MediBILL accepts data downloaded from systems such as Cerner, Medical Director or any Services Manager.

Your hospital or organisation controls what data is delivered to the billing module. MediBILL can be set up to treat ALL incoming requests as "billable". Site specific rules for "hold and release" are applied.

Data is routinely downloaded on patient discharge (or any other suitable criteria). If the patient is an "Outpatient" data is sent for the completed work.

The files may be any size and in an agreed format (e.g. ASCII).

The core data includes:

• Patient UR + Organisation
  
• Services Rendered + By Whom
  
• Patient Referred by + Location

CLINICAL MANAGEMENT

MediBILL allows customising of the translation programs to ensure that the accounts match both the HIC rules and the patient data. Agreement is reached with each site regarding the management of clinical management data such as :

• Clinical Notes, e.g. "LITHIUM" for special HIC rules
• Rule 3 Exemption Criteria, e.g. Ward association
• Traffic Accident Commission & Workcover data required
• Patient Location & Referral Details required
• Billing Class information required

DATA MANAGEMENT

Downloaded accounts data is intelligently screened for critical data.

After the translation of the raw data, an "exceptions" report is produced indicating the area of exception and indicating actions which should be taken.

Exception management begins with a patient identifier or a laboratory number. Each error is fixed and recorded in the "Exceptions" file. The operator then "applies" the updates to the MediBILL database.

AD HOC REQUEST REGISTRATION

MediBILL allows ad-hoc entry of any laboratory-number related service. The program allows the operator to identify:

• The Organisation
• The Service Provider
• The Referring Entity
• The Patient: with organisation specific UR Codes
• The Billing Category and Schedule
• The Billing Entity including auto-assignment from the Billing Category
• Services provided
• The program prepares a fully coned Medicare invoice

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