http://m.getsatisfaction.com/topics/7630747 Tracking split referrals under Medicare EPC 2018-06-05T03:45:11Z 2017-11-13T23:18:50Z 7630747 http://m.getsatisfaction.com/topics/7630747 7630747 Tracking split referrals under Medicare EPC 2018-06-05T03:45:11Z 2017-11-13T23:18:50Z Anita http://m.getsatisfaction.com/people/7997137 https://www.gravatar.com/avatar/9bed3927cdc0deae2ed4c48ceff415db?d=identicon&s=55&r=PG anita_7682257 Many patients who are referred under the Medicare EPC have their allocated services split between more than one Allied Health Provider type.&nbsp; <br />&nbsp;<br />In our clinic we see a few scenarios:<br />1. patient's referral specifies visits for us and those to be used elsewhere<br />2. patient is aware of visits they have used, or will use elsewhere<br />3. patient's referral specifies visits for us only, but we later learn that visits have been used elsewhere<br />4. patient is unaware of visits they have used/will use elsewhere<br /><br />Scenarios 1 and 2 are easy to deal with, but 3 and 4 are difficult, especially when patient's claims are declined by Medicare.&nbsp; <br /><br />Is there a way of adding another field to the EPC tracking, where we can add in visits that have been used by another AHP service?&nbsp; Currently we have to make notes, which can get confusing.<br /><br />Does anyone else have any suggestions on how to deal with these split referrals?&nbsp; Thanks! idea 14 10 2 comment http://m.getsatisfaction.com/topics/7630747/replies/19094234 http://m.getsatisfaction.com/topics/7630747 19094234 Barry responded to "Tracking split referrals under Medicare EPC" 2017-11-13T23:27:25Z 2017-11-13T23:27:25Z Barry http://m.getsatisfaction.com/people/7616891 https://www.gravatar.com/avatar/3212ac7f03c298105473acd33dda05dc?d=identicon&s=55&r=PG barry_7310730 The biggest problem I find with medicare referrals is the need to phone medicare to confirm the number of visits remaining and the time spent on the phone.&nbsp; Would it be possible to have a confirm number of remaining visits button similar to the verify button on the medicare tab? 3 http://m.getsatisfaction.com/topics/7630747/replies/19094340 http://m.getsatisfaction.com/topics/7630747/replies/19094234 19094340 Anita responded to "Tracking split referrals under Medicare EPC" 2017-11-14T00:18:59Z 2017-11-14T00:18:59Z Anita http://m.getsatisfaction.com/people/7997137 https://www.gravatar.com/avatar/9bed3927cdc0deae2ed4c48ceff415db?d=identicon&s=55&r=PG anita_7682257 That would be great Barry.&nbsp; <br /><br />I don't know how you manage to call Medicare before each EPC patient!&nbsp; Some days we would see 20, up to 30 patients.&nbsp; That's a lot of time on the phone. 1 http://m.getsatisfaction.com/topics/7630747/replies/19094378 http://m.getsatisfaction.com/topics/7630747/replies/19094234 19094378 Barry responded to "Tracking split referrals under Medicare EPC" 2017-11-14T00:45:05Z 2017-11-14T00:45:05Z Barry http://m.getsatisfaction.com/people/7616891 https://www.gravatar.com/avatar/3212ac7f03c298105473acd33dda05dc?d=identicon&s=55&r=PG barry_7310730 I don't call all, just the ones where my gut says I'm not sure they have visits left but it would be easy to check everyone if it was the same as verifying medicare details. 1 http://m.getsatisfaction.com/topics/7630747/replies/19094381 http://m.getsatisfaction.com/topics/7630747 19094381 Timothy responded to "Tracking split referrals under Medicare EPC" 2017-11-14T00:46:18Z 2017-11-14T00:46:18Z Timothy http://m.getsatisfaction.com/people/7410868 https://d2r1vs3d9006ap.cloudfront.net/public/uploaded_images/10481383/FullSizeRender2_medium.jpg tim_7104970 If a patient presents to the practice and they have indicated that their EPC plan has partly been used with another practitioner, it will then be important to ascertain how many treatments are remaining and available. For example, if there are 5 treatments remaining, simply set the Treatment Plan’s 'No. of treatments' figure to 5 instead of 10. The 'Alert after' figure should be adjusted accordingly. This assumes that the patient will only be seeing your practitioner for the remainder of their EPC plan.