Medtech32 Australia. Version 9.3.0 Build 4620. ECLIPSE Release Notes

Medtech32 Australia Version 9.3.0 Build 4620 ECLIPSE Release Notes This Release Notes document contains important information for all Medtech32 users. Please ensure that they are circulated amongst all your staff. We suggest these should be filed safely for future reference. Level 2, 180 Albert Road, South Melbourne, Victoria 3205. T 1800 148 165 F 03 9690 8010 E support@medtechglobal.com W www.medtechglobal.com

Table of Contents 1. Introduction... 6 2. ECLIPSE... 7 2.1 ECLIPSE Participants List...12 2.1.1 Menu Option... 12 2.1.2 ECLIPSE Participants window... 13 2.1.3 ECLIPSE Participants Context Menu... 13 2.1.4 Update ECLIPSE Participants... 14 2.1.5 View ECLIPSE Participants... 16 2.1.6 Print ECLIPSE Participants... 16 2.2 Payment Levels for Health Funds...18 2.2.1 Set up a Payment Level... 18 2.2.2 Invoice Type - In-Patient Medical Claim... 18 2.2.3 Configure Payment Level... 20 2.3 Staff Setup...22 2.3.1 Configure New ECLIPSE Participant... 22 2.3.2 Delete ECLIPSE Participant Entry... 24 2.4 Service Setup...25 2.4.1 Fund Agreement... 26 2.4.2 Fund Scheme... 27 2.4.3 IMC Fixed Payments... 29 2.5 Staff Access Rights to create IMC Accounts...31 2.6 Medicare Claim Review Panel (MCRP) Items...32 2.7 Hospital Setup...34 2.8 Setup Credit Adjust Reasons...35 2.8.1 Menu Option... 35 2.8.2 IMC Credit Adjust Reasons Contextual Menu... 36 2.8.3 Add a new IMC Credit Adjust Reason... 36 2.8.4 View / Edit IMC Credit Adjust Reason Entry... 37 2.9 Setup Debit Adjust Reasons...38 2.9.1 Menu Option... 38 2.9.2 IMC Debit Adjust Reasons Contextual Menu... 39 2.9.3 Add a new IMC Debit Adjust Reason... 39 2.9.4 View / Edit IMC Debit Adjust Reason Entry... 40 2.10 Patient Register Window...41 2.11 New IMC Invoice...44 2.11.1 IMC Invoice Main Tab... 44 Copyright Medtech Healthcare Pty Ltd Page 2

2.11.2 IMC Invoice Invoice Annotation Tab... 62 2.11.3 IMC Invoice Payment Annotation Tab... 62 2.11.4 IMC Invoice Audit Tab... 62 2.12 Patient Account...63 2.12.1 Account Summary View... 65 2.12.2 New/ View Transaction... 66 2.12.3 View Transaction Details... 67 2.12.4 Credit Adjust... 68 2.12.5 Debit Adjust... 69 2.12.6 Modify Transaction... 70 2.12.7 Delete Transaction... 71 2.12.8 Patient Account Filter... 72 2.12.9 New Payment... 73 2.12.10 Re-printing Transactions... 76 2.12.11 Print Individual Statement... 76 2.12.12 Change Account Holder... 77 2.13 IMC Batching Window...78 2.13.1 Unbatched IMC tab... 79 2.13.1.1 IMC Batching Contextual Menu... 80 2.13.1.2 Open an Existing Row... 81 2.13.1.3 Filtering Results... 82 2.13.1.4 Shrinking or Expanding IMC Claim Batching Window... 82 2.13.1.5 Placing the Active Patient on the Palette... 83 2.13.1.6 Closing off the batch... 83 2.13.1.7 Paying off Multiple Batches... 83 2.13.1.8 Viewing Medicare Australia Transmission Log... 84 2.13.1.9 IMC Batching - Labels... 84 2.13.2 Outstanding IMC Batches... 85 2.13.2.1 Open an Outstanding IMC Batch... 87 2.13.2.2 Filter an IMC Batch... 91 2.13.2.3 Send IMC Batches... 92 2.13.2.4 Check and Update Batch Status... 94 2.13.2.5 Generate Process Report... 96 2.13.2.6 Generate Pending ERA Report... 97 2.13.2.7 ERA Report... 98 2.13.2.8 Auto-Reconcile... 99 2.13.2.9 Search for a Specific Batch... 100 2.13.2.10 View Transmission Log Summary... 101 Copyright Medtech Healthcare Pty Ltd Page 3

2.13.2.11 Filter Transmission Log... 102 2.13.3 Batch History... 103 2.13.3.1 View IMC Batch... 103 2.13.3.2 View IMC Invoice... 104 2.13.3.3 View Process Report... 104 2.13.3.4 Generate Pending ERA... 105 2.13.3.5 ERA Report... 105 2.13.3.6 Auto-Reconcile... 106 2.13.3.7 Inactivate Batch... 106 2.13.3.8 IMC Batch Adjustments... 107 2.13.3.9 Make Patient in Batch Active on the Palette... 112 2.14 Resubmit a Voucher (Invoice)... 113 2.15 Resubmit a Service Item... 114 2.16 Banking... 115 2.16.1 Banking Process Detailed... 115 2.17 Statement Run... 116 2.18 Reference Nos.... 116 2.19 Location Settings... 117 2.20 Tool Bar... 117 2.21 Quick Bill Enhancements... 118 3. Consolidated Accounts... 120 1.2 Consolidated Account Context Menu... 125 3.5.1 Print Single Assignment Form... 126 3.5.2 Print PC1 Form... 126 3.5.3 Print Invoice / Receipt... 126 3.5.4 Print Statement... 127 3.5.5 Credit Adjust and Debit Adjust... 127 4. Known Limitations / Issues... 128 4.1 Consolidated Account window... 128 4.1.1 Consolidated Account Context menu... 128 4.1.2 Transactions not being Displayed... 128 4.1.3 Term CR does not Display for the Credit transactions... 129 4.1.4 Consolidated Account Performance Lag... 129 4.2 View IMC Batch Resubmit Button Disabled... 129 4.3 Resubmitted PC Claims not Displayed in the Unbatched IMC Tab... 129 4.4 Adjustment Reason does not display in the Credit/Debit Adjustment Window... 129 4.5 Resubmitted Service Transmitted to Medicare Online... 130 4.6 Resubmitted Invoice Details not Updating Correctly... 130 Copyright Medtech Healthcare Pty Ltd Page 4

Disclaimer Every effort has been made to ensure the accuracy of the information in the Medtech32 Release Notes. The names of Medical Centres, Patients, Staff, and Companies used as examples in this Guide are fictitious, and any resemblance to actual Medical Practices, Patients, Staff and Companies is purely coincidental. The contents of the Medtech32 Release Notes are subject to change. Enquiries should be addressed directly to: Medtech Limited Level 2 180 Albert Road South Melbourne Victoria 3205 Phone 1800 148 165 (Option 1); Fax 03 9690 8010 Email: support@medtechglobal.com Copyright Medtech Healthcare Pty Ltd Page 5

1. INTRODUCTION Medtech32 Version 9.3.0 Build 4620 is a Key Release of Medtech32. This document provides information on the new feature ECLIPSE, which allows healthcare providers and billing agents to submit claims securely over the internet to both Medicare and private health insurers, saving time and money. This major release provides several other new features like: After Hours Auto Billing, Consolidated Account, erx-medtech32 Integration Service and Medtech Fax Service, and also includes a large number of resolved issues, enhancements and changes to the Medtech32 application. Please refer to the separate document Medtech32 Information for Release and Installation for further information. The MedtechGlobalHIService (CDA Bridge) installer has been upgraded, hence it is mandatory to download and install the latest MedtechGlobalHIService (CDA Bridge) installer from the DVD. Please refer to the separate Medtech32 Release Notes - V9.3.0 Build 4620 MedtechGlobalHIService document for the installation instructions. IMPORTANT NOTE WARNING: It is HIGHLY recommended to employ ONLY qualified system engineers when performing ANY installation and upgrade. The consequences of ruining a database during upgrade could possibly lead to data corruptions and, as a result, data loss and systems downtime. If in doubt, please consult with your qualified IT technician/service provider, or contact one of the Medtech Channel Partners listed on our web site: http://www.medtechglobal.com/au/support-au/channel-partners-au/ For further information on this release, or any other queries regarding Medtech32 Version 9.3.0 Build 4620, please contact the Medtech Helpdesk on: Tel: 1800 148 165 or Email support@medtechglobal.com. Copyright Medtech Healthcare Pty Ltd Page 6

2. ECLIPSE ECLIPSE is an acronym for Electronic Claim Lodgement and Information Processing Service Environment. ECLIPSE is an extension to Medicare Australia s online claiming solutions and offers a secure connection and direct communication between medical practices/providers, Medicare and most health funds/ private health insurers. ECLIPSE allows hospitals, billing agents and providers to lodge In-Patient Medical Claims IMC) and In-Hospital claims (IHC) directly to Department of Human Services (DHS) and the private health insurers in one transaction. IMPORTANT NOTE ECLIPSE has been integrated as a separate LICENSING module. Therefore it is required to obtain a license for this module to access ECLIPSE related screens. Certain configuration is required to be set up within Medtech32 to start using ECLIPSE. To allow access to IMC Accounts related functions for Staff members, ensure the option IMC Accounts has been selected in the Security tab of their Staff setup. Refer to the Access Rights for IMC Accounts section for further information. The online claiming can be used for both paid and unpaid medical claims, lodged directly to Medicare through Medtech32. ECLIPSE allows healthcare providers and billing agents to submit claims securely over the internet to both Medicare, and private health insurers, saving time and money. The benefits for health care providers includes: Easier way to obtain informed financial consent from patients Paperless interaction with Department of Human Services and private health insurers Quicker processing times reduction from weeks to days Reduced administration time resulting in reduced management costs Faster resolution of complex claims Better data quality with fewer errors and speedier resolutions One system for all private health insurers A one stop shop for electronic business access to Department of Human Services (DHS), the Australian Childhood Immunisation Register (ACIR) and private health insurers in one product Electronic remittance advice from private health insurers resulting in a more efficient reconciliation of your accounts Increased patient satisfaction by offering this feature from within your Practice. Copyright Medtech Healthcare Pty Ltd Page 7

IMPORTANT NOTE Manual IMC Claim Submission Practices can submit the IMC Claims electronically through ECLIPSE. There is no manual submission process to ECLIPSE. If the Practice wants to submit manually, then they need to submit the Claims to Fund directly and follow the current process. In the event a claim has been processed and payment made by Medicare and finds any discrepancies, the Practice has to follow a manual process for making any adjustments. There is a specific form that the Practice can download from the Medicare website. However, this is a manual process and driven by the user. ABBREVIATIONS & TERMINOLOGY 1. In-Patient Medical Claim An In-Patient Medical Claim (IMC) relates to claims for admitted patient's episodes of care where financial claim(s) are lodged by providers or agents against Medicare, and in most cases a Health Fund, on behalf of a patient for the provision of health care services. There are five types of IMC available: i. IMC Agreements (IMC AG) There are two types of Agreements: Hospital Purchaser Provider Agreement/Practitioner Agreements (HPPA/PA) is the combination of agreements between the practitioner and the hospital, and between the hospital and a Private Health Fund. Medical Purchaser Provider Agreements (MPPA) is an agreement between the Provider and the private health fund. The provider has signed an Agreement (AG) (MPPA, HPPA/PA, verbal or signed agreements) with the Fund (of which the patient is a member) specified in the claim Payment goes to the provider or Billing Agent via the Health Fund Only unpaid in-patient medical claims can be submitted under this claim type. ii. IMC Schemes (IMC SC) The provider is operating under a Scheme (Approved Gap Cover Scheme, SC) with the Fund (of which the patient is a member) specified in the claim Payment goes to the provider or Billing Agent via the Health Fund Only unpaid in-patient medical claims can be submitted under this claim type. iii. IMC Patient Claims (IMC PC) Patient is a member of the Fund specified in the claim If the claim has been paid, the payment from Medicare goes to the patient or claimant and payment from the Fund goes to the member If the claim has not been paid, the payment from Medicare and the Fund goes to the patient, via cheque (made out to the provider), who then passes it on to the provider Copyright Medtech Healthcare Pty Ltd Page 8

iv. IMC Medicare Benefits (IMC MB) Payment from both Medicare and the specified Fund goes to the specified Billing Agent v. IMC Medicare Only (IMC MO) Payment from Medicare goes to the specified Billing Agent There is no Fund involvement IMPORTANT NOTE In Medtech32 Version 9.3.0 Build 4620, the following is available as part of ECLIPSE 1) In-Patient Medical Claiming 2) IMC Types AG, SC and PC 2. Brand A code related to a Health Fund's Trading Name. 3. Payee Provider A payee (or Principal) provider is the health care provider who is paid for the services that they or another servicing provider has performed. 4. 90 Day Pay Doctor Cheque Scheme Under this scheme, Medicare will automatically cancel Medicare cheques made payable to eligible health professionals through their patient when the cheque hasn t been banked after 90 days. The amount is then paid directly into the health professional s nominated bank account. 5. Get Participants Report A Get Participants report returns the details of all ECLIPSE enabled private health insurers. 6. Patient Verification Fund Checks if the patient is a verified member of the Health Fund. 7. Online Patient Verification Checking the validity of patient details with Medicare or a Health Fund. This can be done in real time and allows for the provision of aliases which cuts down on mismatches. 8. IFC- Informed Financial Consent When a practice submits any in-patient medical claim under a known or No Gap cover scheme, the practice must indicate that informed financial consent has been given before the claim can be submitted for assessment. Where IFC is not required, and therefore not obtained, as the patient would not have any out of pocket expenses under a Gap Cover Scheme, the practice uses a Not Obtained indicator. 9. Known Gap Cover Where the patient does have out of pocket expenses and the provider must provide written Informed Financial Consent. 10. Claim Status Copyright Medtech Healthcare Pty Ltd Page 9

