Tracking split referrals under Medicare EPC

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  • Updated 1 year ago
Many patients who are referred under the Medicare EPC have their allocated services split between more than one Allied Health Provider type. 
 
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!
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Anita

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Posted 2 years ago

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Barry

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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.  Would it be possible to have a confirm number of remaining visits button similar to the verify button on the medicare tab?
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Anita

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That would be great Barry. 

I don't know how you manage to call Medicare before each EPC patient!  Some days we would see 20, up to 30 patients.  That's a lot of time on the phone.
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Barry

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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.