Signature required for Medicare Online?

  • 3
  • Question
  • Updated 1 month ago
  • Answered
  • (Edited)

Can anyone clarify whether we  need patients signature when using Medicare or DVA online?

Photo of Marlene

Marlene

  • 6 Posts
  • 2 Reply Likes

Posted 3 years ago

  • 3
Photo of Cath Gomboc

Cath Gomboc

  • 20 Posts
  • 7 Reply Likes
There is no facility on the online claiming that requires a patient signature.  But it does require a box to be ticked that signifies that the practitioner has provided the treatment.  I really like the FD online claiming facility.
Photo of Marlene

Marlene

  • 6 Posts
  • 2 Reply Likes
Thanks for your reply- we have had discussions with medicare that said we are required legally to obtain a signature from every patient after every consultation - which in my view is ridiculous- especially as we are able to shred the document after they sign it- but after viewing the contract with medicare - it says we need to have proof of a consultation which would be appointment diary and treatment records- so I am confused!!!!
Photo of Joyaa Antares

Joyaa Antares

  • 283 Posts
  • 81 Reply Likes
Sounds crazy to me Marlene. Was the adviser able to point you to the legal contract that had this written. (Or did she make this up?) :)
Photo of Marlene

Marlene

  • 6 Posts
  • 2 Reply Likes
I know its crazy, and I think the last person I spoke to from Medicare agreed... And no i cant see it on the contract or the guidelines ...
Photo of Gerry

Gerry, Senior Application Developer

  • 119 Posts
  • 27 Reply Likes
Smartsoft doesn't have an official position on whether a patient's signature is required when sending Medicare / DVA claims. We have had several conversations with Medicare representatives over the years, and have been provided with feedback from individual providers on advice provided to them by Medicare. At this time there appears to be conflicting information regarding what is officially required. For this reason, we have made the printing of Medicare / DVA statements optional by providing users with a Print option on the final page of the Medicare / DVA claiming wizard.

We leave the decision on whether to print a statement and obtain a signature up to the practice's discretion after their own investigations with Medicare.
Photo of Vicki

Vicki

  • 2 Posts
  • 2 Reply Likes
Thanks Gerry.  I agree there is still conflicting advice from Medicare even at the recent AAPM conference in Canberra the Medicare representatives could not give the audience a definite yes or no to the requirement for the patients signature.  The Practice Mangers in the room all had differing processes.
Photo of Barry

Barry

  • 23 Posts
  • 21 Reply Likes
This is the link to the department of health answer to your question http://www.health.gov.au/internet/mai...
You don't need a signature just need to be able to prove they attended eg clinical record of consult
Photo of Marlene

Marlene

  • 6 Posts
  • 2 Reply Likes
That was my interpretation of the guidelines but Medicare and DVA can apparently investigate/ audit the patient as to whether they were given something to sign as service rendered - and it is our responsibility to provide that form- so i am not sure which way to go from here!
Photo of Barry

Barry

  • 23 Posts
  • 21 Reply Likes
Hi Marlene

The logical progression of the advice you were given is the patient walks out the door of your clinic and throws the signed form in the bin and says they didn't receive it.  If that was the only standard the government accepted as proof, the health professional community would owe the government millions of dollars in "false claims".
I've had the same conversation with Medicare and DVA and I had to ask to speak to a manager (person above the call centre operator).  I was referred to the document above as the level of proof required by the health professional.  If the patient asks for a copy you must provide it but if they don't ask or you explain they don't require a copy as the level of proof is your clinical records then there is no need to supply a paper copy.  If they ask is there anything to sign you can answer no it's electronic claiming.  Signing was for you to send a paper copy of the claim form to the HIC for processing.  Now it's electronic, there's no need.
Photo of Marlene

Marlene

  • 6 Posts
  • 2 Reply Likes
Thanks Barry - I should have asked to speak to a manger!
Photo of Amber Quirk

Amber Quirk

  • 26 Posts
  • 0 Reply Likes
This reply was created from a merged topic originally titled Medicare Online Claiming - Patient Consent ?.

I assume that verbal consent to claim online is accepted from Medicare for an online claim, as opposed to a signature?
Photo of Timothy

Timothy, Business Care Manager

  • 753 Posts
  • 220 Reply Likes
Hi Amber. Please see previous discussion regarding this topic above. It may be better to direct this question to Medicare.
Photo of Barry

Barry

  • 23 Posts
  • 21 Reply Likes
Hi Amber

Here is a link to another Medicare website to answer your question.
https://www.humanservices.gov.au/organisations/health-professionals/services/medicare/medicare-onlin...

Here is the key information from the site:
Assignment of benefit documents

Assignment of benefit forms no longer need to be stored at the practice if you are using Medicare Online.

If we need to confirm that the service was provided to a patient, we will seek alternative evidence from you that the service was provided. Evidence may include electronic billing information, notes in practice software appointment records, and, if the practice chooses to retain them, the copy of the assignment of benefit form.

The legislative requirements for the assignment of benefit are:

  • an agreement must be made between the patient (assignor) and you for the assignment of benefit
  • the agreement is 'evidenced' through the use of the assignment of benefit form
  • the patient is required to sign the form
  • a copy of the agreement must be provided to the patient