Check the status of an in-patient medical claim at any time. You will always have a clear view of where your claim is up to in the process. 11. Processing report A claim processing report provides information on the medical services provided in a claim. 12. Electronic Remittance Advice (ERA) Report An ERA report provides information relating to the payment for medical services provided in a claim. 13. UPI- Unique Patient Identifier Used by a health fund to identify a patient; usually the Patient Membership Number. IMPORTANT NOTE ECLIPSE READINESS Below are some simple steps to assist in getting your Practice ready to be able to use the Eclipse functionality. Please ensure that you have followed the steps detailed below to ensure that all the required processes have been completed. STEP 1 GETTING ECLIPSE READY Please familiarise yourself with the Eclipse User Guide 2.2, which can be found here: http://www.medicareaustralia.gov.au/provider/business/online/eclipse/ Although a copy of the Eclipse User Guide is also available on the Medtech32 Version 9.3.0 B4620 DVD, or the document can be downloaded from the link provided here: http://www.medicareaustralia.gov.au/forms/9173.pdf The Eclipse User Guide provides details about the prerequisites, eligibility checking, patient verification, process of claiming, description of error messages and other related information. It is recommended that the user familiarises themselves with the following sections of the Eclipse User Guide: Getting Eclipse Ready Eligibility Checking Interpreting eligibility response information Submitting in-patient medical claims Reports Copyright Medtech Healthcare Pty Ltd Page 10

STEP 2 CO-ORDINATING WITH FUNDS The contact names and phone numbers of various funds can be found at: http://www.humanservices.gov.au/spw/health-professionals/services/simplified-billing-andeclipse/resources/health-fund-functionality-and-contact-details.rtf The following are recommended actions to be taken with private health insurers before processing (for each provider) your first IMC AG or IMC SC claim. 1. Organise the type of simplified billing arrangement you wish to have with the private health insurer e.g., Agreements (AG) or Schemes (SC). 2. Whether you need to quote a Fund Payee ID to direct payment and if so, make sure you know what it is. 3. Ensure your EFT banking details are registered with the private health insurer. This is a mandatory requirement for submitting claims through ECLIPSE. 4. Please advise the respective funds that you will be submitting ECLIPSE invoices so that the fund is aware of the initial invoices you are submitting. If there are any issues, they will provide the necessary support. STEP 3 CONFIGURATION SETUP The following configurations must be completed before generating the first IMC Invoice: ECLIPSE Participants List Payment Levels Service Setup Staff Setup Medicare Claim Review Panel (MCRP) Items Hospital Setup Copyright Medtech Healthcare Pty Ltd Page 11

2.1 ECLIPSE Participants List ECLIPSE Participants are the ECLIPSE enabled Private Health Insurers / Health Funds. 2.1.1 Menu Option A new menu item called ECLIPSE Participants has been introduced under the Setup menu Patient Register, to bring up the ECLIPSE Participants window. Copyright Medtech Healthcare Pty Ltd Page 12

2.1.2 ECLIPSE Participants window Selecting the ECLIPSE Participants menu option will bring up a new window called ECLIPSE Participants, as shown below: This window will list the Health Funds that participate in ECLIPSE. You do not have an option to add a new ECLIPSE Participant entry, but can update the list whenever required by clicking the Update Eclipse Participants option from the context menu. Refer to Update ECLIPSE Participants section for further information. 2.1.3 ECLIPSE Participants Context Menu A new contextual menu item ECLIPSE Participants will be displayed next to the Module menu when the ECLIPSE Participants window is the active window. The ECLIPSE Participants menu has the following sub-menu items: Open, Print ECLIPSE Participants and Update ECLIPSE Participants. Copyright Medtech Healthcare Pty Ltd Page 13

2.1.4 Update ECLIPSE Participants Follow the steps below to update the ECLIPSE Participants list: 1. Open the ECLIPSE Participants window (Setup menu Patient Register ECLIPSE Participants). 2. Go to ECLIPSE Participants context menu and select the option Update ECLIPSE Participants. 3. The processing screen will be displayed, as shown below: 4. Once the update has completed, the message box shown below will be displayed: 5. An updated list of those funds that participate in ECLIPSE will be listed in the ECLIPSE Participants window: Copyright Medtech Healthcare Pty Ltd Page 14

The following columns are displayed in the ECLIPSE Participants window: Code Code used for the specific Health Fund Description Name of the Health Fund Claim Type Participated under which IMC Claim Type IMPORTANT NOTE Prior to the Medtech32 V9.3 upgrade, if the Health Fund list (Setup Patient Register Health Fund) had not been updated previously in your Medtech32 version, then the ECLIPSE Participant s list will not auto update during the Medtech32 V9.3 upgrade, as it is dependent on the existing Health Fund lists provided in the Health Funds window. In such cases, the ECLIPSE Participants list will have to be manually updated. To manually add the list, select the Update ECLIPSE Participants option from the contextual ECLIPSE Participants menu. This will then update the Health Fund list automatically. Copyright Medtech Healthcare Pty Ltd Page 15

2.1.5 View ECLIPSE Participants Steps to view the details of the Funds participating in ECLIPSE: 1. Open the ECLIPSE Participants window (Setup menu Patient Register ECLIPSE Participants). 2. Select the Health Fund that you wish to view and then click on the Open icon from the ECLIPSE Participants context menu, or double-click on the Health Fund entry. 3. The View ECLIPSE Participants window will be displayed. IMPORTANT NOTE The fields available in the View ECLIPSE Participants window are read only, and cannot be edited. 2.1.6 Print ECLIPSE Participants Steps to print the list of participants: 1. Open the ECLIPSE Participants window (Setup menu Patient Register ECLIPSE Participants). 2. Go to the ECLIPSE Participants context menu and select the option Print ECLIPSE Participants OR Copyright Medtech Healthcare Pty Ltd Page 16

Press the shortcut key Ctrl + P within the ECLIPSE Participants window to bring up the Print ECLIPSE Participants window, as shown below: 3. Select an appropriate printer from the Print To dropdown list and then click on the OK button to print the list of ECLIPSE Participant Health Funds. Copyright Medtech Healthcare Pty Ltd Page 17

2.2 Payment Levels for Health Funds For every Health Fund that your Practice has an agreement with, a specific Payment Level will need to be set up and configured for their Health Fund billing. Once these have been set up, the user will be able to select the Health Fund as a Payment Level from within the Invoice screen. 2.2.1 Set up a Payment Level To set up a Payment Level, click on the Setup menu Accounting Payment Levels option. Enter in a unique code for the new Payment Level, and then the Name and Description of the new Payment Level IMPORTANT NOTE: The screenshot examples shown below, are to demonstrate how the user is to set up their Health Fund details. The text details displayed are examples only. Ensure that you enter valid Health Fund details when setting up the Health Fund Payment Levels. 2.2.2 Invoice Type - In-Patient Medical Claim From the Payment Level screen, select the Billing Code called In-Patient Medical Claim as the Invoice Type in the New/View Payment Level window (Setup menu Accounting Payment Levels). This will then provide the correct invoice screen for Eclipse invoices. Copyright Medtech Healthcare Pty Ltd Page 18

When the option In-Patient Medical Claim has been selected as an Invoice Type, the new drop-down field ECLIPSE Participant will be enabled. This will allow you to select from the full list of all the ECLIPSE Participant Health Funds. As a result of selecting the In-Patient Medical Claim option, the Send Patient Claim option will also be automatically disabled as this option is only applicable for Private Payment Level. IMPORTANT NOTE Prior to selecting the default Account Holder for the IMC Payment Level, it is mandatory to create an Account Holder for each ECLIPSE Participant Health Fund (this could be in the same name as that of the Health Fund). Copyright Medtech Healthcare Pty Ltd Page 19

2.2.3 Configure Payment Level In the Options tab of the New/View Payment Level window, under the Account Holder Options section, the Account holder default option alone will be enabled for the Invoice Type In-Patient Medical Claim. It is mandatory to configure an Account holder for the IMC Payment Level from the Search Patient / Company window by clicking the ellipsis button. If trying to save IMC Payment Level without the Account holder default selected, you will encounter the following warning message Copyright Medtech Healthcare Pty Ltd Page 20

Note: The selected Account Holder will be displayed as the Health Fund Account Holder in the IMC Invoice window for this Payment Level, as per the example shown below: Module Accounts New IMC Invoice (Alt + F9) IMPORTANT NOTE The warning message shown below will be displayed when clicking OK button on the New / View Payment Level window without selecting the ECLIPSE Participant from the drop down list for an IMC Invoice Type: Click on the OK button to Save and Exit the new Health Fund Payment Level screen. Copyright Medtech Healthcare Pty Ltd Page 21

2.3 Staff Setup A new tab called ECLIPSE has been introduced in the Staff setup window to configure the ECLIPSE Participant Health Fund(s) the Provider is allied with. The selected Health Fund will be displayed in the New IMC Invoice window for the Provider. 2.3.1 Configure New ECLIPSE Participant IMPORTANT NOTE Before configuring the ECLIPSE Participant Health Fund for the Provider, ensure the respective Health Funds have been configured as an In-Patient Medical Claim Invoice Type in the Payment Level window (Setup Accounting Payment Level). Refer to Payment Level Setup section for further information. Steps to configure a New ECLIPSE Participant for the Provider: 1. Open the Staff Setup window (Setup menu Staff Members) and click on the ECLIPSE tab. 2. Select the ECLIPSE Participant Health Fund the Provider is allied with, from the ECLIPSE Participant drop down list. Copyright Medtech Healthcare Pty Ltd Page 22

Note: The Health Funds that have been configured as an In-Patient Medical Claim as the Invoice Type from within the Payment Level window, will be displayed in the ECLIPSE Participant drop down list 3. Enter the Fund Payee ID of the Provider i.e. the Health Fund Agreement identifier for the Provider. 4. Select the Claim Type from the Claim Type drop down list. Claim Types are either Agreements (AG), Scheme (SC), or Patient Claims (PC). 5. Select the Location from the Location drop down list. 6. Click on the Add button to save the entry and it will be added as a new row in the grid. 7. Click on the OK button to save and close the Staff setup window. When trying to configure an existing ECLIPSE Participant Health Fund entry, i.e. duplicate entry (having similar ECLIPSE Participant, Claim Type and Location), the warning message shown below will be displayed when the OK button is clicked: Copyright Medtech Healthcare Pty Ltd Page 23

2.3.2 Delete ECLIPSE Participant Entry Steps to delete an ECLIPSE Participant entry from the Staff setup window: 1. Open the Staff Setup window (Setup menu Staff Members) and click on the ECLIPSE tab. 2. Highlight the Health Fund entry that needs to be removed and then click on the Delete button. 3. The selected entry will be removed from the Staff setup window. Copyright Medtech Healthcare Pty Ltd Page 24

2.4 Service Setup In Medtech32 Version 9.3.0, a new tab called ECLIPSE has been introduced into the Services setup window (Setup menu Accounting Services). For all Service Item Codes that are to be invoiced for ECLIPSE IMC Invoicing, you will need to open each Service Item code individually, and set the parameters per Provider for each relevant Eclipse Participant. This tab contains two sections: Fund Agreement Fund Scheme. Copyright Medtech Healthcare Pty Ltd Page 25

2.4.1 Fund Agreement The Fund Agreement section within the ECLIPSE tab in the Service window screen has the following columns; Eclipse Participant Select the required Health Fund from the Eclipse Participant drop down list. This field will list only the Health Funds that have been linked to one of the Payment Levels (refer to Payment Levels section) and set up for any one of the Staff member for a claim type AG (refer to Staff setup section) Provider This will list all the Service Providers from the Staff setup window. Select an appropriate provider from the drop down list Location The Location field will list all the locations of the Practice from the Location settings window. Select an appropriate location from the drop down list Base Amount Enter the base amount the Provider agreed with the selected Health Fund for this service. The amount entered will be displayed in the IMC Invoice window Fund Fee field, for a Claim Type of Agreement, as shown below: Copyright Medtech Healthcare Pty Ltd Page 26

In addition, the Fund Agreement section will contain two action buttons to allow you to maintain the list: Add On clicking on the Add button, the current entry will be saved and a new row will be added in the grid Delete When clicking on the Delete button, the selected / highlighted entry will be removed from the Fund Agreement section 2.4.2 Fund Scheme The Fund Scheme section within the ECLIPSE tab in the Service setup window has the following columns; Eclipse Participant Select the required health fund from the Eclipse Participant drop down list. This field will list only the health funds that have been linked to one of the Payment Levels (refer to Payment Level section) and set up for any one of the Staff member for claim type SC (refer to Staff setup section) State This field will list all the Australian states. Select an appropriate state from the drop down list, where the Base Amount is applicable for the Health Fund Copyright Medtech Healthcare Pty Ltd Page 27

Base Amount Enter the base amount for this service. The amount entered will be displayed in the IMC Invoice window Fund Fee field for the Claim Type Scheme, as shown below: The Fund Scheme section also has two action buttons to allow you to maintain this list: Add On clicking on the Add button, the current entry will be saved and a new row will be added in the grid Delete On clicking on the Delete button, the selected entry will be removed from the Fund Scheme section Copyright Medtech Healthcare Pty Ltd Page 28