&nbsp;<br /><br /><img src="https://d2r1vs3d9006ap.cloudfront.net/s3_images/1672160/RackMultipart20171114-88811-vcbj25-treatment_plan_inline.png?1510620258" title="Image https//d2r1vs3d9006apcloudfrontnet/s3_images/1672160/RackMultipart20171114-88811-vcbj25-treatment_plan_inlinepng1510620258" /><br /><br />If the patient is seeing multiple practitioners on one EPC plan, it is important that the patient keeps a track of how many treatments they have had with other providers. They must also be aware that they are responsible for any outstanding amounts not covered by this plan to protect the practitioner.&nbsp;<br /><br />I can confirm that there is currently no way to check the number of treatments remaining on a EPC plan through the Medicare/DVA Online functionality as this data is not made available by Medicare. 1 http://m.getsatisfaction.com/topics/7630747/replies/19094461 http://m.getsatisfaction.com/topics/7630747 19094461 Paul Bramley responded to "Tracking split referrals under Medicare EPC" 2017-11-14T01:39:50Z 2017-11-14T01:39:50Z Paul Bramley http://m.getsatisfaction.com/people/7878548 https://d2r1vs3d9006ap.cloudfront.net/public/uploaded_images/11280747/22007990_1537239752985670_3857851910514801703_n_medium.jpg paul_bramley I know this is not software related, but, I cannot understand why Medicare does not enable this info to be accessed through a terminal? Swipe a card and check how many visits remain prior to treatment? 1 http://m.getsatisfaction.com/topics/7630747/replies/19094487 http://m.getsatisfaction.com/topics/7630747 19094487 Barry responded to "Tracking split referrals under Medicare EPC" 2017-11-14T01:51:39Z 2017-11-14T01:51:39Z Barry http://m.getsatisfaction.com/people/7616891 https://www.gravatar.com/avatar/3212ac7f03c298105473acd33dda05dc?d=identicon&s=55&r=PG barry_7310730 Paul, it's another classic example of the government saying one thing "removing red tape to help small business" but doing the opposite.&nbsp; Remember when EPCs first came in, you needed to have the patient in the room to confirm their details when you called Medicare (privacy act), so there is always potential for Medicare to allow a number of visits check via the software in the future.&nbsp; 0 http://m.getsatisfaction.com/topics/7630747/replies/19097619 http://m.getsatisfaction.com/topics/7630747 19097619 Julienne Locke responded to "Tracking split referrals under Medicare EPC" 2017-11-15T06:53:55Z 2017-11-15T06:53:55Z Julienne Locke http://m.getsatisfaction.com/people/7462014 https://d2r1vs3d9006ap.cloudfront.net/public/uploaded_images/10502447/10846355_10152486041510880_4733456314037287047_n_medium.jpg julienne_locke You can log into your PRODA accou, then into HPOS, and see your clients availability per Medicare number on the day of service.&nbsp; I'll post a screen shot 1 http://m.getsatisfaction.com/topics/7630747/replies/19097623 http://m.getsatisfaction.com/topics/7630747/replies/19097619 19097623 Barry responded to "Tracking split referrals under Medicare EPC" 2017-11-15T07:01:23Z 2017-11-15T07:01:23Z Barry http://m.getsatisfaction.com/people/7616891 https://www.gravatar.com/avatar/3212ac7f03c298105473acd33dda05dc?d=identicon&s=55&r=PG barry_7310730 Thanks Julienne, I was unaware this could be done. 0 http://m.getsatisfaction.com/topics/7630747/replies/19107759 http://m.getsatisfaction.com/topics/7630747 19107759 Andrea responded to "Tracking split referrals under Medicare EPC" 2017-11-19T23:39:38Z 2017-11-19T23:39:38Z Andrea http://m.getsatisfaction.com/people/7546589 https://www.gravatar.com/avatar/0200d81a45526136556e6793b61f250e?d=identicon&s=55&r=PG andrea_7240519 Our EPC patients pay on the day, we lodge their claim and they get their rebate the next day.&nbsp; Makes them take responsibility for making sure the $ land in their account, and following it up if it doesn't.