Referring Doctors
Access via:
- Admin\Referring Doctors or Ref Docs [Right hand Taskbar main Screen]
- Patient Details\Tab
4-Ref Doc
- Billing\Referral
details\Add button or referral overrides click cancel.
Add Referring
doctor in Impulse
Referring doctors need
only be entered once
All locations the referring
provider works at can be entered in the location section of the screen
Admin\Referring doctors
- Click ‘Search’ and
check if the Provider is in Impulse.
- Click + to add
referring doctor name. Done in the top half of the referring doctor’s screen.
- Enter referring
Doctor name and complete details as you require
- Tick to save.
Add Referring doctor Location [Located immediately below the referring doctors’ name]
- More than one
location can be entered for each referring doctor.
- Click + to add
referring doctor Location or name.
- Select Medicare
registration option.
- Enter referring
Doctor location details
- Enter valid
provider number for the location
- Tick to save
Add Patient
Referral [Tab 4-Ref Docs]
- Select Patient
details
- Select patient
- On bottom taskbar
select ‘4-Ref Docs’
- Click ADD button [
right hand side of screen]
- Un-tick the option
‘Patients referring doctors only’ if referring doctor’s name is not in list.
- Type referring
doctors surname
- Click ‘SELECT’
button
- Add Referral
Details [On right hand side of screen]
- Select Location
- Select Provider
- Select issue date.
Date on referral letter .Do not enter referral end date.
- Select Referral
period.
- Save.
Referral ‘First
used date’ should only be entered if the referral was first used in another
software program.
Requested Services can be entered at time of billing or as above. Where a consultation item and a requested item is billed it can be sent to Medicare in the same voucher with referral details.
Medicare Referral Rules
Referrals
for specialist treatment
Patient
referrals to a specialist or consultant physician for treatment, not including
general practitioners, need to meet certain conditions.
The referral must
include all of the following:
- relevant
clinical information about the patient’s condition for investigation, opinion,
treatment and management
- the
date of the referral
- the
signature of the referring practitioner.
- Referrals
don’t need to be made out to a certain specialist or consultant physician.
- If
you’re referring a patient, you should let them choose where to present the
referral. This also applies to electronic referrals.
Single
course of treatment
- A
referral covers a single course of treatment for the referred condition.
- A
single course of treatment is an initial attendance at the specialist or
consultant physician.
- It includes subsequent attendances for the continuing
management until the patient is referred back to the referring practitioner.
- A new
referral doesn’t always mean a new course of treatment.
- If a
referral is for continuing management of a condition, the specialist or
consultant physician must bill subsequent attendance items.
However, you can
bill an initial attendance item if it meets all the following:
- the
referring practitioner decides the patient’s condition needs to be reviewed
- the
patient is seen by the specialist or consultant physician after the expiry of
the last referral
- the
patient was last seen by the specialist or consultant physician more than 9
months earlier.
- If the
patient has a new or unrelated condition, the specialist can start a new course
of treatment if there is a new referral in place.
Referral
periods from a GP to a specialist
- A
referral from a general practitioner (GP) to a specialist lasts 12 months,
unless noted otherwise.
- The referral starts from the date the specialist first
meets the patient, not the date issued.
- If a
patient needs continuing care, GPs can write a referral beyond 12 months or for
an indefinite period.
- If a
patient on an indefinite referral has a new or unrelated condition, the GP must
issue a new referral for that condition.
Referral
periods from a specialist to another specialist
- Referrals
from specialists and other consultant physicians are valid for 3 months unless
it's for an admitted patient.
- Referrals
for admitted patients are valid for 3 months or the duration of admission,
whichever is longer.
Lost,
stolen or destroyed referrals
- A
written referral that is lost, stolen or destroyed is valid for only one
attendance by the patient.
- You must get a valid referral before you can bill
any subsequent services.
- The account, receipt or assignment form must include
all of the following:
- the
referring medical provider’s name
- practice
address or provider number of the referring medical provider (if known)
- the
words ‘lost referral’.
Requests for
diagnostic imaging services
- Requests for
diagnostic imaging services must have:
- the requesting
practitioner’s full name, provider number or practice address
- the date of the
request
- a description of
the services requested.
- Patients can choose
a health professional and don’t need to give a request to a specific practice.
This also applies to electronic requests.
Requests for
pathology services
Requests for
pathology services must have all of the following:
- the patient’s name
and address
- the patient’s
hospital status
- the requesting practitioner’s
full name, provider number and practice address
- a description of
the services requested
- the date of the
request.
- Patients can choose
a health professional if there’s no clinical need for a specific pathologist to
do the service. This also applies to electronic requests.