2.4.3 IMC Fixed Payments A new section called IMC Fixed Payments has been introduced in to the Payment Levels tab of the Services setup window (Setup Accounting Services Payment Levels Tab). The IMC Fixed Payments section contains the following columns; Eclipse Participant Select the required health fund from the Eclipse Participant drop down list. This field will list only the health fund/s that has been linked to one of the Payment Levels (refer to Payment Level section) and set up for any one of the Staff members for claim type AG or SC (refer to Staff setup section) Claim Type This field will list all those available IMC Claim types (e.g. Agreements, Scheme and Patient Claim). Select an appropriate Claim Type from the drop down list Provider The Provider field will list all the Service Providers from the Staff setup window. Select an appropriate provider from the drop down list Location The Location field will list all the locations of the Practice from the Location settings window. Select an appropriate location from the drop down list Copyright Medtech Healthcare Pty Ltd Page 29

Fee Charged Enter the amount for this service to be charged for the selected Claim Type. The amount entered will be displayed in the IMC Invoice window Fee Charged field, when the respective Health Fund, Claim Type and the Provider combination is selected Two action buttons are included in the IMC Fixed Payments section; Add On clicking on the Add button, the current entry will be saved and a new row will be added in the grid Delete On clicking on the Delete button, the selected entry will be removed from this section. Copyright Medtech Healthcare Pty Ltd Page 30

2.5 Staff Access Rights to create IMC Accounts Once your Practice has obtained the license for the ECLIPSE Module, the Staff Members within your Practice will now need to be set up for access to the IMC Accounts related screens. From the Setup > Staff > Staff Members option, select the Provider that needs to be given access rights to the IMC Accounts feature. From the Security Tab, check/tick the option called IMC Accounts to enable this feature for the Provider. This will grant the Provider access to the various IMC Accounts screens. Once the IMC Accounts option has been enabled, the Provider will be able to access the following IMC screens: IMC Invoice window (Module Accounts New IMC Invoice) IMC Batching window (Module Accounts IMC Batching) If the Provider Staff Setup has not had the IMC Accounts option enabled, when attempting to access the aforementioned IMC screens, then the message box shown below will be displayed. Note: Once the IMC Accounts option has been enabled, you might have to log-off and logon again to Medtech32 for the changes to take effect. Copyright Medtech Healthcare Pty Ltd Page 31

2.6 Medicare Claim Review Panel (MCRP) Items Claims for the MCRP services cannot be accepted via ECLIPSE as these services require demonstrated clinical needs such as clinical and/or photogenic evidence. Therefore these claims should be lodged manually with Medicare or the Health Fund. A new option Service Item Defaults has been introduced in to the Accounting module under Setup Accounting Service Item Defaults. The Default Service Items window has two tabs: Medicare Plus For information about this tab please refer to Default Service Items section in the Medtech32 Release Notes Version 9.3.0 Build 4620 document MCRP Items This tab lists the MBS codes for the MCRP items. Note: the valid Service Items will be populated to this screen. Copyright Medtech Healthcare Pty Ltd Page 32

The MCRP items are identified through the item description wording where it can be demonstrated in the Description tab of the View Service window under Setup Accounting Services. Therefore, any items containing such wording in their item description will be considered as an MCRP item and will be listed in the Default Services Items > MCRP Items. This is a non-editable field. Copyright Medtech Healthcare Pty Ltd Page 33

2.7 Hospital Setup The Provider No. field introduced under Setup Location Hospital has been changed to be called the Facility ID in Medtech V9.3.0. Facility ID Hospital Facility Provider Number The Facility ID configured in this window will be displayed next to the Hospital field of the IMC Invoice window, when selecting this hospital from the Hospital drop down list. Copyright Medtech Healthcare Pty Ltd Page 34

2.8 Setup Credit Adjust Reasons A new feature called Credit Adjust has been introduced in Medtech32 Version 9.3.0. A Credit Adjust will decrease the outstanding amount of the selected transaction. There is a provision in the Setup menu to enter the Credit Adjust Reasons for the same. The reasons configured here will be listed as options in the Credit Adjust Reasons window, when raising a Credit Adjust against an IMC Invoice (refer to Credit Adjust section for further details). 2.8.1 Menu Option A new menu item called Credit Adjust Reasons has been introduced under the Setup menu Accounting, to access the IMC Credit Adjust Reasons window screen. Once selected from the menu option above, the Credit Adjust Reasons will be displayed. Copyright Medtech Healthcare Pty Ltd Page 35

2.8.2 IMC Credit Adjust Reasons Contextual Menu A new contextual menu item IMC Credit Adjust Reasons will be displayed next to the Module menu, when the IMC Credit Adjust Reasons window has been selected, and is the active window. The IMC Credit Adjust Reasons menu has the following sub-menu items: New and Open. 2.8.3 Add a new IMC Credit Adjust Reason Follow the steps below to Add a new IMC Credit Adjust Reason: 1. Open the IMC Credit Adjust Reasons window (Setup menu Accounting Credit Adjust Reasons). 2. Click on the Add a New IMC Credit Adjust Reasons icon, or press the shortcut key Ctrl + N in the IMC Credit Adjust Reasons window to bring up the new IMC Credit Adjust Reasons window Code A Code will be assigned by default and is non-editable Description Enter the new IMC Credit Adjust Reason description Inactive Select this checkbox to inactivate the reason. The entry will appear with a Strike Through to show it has been made Inactive OK Click on the OK button to save the new IMC Credit Adjust Reason entry Cancel Click on the Cancel button to abort the process Copyright Medtech Healthcare Pty Ltd Page 36

2.8.4 View / Edit IMC Credit Adjust Reason Entry Follow the steps below to view / modify an existing IMC Credit Adjust Reason from the IMC Credit Adjust Reason window: 1. Open the IMC Credit Adjust Reasons window (Setup menu Accounting Credit Adjust Reasons). 2. Select the IMC Credit Adjust Reason for which you wish to view details. Then click on the Open an existing IMC Credit Adjust Reason icon, or double click on the desired entry, or press the shortcut key Ctrl + O to bring up the View IMC Credit Adjust Reasons window. 3. Modify the details as required and then click on the OK button to save the changes. Copyright Medtech Healthcare Pty Ltd Page 37

2.9 Setup Debit Adjust Reasons A new feature called Debit Adjust has been introduced in Medtech32 Version 9.3.0. A Debit Adjust will increase the outstanding amount of the selected transaction. There is a provision in the Setup menu to enter the Debit Adjust Reasons for the same. The reasons configured here will be listed in the Debit Adjust Reasons window, when raising a Debit Adjust against an IMC Invoice (refer to Debit Adjust section for further details). 2.9.1 Menu Option A new menu item called Debit Adjust Reasons has been introduced under Setup menu Accounting, to bring up the IMC Debit Adjust reasons window. When selecting the menu option above, this will open and display the Accounting Debit Adjust Reasons screen. Copyright Medtech Healthcare Pty Ltd Page 38

2.9.2 IMC Debit Adjust Reasons Contextual Menu Version 9.3.0 Build 4620 ECLIPSE Release Notes A new contextual menu item IMC Debit Adjust Reasons will be displayed next to the Module menu, when the IMC Debit Adjust Reasons window is the active window. The IMC Debit Adjust Reasons menu has the following sub-menu items: New and Open. 2.9.3 Add a new IMC Debit Adjust Reason Follow the steps below to add a new IMC Debit Adjust Reason: 1. Open the IMC Debit Adjust reasons window (Setup menu Accounting Debit Adjust Reasons). 2. Click on the Add a New IMC Debit Adjust Reasons icon, or press the shortcut key Ctrl + N in the IMC Debit Adjust Reasons window to bring up the new IMC Debit Adjust Reasons window. Code A Code will be assigned by default and will be non-editable Description Enter the new IMC Debit Adjust Reason Description Inactive Select this checkbox to inactivate the reason. The entry will appear with a Strike Through to show it has been made Inactive OK Click on the OK button to save the new IMC Debit Adjust reason entry Cancel Click on the Cancel button to abort the process Copyright Medtech Healthcare Pty Ltd Page 39

2.9.4 View / Edit IMC Debit Adjust Reason Entry Follow the steps below to view / modify an existing IMC Debit Adjust Reason from the IMC Debit or Credit Adjust Reason window: 1. Open the IMC Debit Adjust Reasons window (Setup menu Accounting Debit Adjust Reasons). 2. Select the IMC Debit Adjust reason whose details you wish to view, and then click on the Open an existing IMC Debit Adjust Reason icon, or double click on the desired line entry, or press the shortcut key Ctrl + O to bring up the View IMC Debit Adjust Reasons window. 3. Modify the details as required and then click on the OK button to save the changes. Copyright Medtech Healthcare Pty Ltd Page 40

2.10 Patient Register Window When no Health Fund (i.e. ECLIPSE Participant Health Fund) has been selected in the Accounts tab of the Patient Register window (Module Patient Register), the Payment Level field in the IMC Invoice window (Module Accounts New IMC Invoice) will be displayed as a blank field, as shown in the screenshot below: However, it is still possible to select a configured Health Fund from the drop down menu to continue processing the IMC Invoice. If an ECLIPSE Participant Health Fund (see Note below) has been selected in the Accounts tab of the Patient Register window, then the same Health Fund will be reflected for the Payment Level field in the IMC Invoice window, as shown in the screenshot below: Note: ECLIPSE Participant Health Fund - configured as an Invoice Type In-Patient Medical Claim in the Payment Level window, refer to the Payment Levels section for further information. Copyright Medtech Healthcare Pty Ltd Page 41

However, in the case when a non-eclipse Participant Health Fund (see Note below) has been selected in the Accounts tab of the Patient Register window, the Payment Level field in the IMC Invoice window will be displayed as a blank field, as shown in the screenshot below: Note: Where a Health Fund is not configured as an Invoice Type In-Patient Medical Claim in the Payment Level window refer to the Payment Levels section for further information. Copyright Medtech Healthcare Pty Ltd Page 42

Furthermore, the Payment Level field in the Name tab of the Patient Register window will only display those non-imc Payment Levels setup under the Setup Accounting Payment Levels. Copyright Medtech Healthcare Pty Ltd Page 43

2.11 New IMC Invoice A new menu New IMC Invoice option has been introduced under the Module Accounts menu, as shown below: Selecting this menu will bring up the IMC Invoice window. The IMC Invoice has four tabs similar to the normal General Invoice. The details of these four tabs are explained below. 2.11.1 IMC Invoice Main Tab The Main Tab of an IMC Invoice has multiple sections. These sections vary based on the Service Type chosen in the invoice screen itself The sections specific to each Service Type are described below. Service Type General (O) will display the following sections. o Header o IMC Options o Details o Invoiced Services o Payment Copyright Medtech Healthcare Pty Ltd Page 44

Service Type Specialist (S) will display the following sections. o Header o IMC Options o Details o Invoiced Services o Payment o Referral/Request Copyright Medtech Healthcare Pty Ltd Page 45

Service Type Pathology Services (P) will display the following sections. o Header o IMC Options o Details o Invoiced Services o Payment o Request In addition to the sections mentioned above, the IMC Invoice retains the following standard options for all of the Service Types described above. o Print Invoice o No. of Invoice copies to print o OK o Cancel o Help IMPORTANT NOTE Service Type Diagnostic Imaging (D) is no longer a Service Type Code as per Medicare Client Adapter Version 6.12 November 2012 Release requirement. Diagnostic Imaging services can now be claimed under the Service Type Code Specialist. Copyright Medtech Healthcare Pty Ltd Page 46

The various sections in an IMC Invoice are explained further below. To open this invoice, Search for, and place a patient on to the Palette first. Header o Payment Level The Payment Level will default to the one that is linked with the Health Fund selected in the Patient Register for the selected patient. For further information, refer to Payment Levels section. o Patient The Patient field is locked and will display the active patient on the Palette. To change the patient run a Patient Search, and place the desired patient on the Palette. o Pat A/c Holder This is the Patient Account Holder field. The Pat A/c Holder field will default to the account holder selected in the Patient Register window of the active patient. To change the account holder, click the ellipsis button. The Search Patient / Company window will be displayed. Enter the account holders name and click on the Search button Select an appropriate account holder from the list and then click on the OK button or press the Enter key. o HF A/c Holder This is the Health Fund Account Holder field. The HF A/c Holder field will default to the account holder linked to the selected Payment Level. For further information, refer to Payment Levels section. o Provider and Income The Provider and Income fields default to the Provider of the appointment being invoiced (if using the preferred method to place the patient on the palette). If the patient is invoiced directly, that is, not from the Appointment Book, the provider will default to the provider listed in the Patient Register screen. Copyright Medtech Healthcare Pty Ltd Page 47

o Invoice Date This field is to capture the date when the patient is invoiced, i.e. the date when the invoice is raised. This date can be back dated if required. o Locum For Where a Locum has provided the service, select the Locum for checkbox to introduce a drop down list to choose the Service Provider who is being substituted by the Locum. In the previous screenshot, Dr. Jen Wilson is the Locum who is providing the service, and Dr Medtech is the Service Provider for which Dr Jen Wilson is the Locum for. The Income Provider is the default Income Provider chosen for the selected Service Provider, i.e. the Income Provider is that of Dr Medtech s. On enabling the Locum for field to indicate the service is being rendered by a Locum, a notation is populated in to the Service Text field in the format Locum for and the Provider Number of the Provider for whom the Locum is substituting. For further information, please refer to Service Text section. If the Locum for checkbox is selected but a Service Provider is not selected, the following warning message will be displayed when the user attempts to save the invoice. IMPORTANT NOTE A valid Provider Number needs to be configured for the Provider for whom the Locum is substituting. Not configuring a valid Provider Number in the setup will result in the following warning message being displayed when selecting the Provider. Copyright Medtech Healthcare Pty Ltd Page 48

IMC Options o Claim Type The Claim Type field determines the processing claim type under which a claim is submitted. The Claim Type drop down contains the following Claim Types to choose from: a) Agreement (AG) b) Scheme (SC) c) Patient Claim (PC) This field defaults to the Claim Type set for the selected Provider. For further information, refer to Staff Setup section. If the Claim Type is left blank, the following warning message will be displayed while saving the invoice. If multiple Claim Types are set up for the selected Provider, then this field defaults to the Claim Type in the alphabetical order. Examples: If AG and PC (or) AG and SC (or) AG, PC and SC are set, then the field will default to the first one - AG If PC and SC are set, then this field defaults to PC. If the selected Claim Type has not been set up for the Provider, then an appropriate warning message will appear. If AG or SC is selected as the Claim Type when neither has been set up for the Provider, the following warning message will be displayed. Copyright Medtech Healthcare Pty Ltd Page 49

Unless the required Claim Type AG or SC is set up, the invoice will not be saved with the selected Claim Type. Either, the Claim Type has to be changed to one that has been set for the Provider (or) the invoice has to be closed and the required Claim Type set up for the selected Provider before invoicing again. If PC is selected as the Claim Type when it has not been set up for the Provider, the following confirmation message will be displayed. This confirmation message indicates that the selected PC Claim Type has not been set up but will allow the user to override the message and continue with invoicing with the Claim Type selected as PC. o IFC Issue This is the IFC Issue Code field. When there is an out of pocket expense, the IFC Issue field indicates the type of Informed Financial Consent that has been obtained from the patient. The IFC Issue drop down contains the following IFC Issue Codes to choose from: a) Verbal (V) b) Inwriting (W) c) Not issued (N) d) Not Obtained (X) For a Claim Type of Agreement (AG), the IFC Issue Code will need to be either Verbal (V), In Writing (W) or Not Obtained (X). If Not Issued (N) is selected, the following warning message will be displayed when saving the invoice. Copyright Medtech Healthcare Pty Ltd Page 50

For a Claim Type Scheme (SC), the IFC Issue Code will need to be In Writing (W) or Not Obtained (X). If the IFC Issue Code selected is Verbal (V) or Not Issued (N) then the following warning message will be displayed when saving the invoice. The below message box will be displayed, when clicking OK button on the IMC Invoice window without selecting an appropriate option from the IFC Issue field: o Financial Interest Disclosed This field indicates if Financial Interest has been disclosed by the Provider to the insured person/ patient. For a Claim Type Scheme (SC), if the Financial Interest is not disclosed (the Financial Interest Disclosed box is not selected) then the following warning message will be displayed when saving the invoice. o Service result of accident This field indicates whether or not the associated information relates to the patient experiencing an accident. o Is Claim Part of Compensation This field indicates whether or not the voucher contains services that are subject to a compensation claim. Copyright Medtech Healthcare Pty Ltd Page 51

o Is Claim Submission Authorised This field indicates whether the claimant has authorised the location to submit the claim on their behalf. This Authorisation is mandatory for a Claim Type of PC. If a Claim Type is PC, and Is Claim Submission Authorised is unchecked, the following warning message will be displayed while saving this invoice. o Hospital This field lists all the Hospitals that have been set up in Setup Location Hospital Setup. For further information, refer to Hospital Setup section. The drop down list allows you to choose the Hospital where the service was rendered. On selecting a Hospital, the Facility ID is displayed as a label beside the Hospital field. As all IMC invoices render In Hospital services, if a Hospital is not selected the following warning message will be displayed when saving the invoice. If the Hospital is selected but Facility ID of the Hospital is not configured in the Hospital Setup, then the following warning message will be displayed. Copyright Medtech Healthcare Pty Ltd Page 52

o Admission Date This indicates the date the patient was admitted to the hospital. Select / Enter the Admission Date in the respective fields. Ensure that the Admission Date is less than or equal to the Invoice Date. If not, the following warning message will be displayed while saving the invoice. The below message box will be displayed when clicking OK button on the IMC Invoice window, without entering / selecting an appropriate Admission Date from the Calendar drop down list: o Discharge Date This indicates the date the patient was discharged from the hospital. Select / Enter the Discharge Date in the respective fields. Ensure that the Discharge Date is greater than or equal to the Date of Admission and the Invoice Date. If not, the warning message shown below will be displayed: Copyright Medtech Healthcare Pty Ltd Page 53

Details a) Details o Service From the dropdown list select the service the patient is being invoiced for. o Quantity This field can be used to indicate the Quantity required for the selected Service. o Field Quantity The field indicates the number of fields irradiated or the quantity of time blocks for derived fee intrathecal or epidural infusion services If Field Quantity is set when Number of Patients is set then the following warning message is displayed o Fee Charged The Fee Charged is the fee set up in Fixed Payments in Setup Accounting Services Payment Levels Tab IMC Fixed Payments section. For further information, refer to Service Setup IMC Fixed Payments section. If a Fixed Payment fee is not set up, then the Fee Charged field defaults to the Fund Fee. For further information, refer to Service Setup section. If the Fee Charged is less than or equal to zero, then the following message will be displayed when saving the invoice. Copyright Medtech Healthcare Pty Ltd Page 54

o Fund Fee The Fund Fee is the Fee set up as base amount in Setup Accounting Services Eclipse Tab Fund Agreement/ Fund Scheme sections. For further information refer to Service Setup section. The Fund Fee is the fee amount that gets assigned as an outstanding amount against the selected Health Fund Account Holder. If the Fund Fee is greater than the Fee Charged, the following warning message will be displayed while saving the invoice. The below message box will be displayed when clicking OK button on the IMC Invoice window if the Fund Fee field remains empty: o GST This is the Goods and Services Tax field. This field indicates the GST calculated on the Fee Charged. If the item number has been selected to have GST added to it in the Medtech32 setup, then the GST will be calculated automatically. However, this fee can be modified by overwriting the figure in this field. Note: Services claimed through IMC Billing do not attract GST. o Amount Inc GST This is the Amount Inclusive of GST field. This field displays the Total Fee Charged amount for the service inclusive of GST. Copyright Medtech Healthcare Pty Ltd Page 55

o Number of Patients If necessary, enter the number of patients seen in this field. If a derived fee item number has been selected, the number of patients entered into the Derived Fee Details window will default in this field. If Number of Patients is set when the Field Quantity is also set, then the following warning message will be displayed o In Hospital Service This field indicates that the service was rendered in a hospital. For an IMC Invoice this is selected by default and is not an editable field. o Service Text This is a free text field used to provide additional information to assist with the benefit assessment of the service. In the Header section of the IMC Invoice Main Tab, on enabling the Locum for field to indicate the service is being rendered by a Locum, a notation is populated in the Service Text field in the format Locum for and the Provider Number of the Provider for whom the Locum is substituting. For example: Locum for 2XXXXXXY. o When Seen This drop down field allows the user to enter in the date of when the patient was actually seen by the Provider. o Options The Options section contains the Not Duplicate Service, Self-Deemed, Not Normal After Care and Multiple Procedure Override. Note: The user must tick the relevant checkboxes for when any of these options are applicable, and not just enter in the supporting information in to the Service Text fields. Where claims have been sent with only the Service Text information, and the relevant checkbox not ticked those claims not be paid by Medicare. Copyright Medtech Healthcare Pty Ltd Page 56

b) Pathology The Pathology Tab of the Details section of the IMC Invoice is the same as the Pathology Tab of the Details section of a General Invoice. Invoiced Services o Service From the dropdown list select the service the patient is being invoiced for. o Qty Indicates the Quantity required for the selected Service. o Fee Charged The Fee Charged is the fee set up in Fixed Payments in Setup Accounting Services Payment Levels Tab IMC Fixed Payments section. For further information refer to IMC Fixed Payments section. If a Fixed Payment fee is not set up, then the Fee Charged field defaults to the Fund Fee. For further information, refer to Service Setup section. o Fund Fee The Fund Fee is the fee set up as base amount in Setup Accounting Services Eclipse Tab Fund Agreement/ Fund Scheme sections. The Fund Fee is the fee amount that gets assigned as an outstanding amount against the selected Health Fund Account Holder. For further information refer to Service Setup section. o GAP This field indicates the GAP that needs to be paid for the selected service and is non editable. GAP = (Fee Charged + GST) Fund Fee The GAP amount is the fee amount that gets assigned as an outstanding amount against the Patient Account Holder for the selected Patient. Copyright Medtech Healthcare Pty Ltd Page 57

If the GAP amount is greater than the Fee Charged, then the following warning message is displayed while saving the invoice. o GST This is the Goods and Services Tax field. This field indicates the GST calculated on the Fee Charged. If the item number has been selected to have GST added to it in the Medtech32 setup, then the GST will be calculated automatically. However, this fee can be modified by overwriting the figure in this field. o Amt Inc GST This is the Amount Inclusive of GST field. This field displays the Total Fee Charged for the service inclusive of GST. o # Pat. If necessary, enter the number of patients seen in this field. If a derived fee item number has been selected, the number of patients entered into the Derived Fee Details window will default in this field. o Service Text This is a free text field used to provide additional information to assist with the benefit assessment of the service. In the Header section of the IMC Invoice Main Tab, on enabling the Locum for field to indicate the service is being rendered by a Locum, a notation is populated in the Service Text field in the format Locum for and the Provider Number of the Provider for whom the Locum is substituting. For example: Locum for 2XXXXXXY o Date Seen This drop down field allows to choose the date when the patient was consulted. o Time This field indicates the time the service was rendered. o Not Dupl. This field indicates if the Provider attended to the patient on more than one occasion on a same day. o NNAC This field indicates if the service was Not Normal After Care for the patient Copyright Medtech Healthcare Pty Ltd Page 58

o Self Deem A Self Deemed Service is a service provided by a consultant physician or specialist as an additional service to a valid request. A substituted service is a service provided that has replaced the original service requested. o MPO This field indicates whether the service is a part of a multiple procedure or not. o Duration This field indicates the duration of the service rendered in minutes. This is a 3 digit number field that cannot be set to 000 and must be represented in 15 minutes internals, i.e. 015, 030, 045. If the Duration is set and; a) If Number of Patients is set, then the following message is displayed b) If Field Quantity is set, then the following message is displayed o External Reference This field provides the ability to record the External Reference if required. o Labels a) GAP Indicates the Total GAP of the invoice Payment b) Total Indicates the Total Amount of the Invoice Copyright Medtech Healthcare Pty Ltd Page 59

o Amount The payment made against the GAP or the Total Invoice Amount can be entered in this Amount field. The label next to the Amount field displays the Total Outstanding of selected Patient Account Holder (i.e., IMC Accounts Outstanding + General Accounts Outstanding) The amount entered as a payment here will be used to pay off the GAP outstanding only for this invoice. Any payment received in excess of the GAP amount here will remain as unallocated cash (in credit) against the Patient Account Holder. o Method Select the method of payment from the Method dropdown list If the payment method of Cheque is selected, the following fields will be enabled: Bank, Branch, Drawer and Cheque Number. These fields are not mandatory to complete. Once completed, some of these details will default as the patients future Cheque payment details but can be overridden if required. o Description The description usually defaults to Payment Received. This can be manually overridden if required. Date Indicates the date when payment is/ was received. Print Invoice Tick the Print Invoice check box if the invoice is to be printed. Medtech32 remembers the status of the Print Invoice check box. This means the next invoice created under that logon will have the check box selected if that was the option selected in the previous invoice. The No. of copies to be printed can be selected from the box beside the Print Invoice field. IMC Patient Claim Consent and Declaration This appears only for IMC PC Claims. An IMC Patient Claim Consent and Declaration form opens up when the OK button in the IMC invoice (after all validations are carried out) is selected. A sample printout of the IMC Patient Claim Consent and Declaration form is shown on the following page. Copyright Medtech Healthcare Pty Ltd Page 60

The Verbal Consent obtained from the patient can be indicated in this IMC Patient Claim Consent and Declaration form, and this form can be sent to the printer selected in the Print To dropdown box. The OK button in this form is Enabled only after the Verbal Consent received from the patient has been ticked/indicated in the field on the form. Clicking on the OK button will bring up the Account Details window. Note: The screen above is similar to the existing Lodge Patient Claim window that comes up when transmitting a General Private Claim. Copyright Medtech Healthcare Pty Ltd Page 61

2.11.2 IMC Invoice Invoice Annotation Tab No change 2.11.3 IMC Invoice Payment Annotation Tab No change 2.11.4 IMC Invoice Audit Tab No change IMPORTANT NOTE The Medtech32 standard message box shown below will be displayed when clicking OK button on the IMC Invoice window, if any of the mandatory fields (mentioned on the Message box) are not filled in the Patient Register window. Click Yes to bring up the Patient Register window to update the details, or Click No to abort the update Copyright Medtech Healthcare Pty Ltd Page 62

