Task 1 PartA Using your learning resources and the internet complete the following table. Category Who pays for the treatment? Hothen will the payment be collected? Private patients Patients who are built billed Department of Veterans Affairs (DVA) patients Workers Compensation paent Motor vehicle accident (MVA) patients Part B Using your learning resources and the internet. conduct some research on the following patient types: . Department of Veteran's Affairs . Motor Vehicle claimants . Workers compensation claimants Briey describe the differences between each of the above patient categories. Part C It is important to be aware of your roles and responsibilities when working in a medical environment in relation to legislation. Discuss how standards, codes of practice and relevant regulations and legislation affect your daily workplace operations. Include two (2) potential consequences of not complying. Task 2 PartA Answer the following questions relating to referrals. 1. Who generates the initial referral letter? 2. Where should a referral letter be stored? 3. What is the most common length of time for a referral to a specialist? 4. Whyr is a referral letter important in relation to claims Part B Two patient referrals have been emailed to 'The Local Clinic' specialist rooms where you work. Each patient has an appointment scheduled for 25 September 2018. Check each of the referrals for validity and identify any required actions. Part B Two patient referrals have been emailed to 'The Local Clinic' specialist rooms where you work. Each patient has an appointment scheduled for 25 September 2018. Check each of the referrals for validity and identify any required actions. Referral 1 DR GRANT SOUTHARD 562 OLD NORTHERN ROAD STRATHFIELD NSW 2135 Dr Alyssa Anderson Rheumatologist 23 Crane Road Castle Hill NSW 2154 5 May 2017 Dear Dr Anderson Re: Carol Jones, 363 Wiseman's Ferry Road, Baulkham Hills, NSW D.O.B. - 12/10/61 Referral period: 12 months Thank you for seeing Carol Jones, age 57, for an opinion and management of her arthritis. Past History: Psoriasis Glaucoma IBS Allergies Nil Current medications = Azopt - one drop each eye morning and night Xalatan - one drop each eye at night Elocon - pm The patient has had worsening psoriasis over the past 3-4 years, particularly on her hands and feet. Recently she has experienced increased arthritic type pain in the distal phalangeal joints. Referred for assessment re: possible psoriatic arthritis. Lab work completed and results have been emailed. Yours sincerely Dr Grant Southard TELEPHONE: 02.535.5355 FACSIMILE: 02.555.5355 | EMAIL: infoGP@email.com ADDRESS: 562 Old Northern Road, STRATHFIELD NSW 2135 Provider No: 5555555 Referral 2 DR HANNAH CRANE 4000 BANGOR ROAD CASTLE HILL NSW 2154 Dr Simon Smith Haematologist 16797 Harrison Road Parramatta NSW 5 September 2018 Dear Dr Smith Re: Bridget O'Casey Thank you for seeing Ms. Bridget O'Casey, age 23, for review of haemochromatosis. Past History: Tonsillectomy - 2000 Allergies: Penicillin Current medications Nil The patient has family history of haemochromatosis (sister and mother). Recent lack of energy, loss of appetite, weight loss. Initial blood work revealed abnormal iron levels, markers for haemochromatosis, further interpretation required. Yours sincerely Dr Hannah Crane TELEPHONE: 02.555.5555 | FACSIMILE: 02.555.5555 EMAIL: localpracticeGP@email.com ADDRESS: 4000 Bangor Road, Castle Hill NSW 2154 Provider No: 56565656Part C Using the following extract from a 'The Local Clinic' Policy and Procedure manual state: where each of the previous referrals will be saved and . identify the file name for each referral. The procedure for storage of patient referrals at The Local Clinic is as follows: . Referrals are scanned and stored in two electronic locations - referral file and patient electronic record of the patient . File naming convention is as follows: SURNAME Firstname MMYX (date of referral) . Referral document is kept on patient electronic record in accordance with medical record retention legislation . Referral document is kept in referral file until expiry of referral period Task 3 Question 1 Describe the procedure to follow if a patient does not have a valid Medicare card. Question 2 Using the internet and your learning resources explain when the following % of schedule fee rebates may apply. Explanation 100% of Schedule fee 85% of Schedule fee 75% of Schedule fee Question 3 Using the online Medicare Benefits Schedule (MBS) complete the following table of applicable Medicare fee entitlements (rebates) for patients. Item Description of procedure MBS Fee 85% 75% Number Rebate Rebate 30210 KELOID and other SKIN LESIONS, EXTENSIVE, MULTIPLE INJECTIONS O HYDROCORTISONE or similar preparations where undertaken in the operating theatre of a hospital 23 Consultation at consulting rooms Professional attendance at consulting rooms 30219 HAEMATOMA, FURUNCLE, SMALL ABSCESS OR SIMILAR LESION not requiring admission to a hospital or day-hospital facility - INCISION WITH DRAINAGE OF (excluding aftercare) 30223 LARGE HAEMATOMA, LARGE ABSCESS CARBUNCLE, CELLULITIS or similar lesion, requiring admission to a hospital or day-hospital facility, INCISION WITH DRAINAGE OF (excluding aftercare) 30224 PERCUTANEOUS DRAINAGE OF DEEP ABSCESS using interventional imaging techniques - but not including imaging 30225 ABSCESS DRAINAGE TUBE, exchange of using interventional imaging techniques-but not including imaging 30216 HAEMATOMA, aspiration of 104 Specialist referred consultation - surgery or hospital 105 Each attendance subsequent to the first (follow up consultation)Question 4 Australia has both public and private health systems. In a brief paragraph outline each of the following: the Medicare (public) system . the private health system . three (3) services that patients can access under Medicare. Question 5 List at least five services that are not covered by Medicare Australia. Question 6 Choose one item from your list in question 5 and source a local cost for this service. Provide details of the service location and fee. Task 4 Using eClaims, schedule in the following patient appointments. Dr Number Patient name Appointment time Length of consultation (in minutes) 1 Bryant, Raymond 9 00 am 15 5 Daher, Dean 9 00 am 30 2 Eastaway, Grazia 9 30 am 30 2 Georges, Tanya 10 am 30 1 Na, Joseph 9 45 am 60 5 Puglisi, David 9 30 am 15 Valdez, Sergio 11 30 am 15 Take a screenshot of the scheduler to show your schedule entries