&nbsp;&nbsp;<br />&nbsp;&nbsp; 0 http://m.getsatisfaction.com/topics/7630747/replies/19107770 http://m.getsatisfaction.com/topics/7630747/replies/19107759 19107770 Timothy responded to "Tracking split referrals under Medicare EPC" 2017-11-19T23:46:02Z 2017-11-19T23:46:02Z Timothy http://m.getsatisfaction.com/people/7410868 https://d2r1vs3d9006ap.cloudfront.net/public/uploaded_images/10481383/FullSizeRender2_medium.jpg tim_7104970 Particularly when patients are seeing more than one practitioner on one EPC plan, it is important to put the responsibility back on the patient, and your way of managing this works well. The only other workable option is to ensure that patients enter into an agreement that they are responsible for any treatment costs that are not covered by third-parties, which should be done on the pre-intake form.&nbsp; 1 http://m.getsatisfaction.com/topics/7630747/replies/19555784 http://m.getsatisfaction.com/topics/7630747 19555784 Paul Bramley responded to "Tracking split referrals under Medicare EPC" 2018-05-31T11:08:56Z 2018-05-31T11:08:56Z Paul Bramley http://m.getsatisfaction.com/people/7878548 https://d2r1vs3d9006ap.cloudfront.net/public/uploaded_images/11280747/22007990_1537239752985670_3857851910514801703_n_medium.jpg paul_bramley Thanks for the info Andrea, &nbsp;I have been thinking of doing this for some time, but not 100% sure how it is achieved. &nbsp;I assume the patient must have their bank account linked to Medicare? &nbsp;Is there some info about there how this is done? 0 http://m.getsatisfaction.com/topics/7630747/replies/19557491 http://m.getsatisfaction.com/topics/7630747/replies/19555784 19557491 Timothy responded to "Tracking split referrals under Medicare EPC" 2018-06-01T00:00:50Z 2018-06-01T00:00:50Z Timothy http://m.getsatisfaction.com/people/7410868 https://d2r1vs3d9006ap.cloudfront.net/public/uploaded_images/10481383/FullSizeRender2_medium.jpg tim_7104970 Hi Paul. I suspect that Andrea is submitting Medicare claims online through Front Desk. This is a Medicare PCI claim, where the patient pays the full amount and you send the claim to Medicare on their behalf. The rebate is then paid by Medicare into the bank account they have registered for the patient.&nbsp;<br /><br />If you are already using Medicare/DVA Online Claiming in Front Desk, this is a matter of choosing the Medicare PCI claim option instead of Bulk Bill.&nbsp; 0 http://m.getsatisfaction.com/topics/7630747/replies/19562027 http://m.getsatisfaction.com/topics/7630747 19562027 In Stride Health Clinic responded to "Tracking split referrals under Medicare EPC" 2018-06-04T01:00:07Z 2018-06-04T01:00:07Z In Stride Health Clinic http://m.getsatisfaction.com/people/8224187 https://d2r1vs3d9006ap.cloudfront.net/public/uploaded_images/10819499/logo_medium.png in_stride_health_clinic <p>We get our clients to pay for the consult and then process the EPC through on online system through FrontDesk.&nbsp; Works great.&nbsp; On the very few we bulk bill (our&nbsp;longterm podiatry&nbsp;clients) - they usually are only coming to us and the practitioner monitors their visits and we can always check through the transactions if needed.</p><p>We use the Treatment Plans to monitor their EPC's across different practitioners, physio, podiatry, dietitian - listed to the number of visits allocated.</p><p>Yes through the PRODA/HPOS system you can check their current status.</p><p>Online processing - payments go back into the clients account that is linked to their Medicare Account.&nbsp;</p><p>Sharon</p><p><br /></p> 0 http://m.getsatisfaction.com/topics/7630747/replies/19564783 http://m.getsatisfaction.com/topics/7630747 19564783 Michael Reid responded to "Tracking split referrals under Medicare EPC" 2018-06-05T03:45:11Z 2018-06-05T03:45:11Z Michael Reid http://m.getsatisfaction.com/people/7422587 https://www.gravatar.com/avatar/616c13b4c64ab74b8e299c6550938498?d=identicon&s=55&r=PG michael_reid_7116677 <p>We take the simple approach, the patient pays us in full and we issue them the receipt which they then submit to Medicare. We keep track of their visits on an attachment in their file, but if they exceed their approvals it does not leave us out of pocket.</p><p>We do use online claiming for DVA, but not for EPC. Works for us.</p> 0