2.12 Patient Account The Patient Accounts module gives an overall view of the patients account and can be accessed via Module Accounts Patient Account, Shift + F9 or by clicking on the Accounts icon. Two new tabs have been introduced to the existing Patient Account screen, the IMC Patient and IMC Account Tabs. IMC Patient All IMC related transactions for the patient will be displayed here, irrespective of the account holder. The overall columns seen across the different sections in the IMC Patient tab are explained below: o Date The date of the transaction o T The transaction type I = Invoice, P = Payment, A= Adjustment Copyright Medtech Healthcare Pty Ltd Page 63

o M The payment method (examples given below) X = Amex, A = Auto Pay, C = Cash, Q = Cheque, D = Diners, E = EFTPOS, M = Master Card, O = Other and V = Visa. o Ref The Transaction Reference Number o Account Holder The Patient Account Holder for the account o HF Account Holder The Health Fund account holder who s responsible for the account o Description The description of the service/ transaction o Prov The Service Provider for the IMC invoice o Inc The Income Provider for the invoice. o Amount The total amount associated with the transaction o Pat Outstanding The outstanding amount to be paid by the patient/ claimant o HF Outstanding The outstanding amount to be paid by the Health Fund o Type The IMC invoice Claim Type o Batch ID The batch number for which the transaction was included in to. o Tran By This indicates if the transaction is by Patient Account Holder (denoted by the text P ) or by the Health Fund (denoted by an H ) IMC Account All IMC related transactions related to the account holder on the palette. This includes accounts of all account members for the account holder on the palette. The overall columns seen across the different sections in the IMC Account tab are explained below: o Date The date of the transaction o T The transaction type I = Invoice, P = Payment, A= Adjustment Copyright Medtech Healthcare Pty Ltd Page 64

o M The payment method (examples shown below) Version 9.3.0 Build 4620 ECLIPSE Release Notes X = Amex, A = Auto Pay, C = Cash, Q = Cheque, D = Diners, E = EFTPOS, M = Master Card, O = Other and V = Visa. o Ref The transaction reference number o Patient The name of the patient the transaction related to o Description The description of the transaction o Prov The provider associated to the IMC invoice o Inc The income earner for the invoice. o Amount The total Gap amount for an IMC invoice o Pat Outstanding The outstanding amount to be paid by the patient o Type The IMC invoice claim type o Batch ID The batch number for the transaction was included in to. o Tran By This indicates if the transaction is by Patient Account Holder (denoted by the text P ) or by the Health Fund (denoted by an H ) The Account Holder is listed at the top of the window, with the balance outstanding displayed in red text next to the Balance label. The IMC Patient and IMC Account tab will have the same menu options/ icons enabled in the Patient Accounts window. The options available in the Patient Account context menu or as icons in the Patient Account Screen (with the IMC Patient or IMC Account tabs chosen) are explained below. Patient Account Screen Options 2.12.1 Account Summary View The Account Summary View is an existing feature in the Patient Accounts window that gives a breakdown of all outstanding amounts within the patient / account holders account. This feature has been retained for the new tab IMC Patient only. The Account Summary View will not be available for the IMC Account tab in the Patient Accounts window. From the IMC Patient tab or the IMC Account tab, select Patient Account Account Summary View Visible. A tick will appear next to Visible indicating the Summary view has been activated. Copyright Medtech Healthcare Pty Ltd Page 65

To deactivate the Summary view, from the IMC Patient tab or the IMC Account tab, select Patient Account Account Summary View Visible. Untick the option to remove the Summary view. 2.12.2 New/ View Transaction 1. Place the desired patient on the palette. 2. Select Patient Account New, Ctrl+N or click the Add a new invoice icon. The New IMC Invoice window will be displayed. 3. To view an existing transaction, select Patient Account Open, Ctrl+O or click the Open an existing transaction icon. If the highlighted transaction is of the type Invoice then the View IMC invoice window will be displayed in a read-only format. Copyright Medtech Healthcare Pty Ltd Page 66

If the selected transaction is of the type Payment, then the View Payment window will be displayed. Click on the OK button or press the Enter key once viewed. 2.12.3 View Transaction Details Upon selecting an IMC invoice from the IMC Patient tab, all the associated child transactions from the Account Holder and/ or the Health Fund Account Holder will be displayed in a separate middle pane (above the Account Summary View section). It is an easy way of being able to quickly view how much an Account Holder (GAP amount) or the Health Fund Account Holder has outstanding for the selected Transaction. The Patient Account Holder transaction will be denoted by the text P in the Tran By column, whereas the transaction by the Health Fund will be denoted by an H. Copyright Medtech Healthcare Pty Ltd Page 67

The amount column indicates the total amount of the transaction and the outstanding column indicates the outstanding amount for the corresponding transaction in this middle pane. This feature has also been implemented in the IMC Account tab. However, only the IMC transactions that have been placed against the Account Holder or Patient (if self-account holder) will be displayed. In the first pane, the Invoice amount allocated for the Account Holder will only be displayed under the Amount column. In the second pane, the amount allocated for each service to the account holder will only be displayed for the selected Invoice under the Amount column. 2.12.4 Credit Adjust To credit adjust a transaction from Patient Account window, select Module Accounts Patient account. The Patient Account window will be displayed. Select the IMC Patient tab Highlight the transaction that needs the credit adjusted (from the middle pane) and from the contextual menu select the option Credit Adjust. The New Credit Adjustment screen will be displayed. Copyright Medtech Healthcare Pty Ltd Page 68

The New Credit Adjustment window contains following details A/C Holder -Name of the A/C Holder Original Amount Total Gap amount at the time of invoice Current Balance The outstanding the amount which needs to be paid by the Account Holder Amount to Credit The amount that needs to be credited for the account holder Reason The reason for the credit adjustment Enter the amount to be credit adjusted in the Amount to Credit field and click OK. 2.12.5 Debit Adjust To debit adjust a particular transaction from Patient Account window select Module Accounts Patient Account. The Patient account window will be displayed. Select the IMC Patient tab Highlight the transaction that needs to be debit adjusted (from the middle pane) and from the contextual menu select the option Debit Adjust. The New Debit Adjustment screen will be displayed. The New Debit Adjustment window contains following details A/C Holder Name of the A/C Holder Copyright Medtech Healthcare Pty Ltd Page 69

Original Amount Total Gap amount at the time of invoice Version 9.3.0 Build 4620 ECLIPSE Release Notes Current Balance The outstanding the amount which needs to be paid by the Account Holder Amount to Debit The amount that needs to be debited for the account holder Reason The reason for the Debit adjustment Enter the amount to be Debit adjusted in the Amount to Debit field and then click on the OK button. 2.12.6 Modify Transaction From the IMC Patient tab, highlight the transaction to be modified. Select Patient Account Modify Invoice, Ctrl+M or click on the Modify the current Invoice icon. The Modify IMC Invoice window will be displayed. Make any modifications as necessary, and then click on the OK button or press the Enter key. Only those IMC invoices that have not been batched are able to be modified. For IMC invoices, the ability to modify all fields within invoices is removed from the system once the Banking has been Closed Off, for the period of time in which the IMC invoice was created. As such, the user will have all the functionalities that currently exist under the system until that point in time. Copyright Medtech Healthcare Pty Ltd Page 70

2.12.7 Delete Transaction Highlight the transaction to be deleted from the IMC Patient tab in the Patient Accounts window. If selecting a Payment transaction, from the context menu, select Patient Account Open, Ctrl+O or click the Open an existing transaction icon window will be displayed. Tick the Delete check box located in the bottom left corner of the window.. The View Payment Click on the OK button or press the Enter key. A warning message will be displayed. Click either Yes or press the Enter key. The Supervisor Password window may appear if the Supervisor Password has been configured. If so, then enter the password and then click on the OK button or press the Enter key. For pending IMC invoices, select the Modify the current Invoice (Ctrl + M) icon. From the displayed Modify IMC Invoice, tick the Delete checkbox at the bottom left corner of the window and then click on the OK button. Copyright Medtech Healthcare Pty Ltd Page 71

If the IMC Invoice is associated with a higher level transaction, e.g. a Payment, then the Delete option will not be available for the IMC invoice until the higher level transaction (the Payment) has been Deleted. Once the OK button has been clicked, the steps mentioned above for deleting a Payment will follow. 2.12.8 Patient Account Filter The Filter can be used to find certain transactions; e.g. payments, invoices. It can also be used to display deleted or inactivated transactions. From the IMC Patient tab of the Patient Accounts window, click on the Filter icon or select the Patient Account Filter, Ctrl + F. The Filter Account window will be displayed. Copyright Medtech Healthcare Pty Ltd Page 72

Select the filter criteria by clicking the mouse in the relevant Transaction Type radio buttons and/ or the Include Inactive tick box. Click on the OK button or press the Enter key. Any results matching the Filter criteria will be displayed. The deleted or inactivated transactions will be displayed with a strike through across the text. 2.12.9 New Payment Processing a New Payment will create a new transaction and an associated reference number, which will be displayed in the IMC Patient tab as well as the IMC Account tab of the patient account holder. Payments can be viewed; however, modifications are restricted to the Method, Description and Deletion fields With the patient or the account holder on the palette, select Module Accounts New Payment or click on the New Payment icon displayed.. The New Payment window will be The New Payment window can also be accessed from the context menu Patient Account New Payment. Ensure the account holder in the A/c Holder field is correct. To change the account holder, type the first few letters of the surname and press the tab key. Highlight the correct account holder from the Search Patient / Company window and then click on the OK button or press the Enter key Copyright Medtech Healthcare Pty Ltd Page 73

Enter the amount being paid in the Amount field. The total amount outstanding is displayed in red to the right of this field. Select the payment method from the associated dropdown list; alternatively, type the code directly into the Method field; e.g. C = Cash. If the selected method is Cheque, then the following fields are enabled: Bank, Branch, Drawer and Cheque Number. Once these fields are completed, they will appear as the default details on any future Cheque payments, but these can be overwritten if required. Copyright Medtech Healthcare Pty Ltd Page 74

The Description that will be displayed on the invoice and statement for this payment transaction is from the Medtech32 default setup and usually states Payment Received. This description can be changed for the transaction by typing directly into the field. Within the Invoices section, tick the IMC invoice/s being paid. The amount will automatically be displayed in the To Pay column. The amount being paid is also displayed in bold with black text in the bottom right corner of the window. If an IMC invoice is being partially paid, click in the to Pay column and type the relevant payment amount. If required, enter a Payment Annotation by selecting the Annotation tab and typing the notes directly into the white area. Copyright Medtech Healthcare Pty Ltd Page 75

If only a receipt is required, tick the Print Receipt Only check box. If both an invoice and receipt is required, tick the Print Invoice/ Receipt check box. If there is no requirement for a printout - leave both of the above check boxes blank. If another payment is being made at this stage, click the Another button. Proceed as usual, and then click on the OK button or press the Enter key once you have completed the payment. A new column Claim Type has been introduced to differentiate Normal Invoice and IMC Invoice. For IMC Invoice, the Claim Type will be displayed as M and for Non-IMC Invoice (i.e. normal invoice) the claim type will be displayed as N. 2.12.10 Re-printing Transactions The following forms can be printed using the same set of instructions; Invoice/ Receipt Different printing options will be available depending on the transaction that has been highlighted in the Patient Account window. Highlight the transaction to be printed and then select the relevant option from the context menu Patient Account Print, or (Ctrl+P) e.g. Patient Account Print Invoice/ Receipt. 2.12.11 Print Individual Statement The Print Statement option will print a transaction history for a defined period of time. The statement format depends on what has been selected in the Medtech32 setup for the patients account group. Copyright Medtech Healthcare Pty Ltd Page 76

With the patient or the account holder on the palette, open the Patient Account window and select the Print Statement option from the context menu Patient Account Print Statement. The Print Statement window will then be displayed. Specify the opening and closing balance dates from the associated calendar dropdown lists or type the date directly into the Opening/ Closing Balance fields. Select the printer required from the Print To dropdown list. Click on the OK button or press the Enter key to print the Statement. 2.12.12 Change Account Holder Open the Patient Account window and from the context menu, select Patient Account Change Account Holder option, or Ctrl+H. The Search Patient/ Company window will be displayed. Enter the surname (or part thereof) and then click on the Search button or press the Enter key. Select the person required from the list and then click the OK button or press the Enter key. The account holder for the patient will then be updated. This will be reflected in the IMC Patient tab and the IMC Account tab with the updated Account Holder label on the top. Copyright Medtech Healthcare Pty Ltd Page 77

The IMC Account tab will then display the IMC invoices against the updated account holder or patient (if self-account holder) only. The following Patient Account features are due for further enhancements: New Credit Note New Refund Transfer 2.13 IMC Batching Window The IMC Claim Batching module collates all IMC Claim vouchers and prepares them for submission to Medicare Australia and private health insurers. 1. Select Module Accounts IMC Batching or click the IMC Batching icon. The IMC Claim Batching window will be displayed and default to the Unbatched IMC tab. Within the Batching window there are three tabs; Unbatched IMC Displays all IMC vouchers that are yet to be batched Outstanding IMC Batches Displays all batches that have not been fully paid or not paid at all Batch History Displays all batches prepared to date Copyright Medtech Healthcare Pty Ltd Page 78

2.13.1 Unbatched IMC tab The columns in Unbatched IMC tab are explained below. Tick A tick indicates this item is selected to be included in the batch. No tick indicates the item is on hold (the item will be displayed in blue) Date The date the item was invoiced Form No The Assignment Form number Patient The patient who was invoiced Claim Type The type of claim (Agreement or Scheme or Patient claim) Service Type The type of service for the IMC invoice Prov The initials of the Service Provider Inc The initials of the consulting income provider Loc The location of the consultation Amount The total amount of the invoice Double Click Double clicking on an invoice in the outstanding IMC batches tab will open the respective invoice Copyright Medtech Healthcare Pty Ltd Page 79

