Scenario 1: Understanding patient claiming options

You are in a senior administrative role at a health practice centre, One Medical. You are considering different claiming options for your practice and have been asked to put together a portfolio of information on claiming and claiming options.

Use the following questions to put together your information portfolio on different claiming options.

1.1 What are the benefits of electronic claiming over and above paper claiming? (Minimum 5)

1.2 What is Medicare Online? Describe what service is provided by Medicare Online and list at least 5 key features:

1.3 What are the legislative requirements for the assignment of a benefit using Medicare Online?

1.4 Claims for Medicare benefits can sometimes be rejected. What method does Medicare use to tell you that a claim is rejected or how it is assessed? Provide an example of what would be provided if your claim was rejected or to tell you how it was assessed.

1.5 What is Medicare Easyclaim? Describe what service is provided by Medicare Easyclaim and list at least 5 key features:

1.6 How do you submit a bulk bill claim via Medicare Easyclaim? Describe the steps involved.

1.7 How do you submit a paid patient claim via Medicare Easyclaim? Describe the steps involved.

1.8 How do you submit an unpaid or part paid claim via Medicare Easyclaim? Describe the steps involved.

1.9 What is the ECLIPSE payment system? Describe what service is provided by ECLIPSE system and list at least 5 key benefits: