Bulk bill incentive items in Medicare 011-43030030
This document outlines information about bulk bill incentive items for Medicare.
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Checking patient history for concessional status
Checking patient for concessional status
Checking patient history for concessional status
Table 1: describes how to display a patient's concessional eligibility in the patient history enquiry screen via Mainframe.
Step |
Action |
1 |
Identify the provider + Read more ... Request the following details from the caller:
See Perform telephone security check for Medicare health professionals. |
2 |
Caller permission + Read more ... Ask the caller:
Does the caller have permission?
|
3 |
Access the Medicare claims history + Read more ... |
4 |
Locate patient name + Read more ... |
5 |
CSH ELIG details + Read more ... |
6 |
Confirm status with provider + Read more ... |
Checking patient for concessional status
Table 2: describes how to display a patient's concessional eligibility using the RPQN enquiry screen.
Step |
Action |
1 |
Identify the provider + Read more ... Request the following details from the caller:
See Perform telephone security check for Medicare health professionals. |
2 |
Caller permission + Read more ... Ask the caller:
Does the caller have permission?
|
3 |
Check information + Read more ... Check this on Provider Directory System (PDS). |
4 |
Entering patients details + Read more ... Key the patient's details quoted by the GP on the RPQN screen. If the patients' concession number is:
Was the patient's details located?
|
5 |
Checking concessional status and GP eligibility + Read more ... If the patient is concessional, conc will appear in the level code column. To confirm if the patients concession card entitles the GP to claim the bulk bill incentive:
The following concession cards entitle GPs to claim a bulk bill incentive payment: Note: DVA Affairs Gold or White Cards card holders, are not eligible for the bulk bill incentive payment unless they also hold a recognised Commonwealth concession card and choose to be treated under the Medicare arrangements. Help information - [F4] is the help key, place the cursor under any information on this screen press [F4] to provide an explanation. |
6 |
Confirm status with provider + Read more ... Provide the concessional status of patient to the GP. |