2.13.1.1 IMC Batching Contextual Menu Selecting the Module Accounts IMC Batching will enable a new contextual menu to appear next to the Module menu option, as shown below. This contextual menu is with the Unbatched IMC tab in focus / selected. The options listed in the contextual menu are enabled / disabled based on the IMC Batching tab that is in focus / selected. Open This option will open up the IMC invoice in a read only view Expand This option will either expand or shrink the IMC Claim Batching window in size Filter This option will open the Filter IMC Batch window Tick All Ticks/selects all the IMC invoices listed in the active IMC Batches tab Untick All Unticks all the ticked/selected IMC claims in the active IMC Batches tab Close Off Select this option to Close Off the selected IMC Batches and it will move the batches to the Outstanding IMC Batches tab. This option will be disabled for the Outstanding IMC Batches and Batch History tab Batch Payment The functionality of this menu item will only be available in the next phase of Medtech32 ECLIPSE. On clicking this menu option the following message box will be displayed: Copyright Medtech Healthcare Pty Ltd Page 80

Active Patient This option will place the selected patient on the palette 2.13.1.2 Open an Existing Row To open an existing row, click on the Open an existing row (Ctrl+O) icon or select the option Open from the IMC Batching contextual menu. The selected IMC invoice will be opened and displayed as shown below. Invoices opened from the Unbatched IMC tab are in the read only view. If they need to be modified, they need to be amended from the Patient Account window (Module Accounts Patient Account). Copyright Medtech Healthcare Pty Ltd Page 81

2.13.1.3 Filtering Results To Filter the Unbatched IMC invoices, click on the Filter IMC Batch icon, or select the Filter option from the IMC Batching contextual menu to bring up the Filter IMC Batch window. o From Date / To Date Select the start and end date from the respective fields to filter the batch items during the date range o Provider Select the Service provider from the drop down list, to filter the view based on the selected provider o Income Provider Select the Income provider from the drop down list, to filter the view based on the selected provider o Location Select the Location from the drop down list, to filter the view based on the selected Location o Claim Type Select the IMC Claim Type from the drop down list, to filter the view based on the selected Claim Type. The available Claim types are: Agreement, Scheme and Patient Claim For example, if the Claim Type Agreement (AG) is selected, then all the IMC Batches with Claim Type AG during the date range will be displayed. o OK Click OK to display the Unbatched IMC Batches tab view, based on the selected Filter criteria o Cancel Click Cancel to abort the process 2.13.1.4 Shrinking or Expanding IMC Claim Batching Window To shrink or expand the IMC Claim Batching window click on the + E), or select the Expand option from the contextual menu - Expand window (Ctrl Copyright Medtech Healthcare Pty Ltd Page 82

2.13.1.5 Placing the Active Patient on the Palette To place the active patient on the palette click on the - Select this patient as the active patient (Ctrl + A) icon, or select the Active Patient menu option from the contextual menu. 2.13.1.6 Closing off the batch To close off the IMC Batch click on the - Close off the batch icon for the selected invoices and it will move the batch to the outstanding IMC batches tab. IMPORTANT NOTE The below message box will be displayed when selecting and closing an IMC Invoice from the IMC Claim Batching window, having Non-MBS service(s) alone. If the selected IMC Invoice has both MBS and Non-MBS Service(s), the Close-Off will be done but the Non-MBS Item(s) will not be sent for claiming. 2.13.1.7 Paying off Multiple Batches Paying off multiple batches will be implemented in the next phase of ECLIPSE implementation. Clicking on the following message: - Pay off multiple batches (Ctrl + E) will display the Copyright Medtech Healthcare Pty Ltd Page 83

2.13.1.8 Viewing Medicare Australia Transmission Log To view the Medicare Australia Transmission Log, click on the Transmission Log icon and it will display the following window: View Medicare Australia The Summary column will report on the number of Claims stored, Claims sent, and advise of any Errors during the transmission process. 2.13.1.9 IMC Batching - Labels Rows ticked The Rows ticked label will display the number of invoices selected Amount ticked The Amount ticked label will display the total amount of the selected invoices Last ERA The Last ERA (Electronic Remittance Advise) label will display the time and date when the last ERA was generated Copyright Medtech Healthcare Pty Ltd Page 84

2.13.2 Outstanding IMC Batches The Outstanding IMC Batches tab in the IMC Claim Batching window from Module Accounts IMC Claim Batching, will display a list of batches that have not been paid in full or not paid at all (including unsent batches). The Last ERA label on the right side of the IMC Claim Batching window will display the time and date when the last ERA was generated. Both the Outstanding IMC Batches tab and the Batch History tab will contain the same columns. Tick A tick indicates the item is selected Date The date the batch was closed off Claim ID The Batch number ID within Medtech32 Claim Type The IMC Claim Type (AG, SC or PC) Service Type The IMC invoice service type (General, Specialist or Pathology Services) Prov The initials of the Service Provider Inc The initials of the Income Provider Loc The location of the consultation Amount The total amount of the batch HF Paid The amount paid from Health Fund Pat Paid The amount paid by the patient / claimant Copyright Medtech Healthcare Pty Ltd Page 85

HF Outstanding The unpaid amount owed by the Health Fund Pat Outstanding The unpaid amount owed by the patient / claimant Print A tick will be displayed in this column once the Batch Header or Batch Summary has been printed Process Status Indicates the processing status of the claim / request. The Process Status output could be: Process Status RECEIVED MEDICARE_UNVERIFIED MEDICARE_VERIFIED MEDICARE_REJECTED MEDICARE_UNAVAILABLE HEALTH_FUND_UNVERIFIED HEALTH_FUND_VERIFIED HEALTH_FUND_REJECTED Description The claim has been received and accepted for processing Delayed PVM failed PVM completed; performing PVF/PVC/PVE The claim has been rejected by Medicare and a report is available Medicare is unavailable to perform OEC assessing PVF/PVC/PVE failed PVF/PVC/PVE completed The claim has been rejected by the Health Fund and a report is available HEALTH_FUND_UNAVAILABLE Health fund unavailable to perform OEC assessing MEDICARE_ASSESSING HEALTH_FUND_ASSESSING REQUESTED_DELETE COMPLETE The claim is currently being assessed by Medicare The claim is currently being assessed by the nominated Health Fund The provider requested this claim be deleted by Medicare The claim assessment is complete and a report is now available Status The Status column will display three options: 1. Tick = indicates that the batch has been sent 2. R = Process report received 3. P = Electronic Remittance Advice received (ERA) Copyright Medtech Healthcare Pty Ltd Page 86

2.13.2.1 Open an Outstanding IMC Batch To open an existing Outstanding IMC Batch, go to Module Accounts IMC Claim Batching Outstanding IMC Batches tab, and click on the double-click it to open the batch. icon, or select a batch and The View IMC Batch window will be displayed. A single batch item may include multiple invoices. The View IMC Batch window contains three tabs: Main, Batch Summary and Audit. The View IMC Batch window Main tab has the following sections: Copyright Medtech Healthcare Pty Ltd Page 87

Header The header section contains the following fields: Type Invoice Type and default to In-Patient Medical Claim (M). This field will be greyed out by default, i.e. non-editable Date The date the batch was closed off. This field will be greyed out by default, i.e. non-editable Provider Name of the Service Provider. This field will be greyed out by default, i.e. non-editable Income Name of the Income Provider. This field will be greyed out by default, i.e. non-editable Location The location of the consultation. This field will be greyed out by default, i.e. non-editable Claim Type The IMC Claim Type (AG, SC or PC) Claim ID Batch Number ID Items A single batch item may include multiple invoices and all the invoices will be listed in the Items sections. If the batch has a single invoice entry then only one entry will be listed, as shown in below screenshot: Tick A tick indicates the invoice is selected Form No The Assignment Form number of the Invoice Patient The patient who was invoiced Service(s) Services rendered by the Provider Amount The total amount of the Invoice Fund Charges Total fund fee of the invoice Fund Amt Paid Total amount paid from Health Fund Copyright Medtech Healthcare Pty Ltd Page 88

Patient Charges Total amount to be paid by the Patient / Claimant Patient Amt Paid Total amount paid by Patient / Claimant Written-Off Amount Total Written-Off amount Outstanding Amt Total outstanding amount of the invoice Resubmitted Amt If any of the service item is resubmitted, then the total amount of that service item will be displayed under this column Service Grid This section will list out the services in the invoice that are highlighted / selected in the Items section. Service Service Item Number Service Charges Total amount of the Service rendered Fund Charged Total fund fee of the Service Fund Amt Paid Total amount paid from Health Fund for the service Fund Amt Adjusted If the option Transfer Patient O/s to Fund is selected from the Action drop down list and Apply Actions to Services button is clicked, then the Patient outstanding amount will be transferred to this field Fund Amt O/s The unpaid amount owed by the Health Fund Patient Charged Amount to be paid by the Patient / Claimant for the service Patient Amt Paid Amount paid from Patient / Claimant for the service Patient Amt Adjusted If the option Transfer Fund O/s to Patient is selected from the Action drop down list and Apply Actions to Services button is clicked, then the Fund outstanding amount will be transferred to this field Patient Amt O/s The unpaid amount owed by the Patient / Claimant Status Populated value, based on the values of Fund Amt O/s and Patient Amt O/s columns Copyright Medtech Healthcare Pty Ltd Page 89

Action You can perform any of the following actions on the View IMC Batch window. After selecting the required action, click on the Apply Actions to Services button to complete the action o No Action By default the option No Action will be displayed o Resubmit Select this option to resubmit the respective service item. On clicking the Apply Actions to Services button, a confirmation message Are you sure to apply selected actions against the Services? will be displayed, as shown below. Click on the OK button to resubmit the service. The resubmitted Service item will appear in Italic and grey font. The Status column will be updated as Resubmitted and the Action field will be displayed with No Action. The item will be taken out of the batch and placed into the Unbatched IMC tab which can then be included in a new batch and sent to Medicare. o Transfer Patient O/s to Fund Select this option to transfer the Patient Outstanding amount displaying in the Patient Amt O/s column to the Fund Amt O/s column o Transfer Fund O/s to Patient Select this option to transfer the Health Fund Outstanding amount displaying in the Fund Amt O/s column to the Patient Amt O/s column o Write-Off Select this option to write-off the amount Payment Once a Payment has been retrieved from the Health Fund, the Payment details will be displayed automatically. Batch Summary tab The overall summary of the record will be displayed in the Batch Summary tab, i.e. Total amount Paid / Written-Off / Adjusted / Outstanding / Resubmitted from Health Fund and Patient. Copyright Medtech Healthcare Pty Ltd Page 90

Audit tab The Audit tab will record the information of when the Batch was created and last updated. 2.13.2.2 Filter an IMC Batch To filter the list of batch items in the Outstanding IMC Batches tab, click on the Filter icon or press Ctrl + F. The Filter IMC Batch window will then be displayed. Copyright Medtech Healthcare Pty Ltd Page 91

o From Date / To Date Select the start and end date from the respective fields to filter the batch items during the date range o Provider Select the Service provider from the drop down list, to filter the view based on the selected provider o Income Provider Select the Income provider from the drop down list, to filter the view based on the selected provider o Location Select the Location from the drop down list, to filter the view based on the selected Location o Claim Type Select the IMC Claim Type from the drop down list, to filter the view based on the selected Claim Type. The available Claim types are: Agreement, Scheme and Patient Claim For example, if the Claim Type Agreement (AG) is selected, then all the IMC Batches with Claim Type AG during the date range will be displayed. o Process Status Select the IMC Process Status from the drop down list to filter the view based on the selected status o OK Click OK to display the Outstanding IMC Batches tab view based on the selected Filter criteria o Cancel Click Cancel to abort the process 2.13.2.3 Send IMC Batches To send IMC Batches to Medicare Australia online from the Outstanding IMC Batches tab, select the required batches and click on the Send IMC Batches to Eclipse Online/ Medicare Australia Online icon. Copyright Medtech Healthcare Pty Ltd Page 92

A confirmation window will be displayed. Click on the 'Yes' button to continue and an Eclipse Online window will be displayed. Select the desired Printer to print the statement and enter the Location Pass Phrase to send the batches. Once the IMC Batch(es) has been sent successfully, a tick will be displayed in the Status column of the Outstanding IMC Batches tab. Note: The Resubmit Invoice and Apply Actions to Services buttons in the View IMC Batch window will be greyed out, for the IMC Batch that has been sent. Copyright Medtech Healthcare Pty Ltd Page 93

2.13.2.4 Check and Update Batch Status From the Outstanding IMC Batches tab, click on the Checks and updates the Status for selected batch icon or select the menu option Status Check from the IMC Batching contextual menu. A confirmation window will be displayed. Click 'Yes' to continue. Once the update process has completed, the status of the sent batches that have been checked and updated accordingly in the Process Status column of the Outstanding IMC Batches tab will be displayed. Similarly, the status for multiple batches during the date range can be checked and updated by selecting the Status Request Range option from the contextual IMC Batching menu. Copyright Medtech Healthcare Pty Ltd Page 94

A confirmation window will be displayed. Click Yes to continue. Version 9.3.0 Build 4620 ECLIPSE Release Notes The Date Range Selection window will be displayed. Select the required date range from the Date From and Date To field to check the status for the batches during the date range. Note: The specified date range should not exceed 30 days. If the date range does exceed this limit, then the warning message shown below will be displayed: Copyright Medtech Healthcare Pty Ltd Page 95

2.13.2.5 Generate Process Report To generate a Process Report for the selected batches, click on the Generates/ reprints the Process report for selected batch icon from the Outstanding IMC Batches tab or select the menu option Process Report from the IMC Batching context menu. A Process Report can only be generated for batches that are in a COMPLETE status. To generate the Process Report for a selected transaction, the Process Status needs to be COMPLETE. Once a Process Report has been generated, the Status column of that particular transaction will then change to R. The IMC Process report for all the IMC Batches with Status R will be printed. If required you can print the report for a specific Batch, by double-clicking the respective IMC batch to bring up the View IMC Batch window and clicking the View Process Report button at the bottom. Copyright Medtech Healthcare Pty Ltd Page 96

