Reopening an Episode – Billing

Before you begin

Invoicing occurs from within Bluechip. This data is then passed to Day Surgery where further tabs can be completed. MedicalDirector recommend following this methodology irrespective of whether invoicing is conducted the same day or after the event.

Procedure

  1. From the patient's record in Bluechip, complete the invoice as required.

    The item number(s) will be determined by the facility's contract with the Health Fund.
  2. Open the account related to Day Surgery.
  3. Select the invoice, and then click Open
  4. Click

    MS Access will open and you will be presented with the patient's episode. Note that if the patient has multiple episodes to select from, you will be prompted to select one from the window below.
  5. Select the Claim tab.

    Portions of this tab will be pre-populated with data from MedicalDirector Bluechip. Modify/add data as required. In the above example, the item number is a case payment, so the Other Service Code field on the right has been changed to reflect this.
  6. Select the Fees tab.

    The left column itemises the invoice fees as per the invoice. The right column itemises the service items, fee and service type.

    Important Notes:

    • Each Service Item from the invoice translates into a separate CMBS item field which triggers the appropriate Service Type item designation. Any irregular codes such as the 'C' in a case payment (32090C) should disappear leaving just the MBS procedural item in the CMBS field.
    • Multiple procedures are totaled.
    • Non MBS items such as ACC for accommodation band x will transfer across (from Bluechip to Day Surgery) if defined in Day Surgery. Otherwise the item can be manually entered (MBS or non MBS) directly into Day Surgery, and then press the Recalc > Fees button to update the totals. The invoice in Bluechip must then be adjusted for continuity purposes.
    • If non MBS items are defined, click the Get > Items button to update this panel and totals.

Results