DVA In-Patient Billing

DVA In-Patient Billing

DVA In-Patient billing does not require the patient to have a health fund card listed.
DVA provides Specialist RMFS fees for In Hospital and Out of Hospital Billing.
If the incorrect DVA fee populates then ensure that you have the item number in the LooKup RM

In Patient Billing DVA [Veteran Affairs]
Patient Details
  1. Patient search F5, or Add New Patient if working from this screen F6
  2. Enter patient demographic details.
  3. F2 Saves details
Click Tab 1 [cards]
  1. Click Add Button
  2. Click ADD
  3. Card Group: System
  4. Card Type: Veteran Affairs - All Conditions
  5. Enter Card Number, IRN1
  6. Enter Expiry Date
  7. Select Entitlement: Gold
  8. Tick To save.
Verify DVA Card is Eligible.
  1. Click PVV: DVA card must be eligible
Click Tab 4 [Referring Doctor]
  1. Click ADD
  2. List of patients Referring Doctors will Be on screen to Select, or add new Referring Doctor and Select.
  3. Select Location and Provider
  4. Enter Referral issue date [Date on Referral letter]
  5. Select Referral period
  6. Click Save
F8 Bill patient
  1. Double click in any box opens that option to add details
  2. Select Location [must be hospital location]
  3. Select provider
  4. Select Service date
  5. F Type: VR
  6. Enter Item Number
  7. Referral should populate or Click In Referral Details to Add or Select Referral
  8. Down arrow for next row of billing
  9. Save
Voucher will be in Medicare Claims\Unprocessed\VA

Transmit to Medicare
  1. Medicare Claims\Unprocessed\VA
  2. Click 1_Process [bottom left hand corner]
  3. Processed view: Select Voucher
  4. Click 1_Close[bottom left hand corner]
  5. Select Online
  6. Waiting Tx:  Click Transmit [bottom left hand corner]
Claim is Transmitted to Medicare.

Payment and Processing reports
Medicare\Claims\VR
  1. Waiting Report 
  2. Click Request Report [bottom left hand corner]
  3. Reported  will go to Reported view


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