2.13.2.6 Generate Pending ERA Report Version 9.3.0 Build 4620 ECLIPSE Release Notes From the IMC Batching context menu, select the Generate Pending ERA option to retrieve the ERA (Eclipse Remittance Advice) report during the date range for the batches that have had their Process Reports retrieved and with Process Status COMPLETE and status R. 1. A confirmation window will be displayed. 2. Click Yes to continue or No to exit this screen. 3. Select the date range for the pending ERA claims and then click on the OK button. Note: The specified date range should not exceed 30 days. If the date range exceeds this limit, then the warning message shown below will be displayed: The ERA report will be retrieved for the batches during the date range selected and the Status column in the Outstanding IMC Batches tab for those batches will be updated to P. Copyright Medtech Healthcare Pty Ltd Page 97

2.13.2.7 ERA Report Once the ERA report has been retrieved successfully, then proceed to print the ERA report for the batches with Status P. Select the batch(es) with Process Status READY - COMPLETE and Status P to print the ERA Report and then go to IMC Batching context menu ERA Report. A confirmation window will be displayed. Click on the Yes button and a single ERA report will be generated and printed for all the selected batches. If required you can view and print the report for a specific Batch, by double clicking the respective IMC batch to bring up the View IMC Batch window and clicking the View ERA button at the bottom. Copyright Medtech Healthcare Pty Ltd Page 98

2.13.2.8 Auto-Reconcile Once the ERA report has been retrieved successfully (as mentioned in Generate Pending ERA section), the payment from the Health Fund for the batches (either partially or fully) will be updated automatically under the HF Paid column, as shown in screenshot below. Note: If the Health Fund has done a partial payment then the remaining amount will be displayed under the HF Outstanding column, as shown in screenshot above. Simultaneously, a payment entry will be created for the respective Patient s Account Holder and Health Fund Account Holder (e.g. STS) in the IMC Patient and IMC Account tab of the Patient Account window, respectively. Patient s Account Holder IMC Patient tab Health Fund Account Holder IMC Account tab Double click the Payment entry to view the payment details. The payment method will be displayed with the option Medicare(EFT), confirms the payment received from Medicare & Health Fund. The Delete field in the View Payment window will be disabled, as it is not possible to delete the Payment entry. Copyright Medtech Healthcare Pty Ltd Page 99

2.13.2.9 Search for a Specific Batch To search for a specific batch among the list of claims from the Outstanding IMC Batches tab, click on the Quick Search batch record icon or select the Search batch record option from the IMC Batching context menu. A Quick search batch record window will be displayed, where a specific claim ID can be searched for. Copyright Medtech Healthcare Pty Ltd Page 100

2.13.2.10 View Transmission Log Summary To view log summaries for the stored claims, click on the View Medicare Australia Transmission Log icon from the Outstanding IMC Batches tab. The Medicare Australia Online Transmission Log window will be displayed. By clicking on the View selected transmission log icon for the selected logged item will be generated., the Transmission Log Report Copyright Medtech Healthcare Pty Ltd Page 101

2.13.2.11 Filter Transmission Log The log items in the Medicare Australia Online Transmission Log window can be filtered based on the dates. Click on the Filter icon in the Medicare Australia Online Transmission Log window. A Filter Medicare Australia Online Transmission window will be displayed where the specific dates can be specified, to view those entries in the date range selected. Copyright Medtech Healthcare Pty Ltd Page 102

2.13.3 Batch History The Batch History tab in the IMC Claim Batching window (Module Accounts IMC Claim Batching) will display all the batches that have been created to date, written-off, inactivated and fully paid (both Health Fund and Patient / Claimant). The Batch History tab has the same functionalities and columns as mentioned in the Outstanding IMC Batches tab of the IMC Claim Batching window. 2.13.3.1 View IMC Batch Select IMC Batching Open from the contextual menu, or click on the Open an existing row icon from the Batch History tab of the IMC Claim Batching window. The View IMC Batch window will then be displayed. The View IMC Batch window contains three tabs: Main, Batch Summary and Audit. For further information, refer to Open an Outstanding IMC Batch section. Copyright Medtech Healthcare Pty Ltd Page 103

2.13.3.2 View IMC Invoice To view an IMC Invoice from the View IMC Batch window, double click the mouse on the invoice. The View IMC Invoice window will open up in a Read Only format. 2.13.3.3 View Process Report A Process Report is generated for batches that are in the COMPLETE status. For further information on how to generate Process Report, refer to Generate Process Report section. The Process Report for a specific batch can be viewed from the View IMC Batch screen by clicking on the View Process Report button. Copyright Medtech Healthcare Pty Ltd Page 104

2.13.3.4 Generate Pending ERA From the IMC Batching context menu, select the Generate Pending ERA option to retrieve the ERA (Eclipse Remittance Advice) report during the date range for the batches that have had their Process Reports retrieved and with Process Status COMPLETE and status R. For further information refer to Generate Pending ERA section. 2.13.3.5 ERA Report Once the ERA report has been retrieved successfully, then it is now possible to proceed to print the ERA report for those batches with a P Status Select the batch(es) with Process Status READY - COMPLETE and Status P to print the ERA Report and then go to IMC Batching context menu ERA Report. A confirmation window will be displayed. Click on the Yes button and a single ERA report will be generated and printed for all the selected batches. If required you can view and print the report for a specific Batch, by double clicking the respective IMC batch to bring up the View IMC Batch window and clicking the View ERA button at the bottom. Copyright Medtech Healthcare Pty Ltd Page 105

2.13.3.6 Auto-Reconcile Once the ERA report has been generated successfully (as mentioned in Generate Pending ERA section), the payment from the Health Fund for the batches (either partially or fully) will be updated automatically under the HF Paid column, as shown in the screenshot below. Note: If the Health Fund has done a partial payment then the outstanding amount will be displayed under the HF Outstanding column, as shown in screenshot above. For further information, refer to the Auto-Reconcile section. 2.13.3.7 Inactivate Batch To inactivate an entire batch, highlight the batch to be inactivated from the Batch History tab of the IMC Claim Batching window. Select IMC Batching Open, or click the Open an existing batch icon. The View IMC Batch window will be displayed. Check the Inactive tick box in the bottom left of the View Batch window. Click OK to continue. A Confirmation window will be displayed. Click on the Yes button, or press the Enter key to inactivate the batch. The Supervisor Password window may be displayed, if this configuration setting has been applied. Copyright Medtech Healthcare Pty Ltd Page 106

If so, then enter the password and then click on the OK button, or press the Enter key. The batch will be displayed in the Batch History tab with a strike through it to signify that it is now an Inactive Batch. All items in the batch will then be displayed in the Unbatched IMC tab, which can then be actioned and included in a new batch, or if necessary, the vouchers may be deleted. 2.13.3.8 IMC Batch Adjustments Write-Off Service A Write-Off option for services as part of an outstanding batch is available, for services which have been paid slightly more or less than the original batch total, and if the batch is not to be actioned further. Steps to write-off a Service Item from the View IMC Batch window: 1. Open the IMC Claim Batching window (Module Accounts IMC Batching). 2. Select the Outstanding IMC Batches tab. 3. Highlight the batch containing the service item to Write-Off. To find the batch quickly, select IMC Batching Search batch record or press Ctrl +S or click the Quick search for batch ID icon displayed.. The Quick search batch record window will be Type the batch claim number into the Claim ID field and then click on the OK button, or press the Enter key. The claim will be highlighted in yellow 4. Select IMC Batching Open or press Ctrl + O or click the Open an existing batch icon. The View IMC Batch window will be displayed. Copyright Medtech Healthcare Pty Ltd Page 107

5. Highlight the item to Write-Off. 6. Select the option Write-Off from the Actions column and click on the Apply Actions to Services button at the bottom of the grid. A confirmation message Are you sure to apply selected actions against the Services will be displayed as shown below: Click on the Yes button to Write-Off the item - or the Cancel button to cancel the process. Once Written-Off, the Patient Outstanding Amount and the Fund Outstanding Amount column for the Service item will be changed to 0 (zero). The Status column will be updated as Written-Off and the Action field will be displayed with No Action. Click OK to save the changes. Written-off entries for both the Patient / Account Holder and Health Fund Account Holder will be displayed in the IMC Patient tab of Patient Account window (middle pane) as a transaction type W, when selecting the respective Invoice from the first pane, as shown in below screenshot: IMPORTANT NOTE The Write-Off option is an irreversible function, once the Service Item has been written-off, it cannot be undone. A warning message shown below will be displayed while changing the Action for the written-off service in the View IMC Batch window: Copyright Medtech Healthcare Pty Ltd Page 108

Transfer Patient Outstanding to Health Fund From the View IMC Batch window, you can transfer the Patient s outstanding amount for a Service Item to a Health Fund. Find the steps below to achieve this: 1. Open the IMC Claim Batching window (Module Accounts IMC Batching). 2. Select the Outstanding IMC Batches tab. 3. Highlight the batch containing the Service Item to transfer the Patient s outstanding amount to a Health Fund. To find the Batch quickly, select IMC Batching Search batch record or press Ctrl +S or click the Quick search for batch ID icon Quick search batch record window will be displayed.. The Type the Batch Claim number into the Claim ID field and then click on the OK button, or press the Enter key. The Claim will be highlighted in yellow. 4. Select IMC Batching Open or press Ctrl + O or click the Open an existing batch icon. The View IMC Batch window will be displayed. 5. Highlight the Service Item for which the Patient s outstanding amount is to be transferred to the Health Fund. 6. Select the option Transfer Patient O/s to Fund from the Actions column and click on the Apply Actions to Services button at the bottom of the grid. 7. A confirmation message Are you sure to apply selected actions against the Services will be displayed as shown below: Copyright Medtech Healthcare Pty Ltd Page 109

Click Yes to transfer the Patient s outstanding amount to Health Fund. Click OK to save the changes. From the above screenshot, the patient s outstanding amount is $30 and the Health Fund outstanding is $50. After transfer the Patient Outstanding Amount and Health Fund Outstanding will be changed to $0 and $80, respectively. The Status column will be updated as Fund Amt O/s and the Action field will be displayed with No Action, as shown below: Transfer entries for both the Patient / Account Holder and Health Fund Account Holder will be displayed in the IMC Patient tab of Patient Account window (middle pane) as a transaction type A and the transfer amount in Credit Cr for the Patient, when selecting the respective Invoice from the first pane, as shown in below screenshot: Copyright Medtech Healthcare Pty Ltd Page 110

Transfer Health Fund Outstanding to Patient From the View IMC Batch window, you can transfer the Health Fund outstanding amount for a Service Item to Patient. Find the steps below to achieve this: 1. Open the IMC Claim Batching window (Module Accounts IMC Batching). 2. Select the Outstanding IMC Batches tab. 3. Highlight the batch containing the service item to transfer Health Fund outstanding amount to Patient. To find the batch quickly, select IMC Batching Search batch record or press Ctrl +S or click the Quick search for batch ID icon search batch record window will be displayed.. The Quick Type the batch claim number into the Claim ID field and then click on the OK button, or press the Enter key. The claim will be highlighted in yellow. 4. Select IMC Batching Open or press Ctrl + O or click the Open an existing batch icon. The View IMC Batch window will be displayed. 5. Highlight the Service Item for which the Health Fund outstanding amount is to be transferred to Patient. 6. Select the option Transfer Fund O/s to Patient from the Actions column and click on the Apply Actions to Services button at the bottom of the grid. A confirmation message Are you sure to apply selected actions against the Services will be displayed as shown below: Click Yes to transfer the Health Fund outstanding amount to Patient. Click OK to save the changes. From the example in the screenshot above, the Health Fund outstanding amount is $30 and the Patient outstanding is $20. After transferring the Health Fund Copyright Medtech Healthcare Pty Ltd Page 111

Outstanding Amount, and the Patient Outstanding amount these will be updated to $0 and $50, respectively. The Status column will be updated as Patient Amt O/s and the Action field will be displayed with No Action, as shown below: Transfer entries for both the Patient / Account Holder and Health Fund Account Holder will be displayed in the IMC Patient tab of Patient Account window (middle pane) as a transaction type A. The transfer amount will display as a Credit Cr for the Health Fund, when selecting the respective Invoice from the first pane, as shown in the screenshot below: 2.13.3.9 Make Patient in Batch Active on the Palette Click on the Make the patient the active patient icon in the Header section of the View IMC Batch window. The highlighted patient will now be displayed on the palette. Copyright Medtech Healthcare Pty Ltd Page 112

2.14 Resubmit a Voucher (Invoice) Follow the steps below to Resubmit a Voucher from the View IMC Batch window: 1. Open the IMC Claim Batching window (Module Accounts IMC Batching). 2. Select the Outstanding IMC Batches tab. 3. Highlight the batch containing the voucher to be resubmitted. To find the batch quickly, select IMC Batching Search batch record or press Ctrl +S or click the Quick search for batch ID icon displayed.. The Quick search batch record window will be Type the batch claim number into the Claim ID field and then click on the OK button, or press the Enter key. The claim will be highlighted in yellow. 4. Select IMC Batching Open or press Ctrl + O or click the Open an existing batch icon. The View IMC Batch window will be displayed. 5. Highlight the invoice to be resubmitted from the Items section. 6. Click on the Resubmit button at the bottom of the grid. Copyright Medtech Healthcare Pty Ltd Page 113

