Billing Module |
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ACCOUNTS
Batched automated billing of requests for private, Medicare and Department
of Veterans Affairs. Incorporates Medicare rules for pathology billing.
Maintenance of Medicare and DVA batches with ability to modify items
billed
Batch reconciliation with ability to mark account as paid, disputed,
partly paid, written off
Complete private accounts system with account printing by debtor age,
recording payments, printing receipts, printing banking statement
Electronic submission and reconciliation of Medicare and DVA bulk bill
accounts by Medclaims and HIC Online.
Check patient registration details and eligibility with Medicare in
real-time via HIC Online.
Complete database of all pathology MBS items, descriptions and charges
Aged debtors, partitioned into Bulk bill and Private
Comprehensive reports of accounting transactions, period summaries, cash
flow, debtors etc.
HIC Online support for in-office claiming of patient private accounts.
Generation, submission and electronic reconciliation of bulk-bill accounts
can be fully automated with no paperwork required using HIC Online. DVA
billing will also become paperless with the next release of HIC Online due
in November, 2005.
With the next release of HIC Online (November, 2005) the following
functions will also become available:
Check DVA patient eligibility in real-time
Paperless DVA pathology claiming
Check for patient eligibility for item number – This function will
allow checking if patients’ have had an item number charged in the past
which would make them ineligible for bulk-billing e.g. cholesterol, PSA.
This will short circuit the current bulk-bill/reject cycle, allowing the
laboratory to either not perform the test (if appropriate) or generate a
private account.
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VOICE RECOGNITION
User-definable phrases and
abbreviations for rapid entry of text results in combination with voice
recognition dictation integrating Dragon Dictate Medical
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IMAGING
DATABASE
Creation, management and
archiving of request form scanned images and result images (e.g. histology
slides) via integrated imaging database
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DATASETS
INR/Warfarin dosing
subsystem with integrated retesting interval management and graphical
presentation of INR/Warfarin dose history.
Specialised Blood
Grouping data entry screen with automated data consistency checks
Support for sophisticated Respiratory testing including saline and mecholyl challenges, DLCO, lung volumes, Isocapnic Hyperventilation
(single dose and 3 dose protocols) and allergy testing. This module was
developed in conjunction with the Department of Respiratory Medicine,
Royal Prince Alfred Hospital, Sydney, and includes the latest normal
values for Australian populations (including indigenous).
Support for Vascular ultrasound reports including datasets and reporting
modules for upper and lower limb as well as cerebrovascular ultrasounds.
This module was developed in conjunction with Peninsula Vascular
Diagnostics, Sydney.
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UTILITIES
Print daylist by date, date
range or request ID range
Print audit of tests performed in date range with results, operator,
validator, amender IDs
Preprint/reprint barcode labels in specified request ID range
Print billings/referrals by referring doctors and date range (full or
brief)
Print referring doctor list by name or practice postcode
Print recall letters by recall type and date range
Print audit of services billed over a nominated period
Alert manager for critical/urgent/overdue results – reports allow managers
to monitor laboratory processing and operator response times for critical
and urgent results. The Alert manager can also be customised to provide
alerts when any PATHbase event occurs or fails to occur in a specified
time-frame. Examples include report not printed within specified interval
after result validation, specified types of results e.g. cardiac enzymes
not completed within nominated elapsed time etc. Responses by staff and
managers to alerts are captured and reports provide statistical summaries
which can be derive and/or monitor PKIs etc.
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STANDARDS & MESSAGING
•HL7
Support for ordering and result delivery. Support for electronic
delivery of results via standard messages either in PIT format or
AS4700.2-2004 (HL7 V 2.3.1).
Tranports for messages
supported include dial-up, HTTPS, HealthLink and Argus (Secure
e-mail). Demonstrated interoperability with leading desktop packages
from HCN and IBA.
PATHbase supports electronic ordering and results delivery with other
PATHbase sites via HL7. HL7 electronic ordering and result delivery
shown at IHE interoperability demonstration, HISA Health Informatics
Conference (HIC), 2005.
PATHbase was the only pathology software that was able to successfully
participate.
•Electronic
Ordering via Telepathy or HL7 from other PATHbase sites or medical
desktops.
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