In our clinic we see a few scenarios:
1. patient's referral specifies visits for us and those to be used elsewhere
2. patient is aware of visits they have used, or will use elsewhere
3. patient's referral specifies visits for us only, but we later learn that visits have been used elsewhere
4. patient is unaware of visits they have used/will use elsewhere
Scenarios 1 and 2 are easy to deal with, but 3 and 4 are difficult, especially when patient's claims are declined by Medicare.
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? Currently we have to make notes, which can get confusing.
Does anyone else have any suggestions on how to deal with these split referrals? Thanks!
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.
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.
We get our clients to pay for the consult and then process the EPC through on online system through FrontDesk. Works great. On the very few we bulk bill (our longterm podiatry clients) - they usually are only coming to us and the practitioner monitors their visits and we can always check through the transactions if needed.
We use the Treatment Plans to monitor their EPC's across different practitioners, physio, podiatry, dietitian - listed to the number of visits allocated.
Yes through the PRODA/HPOS system you can check their current status.
Online processing - payments go back into the clients account that is linked to their Medicare Account.
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.
We do use online claiming for DVA, but not for EPC. Works for us.