7. The Invoice entry will be removed from the View IMC Batch window. Click OK to save the changes. 8. The voucher will be taken out of the batch and placed into the Unbatched IMC tab which can be included in a new batch and sent to Medicare. 2.15 Resubmit a Service Item Steps to resubmit a Service Item from the View IMC Batch window: 1. Open the IMC Claim Batching window (Module Accounts IMC Batching). 2. Select the Outstanding IMC Batches tab. 3. Highlight the batch containing the service item to be resubmitted. To find the batch quickly, select IMC Batching Search batch record or press Ctrl +S or click the Quick search for batch ID icon displayed.. The Quick search batch record window will be Type the batch claim number into the Claim ID field and then click on the OK button, or press the Enter key. The claim will be highlighted in yellow. 4. Select IMC Batching Open or press Ctrl + O or click the Open an existing batch icon. The View IMC Batch window will be displayed. 5. Highlight the item to be resubmitted. 6. Select the option Resubmit from the Actions column and click on the Apply Actions to Services button at the bottom of the grid. A confirmation message Are you sure to apply selected actions against the Services will be displayed as shown below: Click Yes to resubmit the item. Copyright Medtech Healthcare Pty Ltd Page 114

Once resubmitted the Service item will appear in Italic and grey font. The Status column will be updated as Resubmitted and the Action field will be displayed with No Action. Click OK to save the changes. 7. The item will be taken out of the batch and placed into the Unbatched IMC tab which can then be included in a new batch and sent to Medicare. Resubmitted entries for both the Patient / Account Holder and Health Fund Account Holder will be displayed in the IMC Patient tab of Patient Account window (middle pane) as a transaction type A and Tran By - R, when selecting the respective Invoice from the first pane, as shown in the screenshot below: 2.16 Banking The Banking module will collate the IMC payments along with the payments made against all other General Invoices accumulated since the last time banking was closed off. 2.16.1 Banking Process Detailed Select Module Accounts Banking or click on the Banking icon window will be displayed.. The Banking The Banking window will display the IMC Gap Payments made by Patient Account Holders and the Electronic Payments received from the Health Funds. Copyright Medtech Healthcare Pty Ltd Page 115

Once the Banking has been Closed Off, to print the deposit supplements, select Banking Print Deposit, Ctrl+D, or click on the Print Bank Deposit List icon. The Banking Deposit Supplement window will be displayed. The print options in the Bank Deposit List when printed will include the IMC Payments. 2.17 Statement Run The Statement Run functionality has now been extended to include the outstanding IMC Accounts for the account holders defined in the Statement Run filter. 2.18 Reference Nos. In Medtech32 Version 9.3.0, a new field, Next IMC Claim Number has been introduced in the References window (Setup menu Reference Nos), to assign the next unique batch number for IMC Claims. Copyright Medtech Healthcare Pty Ltd Page 116

The new billing type In-Patient Medical Claim (non-editable field) can also be seen in the Billing Type tab. 2.19 Location Settings In Medtech32 Version 9.3.0, the Banking & Transaction settings in the Postal & Accounting Details tab of the New/ View Location window have been extended to include the additional IMC Billing features. These are listed below: Default Standard Hours Service (will be left blank for IMC Invoices) Medicare Plus Additional Payment Allow Backdating of Invoice/Payment/Credit Note/Refund. Allow Modify Transaction after banking close-off Default new invoice to unticked for IMC Batching Enable Footers on Patient Claiming Forms Allow Re-Transmission of Sent Batches Disable Reprint on Modify Print Logo on Invoice Print Logo on Statement Look Back Range Enable Payment Credit Allocation 2.20 Tool Bar In Medtech32 Version 9.3.0, the following icons have been introduced to the toolbar: New IMC Invoice to bring up the IMC Invoice window IMC Batching to bring up the IMC Batching window Copyright Medtech Healthcare Pty Ltd Page 117

In the Setup Toolbar window, select the New IMC Invoice option and IMC Batching option in the Not Selected pane and click the Add Option to Toolbar icon into the Selected pane. to move the option Click on the OK button to save the changes. The New IMC Invoice icon and the IMC Batching icon will now be displayed in the Medtech32 Toolbar, as shown in the screenshots below: 2.21 Quick Bill Enhancements The Quick Bill functionality has been enhanced to adapt to the changes due to the implementation of new Eclipse feature. The changes are listed below: IMC Payment Levels are included in the Payment Level drop down list Quick Bills created with an IMC Payment Level will be populated only in the New IMC Invoice window Quick Bills created with a Non-IMC Payment Level will be populated only in the New Invoice window Copyright Medtech Healthcare Pty Ltd Page 118

The IMC Payment Levels (configured in the Payment Level window as invoice type In- Patient Medical Claim ) has been included and displayed under the Payment Level drop down list. In addition to an existing functionality, you can now generate a Quick Bill for a New IMC Invoice. The details provided in the Quick Bill (with IMC Payment Level) will be auto-populated when opening the New IMC Invoice window (Module Accounts New IMC Invoice or press Alt + F9) A Quick Bill created with an IMC Payment Level will only populate in to an IMC Invoice screen. Copyright Medtech Healthcare Pty Ltd Page 119

3. CONSOLIDATED ACCOUNTS A new Accounts option called Consolidated Account has been introduced with this Medtech32 Version 9.3.0 Build 4620 upgrade. This new menu is accessible from the Module > Accounts > Consolidated Accounts option. The Consolidated Accounts window provides the user with enhanced functionality and will be further developed in upcoming releases. From the Consolidated Accounts window, the user has the ability to filter and view all those transactions (Invoice, Payments, Credit Note and Refund) for both the Patients and their Account Holders. Note: If the Practice is registered for the ECLIPSE feature, then this screen will also include all those IMC Transactions. The existing Patient Accounts screen does not display the patients IMC Transactions entries. When accessing the Consolidated Account window from the menu option Module Accounts Consolidated Account, there must firstly be a patient on the Palette. If there is no patient on the Palette, then the Consolidated Accounts menu will appear as greyed out and not accessible. The Consolidated Account window has three sections, each section is summarised below: Section 1 Contains the various filter options available to view the transactions of the Patients / Account Holders Section 2 Will list out the transactions based on the filter selection in Section 1 Section 3 Will display each detail of the transaction highlighted in Section 2 Note: Transactions with Outstanding balances will be displayed in Red font. Section 1: Copyright Medtech Healthcare Pty Ltd Page 120

The first section of the Consolidated Account window has the following filters. Account Holder The Account Holder field lists all of the recorded Account Holders for the active patient on the palette. If required, you can select and view the transactions related to that Account Holder. By default, the option All will be displayed Patient By default the name of the active patient on the palette will be displayed. You can select the option All from this field to view the transactions of all other patients for the selected Account Holder. Related Debtors This field has been included to filter and view all IMC Transactions. All the Health Fund Account Holders will be listed out in this field. Select an Account Holder from the list to view the IMC transactions for that Account Holder or select All to view all the Transactions (including IMC transactions). By default, the option All will be displayed. Provider All the Servicing Providers in Medtech32 will appear in this list. Select a Provider from the list to view the transactions for a specific Provider or select All to view the transactions for all the providers. By default, the option All will be displayed. Billing Type All the billing types available in Medtech32 will be displayed in this list. These would normally be: Bulk Billing, Third Party, Repatriation, IMC, Private and Group Invoices. For example, to view only the Private transactions, select the billing type Private or to view only the Bulk Bill transactions select the billing type Bulk Billing. By default, the option All will be displayed. Copyright Medtech Healthcare Pty Ltd Page 121

Options This field will display the various Transaction types available to select and display. By default, the option All is selected. o Invoices Select this option to view only Invoice entries o Payments Select this option to view only Payment entries o Outstanding Select this option to view only the Outstanding Invoices and Payments o Date Range On selecting the Date Range, additional fields From and To will appear. Select the calendar drop down option in the relevant fields to define a particular date range to display. Then click on the Search button. Transactions during the specified date range will be displayed o Medicare Batch No On selecting the Medicare Batch Number option, this will present an additional Batch ID field, where the user is able to enter the specific Batch Number, and then click on the Search button. o All Select All to view all the transactions Copyright Medtech Healthcare Pty Ltd Page 122

Section 2: This section is dependent on the Filter selections from Section 1, and will display all of those transactions based on the Filter options used. The grid in this section has the following columns: Date The date of transaction Tran Type The Transaction Types: I = Invoice, P = Payment, C = Credit Note, R = Refund, D = Discount, J = Journal Adjustment, and G = Group Invoice Note: Transaction Type IDs will not be displayed for Bulk Bill and REPAT transactions. Tran Method Payment method used for the Payment and Refund transactions Bill Code This will display the associated Billing Codes for the Invoices: Private, Bulk Bill, REPAT, Third Party and In-Patient Medical (for IMC) Form No Display transaction reference number for each transactions Patient Name of the Patient Account Holder Name of the Account Holder HF Account Holder Health Fund Account Holder (for ECLIPSE transactions) Description Service item description Amount Total amount of the transaction Prov Service Provider associated to the transaction Inc Income Provider associated to the transaction Pat Outstanding The unpaid amount owed by the patient HF Outstanding The unpaid amount owed by the Health Fund (for IMC transactions ECLIPSE functionality). Claim Type The IMC Claim Type AG, SC or PC (for IMC transactions ECLIPSE functionality). Batch ID The batch number the transaction is included in. Will be displayed only for the billing codes - Bulk Bill, REPAT and IMC - (ECLIPSE functionality). Copyright Medtech Healthcare Pty Ltd Page 123

Claim Status Indicates the processing status of the claim / request (only for Private Invoices) Section 3: This screen will display the breakdown of the transaction details of the particular entry highlighted by the user from the above Section 2. As shown in the screenshot above, if the transaction selected in Section 2 is an IMC Invoice, then the breakdown of the invoice details (i.e. the amount to be paid by Health Fund and the amount to be paid by the patient / claimant) will be segregated as a separate line item. Note: For the transaction type Payment and Refund no breakdown details will be displayed. Copyright Medtech Healthcare Pty Ltd Page 124

1.2 Consolidated Account Context Menu The majority of the functionality that is within the existing Patient Accounts screen is also available in the Consolidated Accounts window via the mouse Right Click option. This will display the additional menu options, as shown in the screenshot below. This menu allows the user to select from the various options to create a New Invoice, a New IMC Invoice, New Payment, New Credit Note, New Refund, or to Modify an Invoice. The Transfer Transactions functionality is also available via the mouse Right Click menu option. Note: As per the standard processes, the Transfer Transaction option will be displayed only for Private and Third Party transactions. With the Consolidated Account window open, you can perform some of the same actions available from the screen, from the Consolidated Account context menu option: Copyright Medtech Healthcare Pty Ltd Page 125

3.5.1 Print Single Assignment Form It is possible to reprint an Assignment Form for Bulk Bill and REPAT invoices from the Consolidated Account window by following the steps below: 1. Find and display an appropriate patient on the Palette. 2. Select Module Accounts Consolidated Account to bring up the Consolidated Account window. 3. Highlight the Invoice (Bulk Bill or REPAT) for which the Assignment form is to be printed. 4. Select Consolidated Account menu Print Single Assignment Form. 5. The Assignment Form will be sent to the desired printer. 3.5.2 Print PC1 Form It is possible to also print the Medicare PC1 Form for Private, IMC and Third Party invoices from the Consolidated Account window by following the steps below: 1. Find and display an appropriate patient on the palette. 2. Select Module Accounts Consolidated Account to bring up the Consolidated Account window. 3. Highlight the Invoice (Private or IMC or Third Party) that you wish to reprint the PC1 form. 4. Select Consolidated Account menu Print PC1 Form. 5. The Medicare PC1 Form will be sent to the desired printer. 3.5.3 Print Invoice / Receipt Print the report for an Invoice or Payment or Refund or Credit Note for the Billing Codes Private, IMC and Third Party from the Consolidated Account window by following the steps below: 1. Find and display an appropriate patient on the Palette. 2. Select Module Accounts Consolidated Account to bring up the Consolidated Account window. 3. Highlight the Invoice / Payment / Credit note / Refund of the Billing Code (Private or IMC or Third Party) to send to the printer. Copyright Medtech Healthcare Pty Ltd Page 126

4. Select Consolidated Account menu Print Invoice / Receipt. 5. The report will be sent to the desired printer. 3.5.4 Print Statement Print a Statement for the active patient on the Palette, based on the date range selected in the Print Statement window. Steps to print the Statement: 1. Find and display an appropriate patient on the Palette. 2. Select Module Accounts Consolidated Account to bring up the Consolidated Account window. 3. With the Consolidated Account window remains open, select Consolidated Account menu Print Statement. 4. The Print Statement window will be displayed. Select the date range from the Opening Balance and Closing Balance calendar drop down list to print the Statement for the date range selected. 5. Select the desired printer from the Print To drop down list. 6. Click OK to send the Statement to the desired printer or click the Cancel button to abort the process. 3.5.5 Credit Adjust and Debit Adjust These options are currently Disabled (greyed out) as they are still under development and will be made available in an upcoming release. Copyright Medtech Healthcare Pty Ltd Page 127

4. KNOWN LIMITATIONS / ISSUES 4.1 Consolidated Account window The following are the known issues / limitations in the Consolidated Account window. 4.1.1 Consolidated Account Context menu After upgrade to Medtech32 Version 9.3.0 Build 4620, you can view the sub menu options Credit Adjust and Debit Adjust under the Consolidated Account context menu which are always greyed out. These options are still under development and will be made available on the upcoming release. 4.1.2 Transactions not being Displayed When selecting the Billing Type Private and Options as All in the Consolidated Accounts window, the Refund, Payment and Journal Transactions are not getting displayed. Similarly, no payment entries are getting displayed when selecting the Billing Type Private or Third Party or Group Invoice and the Options as Payments. These issues will be resolved in the upcoming release. Copyright Medtech Healthcare Pty Ltd Page 128