes	Error definition
  F01 Non-critical	Program or work type classification error. Work is incorrectly classified.
  F02 Non-critical	Naming error. Work is incorrectly named.
  F03 Non-critical	Comment error. Required comments omitted or incorrect.
  F04 Non-critical	Documentation missing. Letter of response not uploaded to the work item or page/s is missing in documentation.
  F05 Non-critical	Work Items not merged. Connected Work Items not merged into one.
  F06 Non-critical	Work Items not separated. Did not separate multiple Work Items in PaNDA, or extract a different work type for separate processing.

Table 6: for processes, see:

• Preparing, quality and peer to peer checking of Medicare external mail
• Processing new Authority requests in the Pharmaceutical Benefits Scheme (PBS)
• Processing Complex Authority Required Listings
• Pharmaceutical Benefits Scheme (PBS) letters

  Error codes	Error definition
  G01 Critical	Prescriber or delegate error. Reply message sent to the incorrect prescriber or delegate Incorrect HPOS reference number
  G02 Critical	Attachment error. The incorrect forms, letters, or other attachments are included with the message. Note: this does not include attachments referencing the incorrect patient.
  G03 Critical	Patient identification error. The incorrect patient is referenced in the message or attachments.
  G04 Critical	Message error. Incorrect standard wording Incorrect or irrelevant information Critical information is missing
  G06 Non-critical	Minor message error. Administration reference information is missing or incorrect Spelling errors in free text areas Patient name or date of birth keyed incorrectly

Table 7: for process, see Processing Complex Authority Required Listings.