MedicalDirector Clinical/PracSoft 3.15.3 Release Notes

Setting Medicare Service Indicators
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Setting Medicare Service Indicators
Introduction
Under certain circumstances, health professionals are required to provide additional information on an account so
that a service can be assessed by Medicare.
It is important to ensure electronic claims are submitted using the appropriate indicators and fields, where
applicable, to minimise the chance of claim rejections.
The following information should help you to reduce the number of claim rejections.
Service Text Indicators
Medicare Australia’s defined Service Text options that can be used for Online Claiming to set these indicators are:
o
o
o
o
o
o
o
Not Normal Aftercare
Not Duplicate Service
Multiple Procedure Override
Self Deemed
Not For Comparison
Separate Sites
Not Related
To Remove Customised Service Text
If customised service text is used, then the appropriate indicator field will not be set, causing the claim to be
rejected.
1. Open MedicaDirector PracSoft
2. Select Setup > Edit Ancillary Messages. The Edit Ancillary Messages window appears.
3. Select the Service Text tab.
o The upper section of this window contains a text box in which you type your customised text items.
o The lower section of this window displays a list of pre-defined service text examples, approved by Medicare
Australia.
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Setting Medicare Service Indicators
4. To remove an entry, highlight and delete it. In the example below, we removed the text “Multiple
Consultation”.
5. Click the Save button to save the changes.
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Setting Medicare Service Indicators
To Add Service Text Items when Recording a Visit
1. Within the Record Visit window, add your Service Item as normal.
2. Locate the Text field located at the far right of the Service Item entry, and click the ellipsis
button. The Set
Service Text window will appear. Note that you may have to double-click within this space to reveal the
button.
3. Add Service Text via one of the following methods:
o Select a pre-defined description from those provided via the Standard Text drop-down list.
Please note: Only the pre-defined service text, approved by Medicare Australia should be used for Online
Claiming functions. The supplied text sets the appropriate indicator fields.
o For any given Standard Text you choose, you need to further explain the selection by entering free-typed
text in the Explanation text box. For example, if your patient has had two moles removed (and hence two
Service Items recorded for their visit - one for each mole), you can use the Explanation text box to indicate
which Service Item relates to which mole. It is important to note that you must not enter Explanation text if
you have not also selected an entry from the Standard Text drop-down list - doing so will result in the claim
being rejected during preparation. Note also, that you cannot enter Explanation text if you wish to claim via
Easyclaim.
4. Click the Save button to confirm your Set Service Text entry. You will be returned to the Record Visit window.
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