Medicare Rebate Billing

Medicare Rebate Billing

Basic Details to Transmit a Claim to Medicare.

  1. Patient Name: First name and Surname.
  2. Patient Date of Birth
  3. Patient Medicare Card and Individual Reference Number [IRN]
  4. Referring Doctor [ Specialist Billing Only]

Online Patient Verification: [Advisable when Billing Medicare.]

This option is on Patient Details Screen

PVM: Medicare cards
PVV: Veteran Affairs
PV CE: Medicare concession cards

  1. Select Option,
  2. Enter Earliest Date of Service where required.
  3. If card is ELIGIBLE no further action is required.
  4. 8005 code returned then do PVM again and card will be ELIGIBLE.
Impulse Medicare Rebate Fee-Types [Bulk Bill]

MR: Medicare Rebate Fee Type.
         Most GP Items are Paid at 100% Medicare Schedule Fee
         Specialist items are paid at 85% Medicare Schedule Fee

MH: Medicare Hospital Fee Type.
         Most GP Items are Paid at 100% Medicare Schedule Fee
         Specialist items are paid at 75% Medicare Schedule Fee [Location has to be a Hospital Location)

VR and VA: Department of Veteran Affairs Fee Type [DVA.]
         Most GP Items are Paid at the Local Medical Officer Fee [LMO] 115% Medicare Schedule Fee [ Refers to All Locations] 
         Specialist items are paid at the Repatriation Medical Fee Schedule (RMFS) for the Item billed and is defendant on whether the patient is in or out of Hospital

When item number is selected, the Medicare or DVA rebate fee will populate.
For Specialist Billing if only one referral is held for the patient it will auto populate.
Down arrow will allow further line items to be added.
Multi-item rules will be followed where applicable.


Bill A Patient

  1. Billing can be done from
  2. Main Screen of Impulse: F8 or Billing  Tab  [Left hand Task-bar of the main screen in Impulse]. Search Patient
  3. Patient Details : F8
  4. Appointment book: Select Patient and F8
  5. Waiting Room:Select Patient and F8
 
  1. Loc:      Select Location
  2. Prov:    Select Provider
  3. Select Service date.   Must not be older than 2 years.
  4. F Type: Medicare fee-type is MR, VR for DVA or MH for Hospital
  5. Select Item code:
  6. Tab. Medicare Fee will populate.
  7. Referral Details: Auto-populates for Specialist Provider if only one referral for patient. 
  8. If it does not populate double click in Referral Details box,
  9. Select Referral from list and click OK
  10. Or Click Add to add Referral.
  11. Complete Referral details
  12. Then select and Click OK.
  13. Down arrow to add further service line items or click New Row at bottom of screen
  14. Print: will print and auto save [Bottom of screen in Invoice and Payment].
  15. Save will send service item to Medicare module without printing.
Voucher is now in The Medicare Claims Unprocessed view waiting batching and Transmission to Medicare Australia



    • Related Articles

    • Customising the Billing Screen

      Impulse has been designed so that practices can bill just about any billing scenario intuitively. But this functionality means that our billing screen needs to have many fields to cater for the various requirements. But not many healthcare ...

    • Billing Service Elements

      Service Elements are set at the time of billing. These service elements all have conditions that apply to their use and these should be used only where required. Billing Comments Medicare online only allows 50 characters in billing comments. DVA ...

    • Private Billing-Invoice only and Invoice Receipt

      Private Billing Dependent on the Fee Type selected in Impulse Any Number of Private Fee Types can be created in Impulse The most common used are the P [P1-P5] or MS Fee Type Types of Private Billing Invoice Only: Patient given Invoice to pay at Later ...

    • DVA Allied Health Billing

      DVA Allied Health Billing DVA provides Allied Health Specialist fees and these can be downloaded into Impulse. Impulse Billing supports the following Allied Health Billing, Allied Health [ providers under this general group], Optical,Psych,Speech ...

    • 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 ...