Creating a IHC invoice
When creating an IHC, invoice setup can detail MBS items as theatre items e.g. 14100 can be setup as a HCP Theatre charge. This is used when the hospital is not billing for the medical procedure but the theatre charges for doing the medical procedure.
If the hospital is doing both then a claim contract needs to be used to map a different item to the MBS item number when doing a IHC claim. EG and item number called theatre is mapped to MBS item 14100.
This claim contract maps the item theatre to the MBS item number 14100 so when doing the IHC claim for Mock HF guarantor the theatre item will be shown as item 14100 with the appropriate theatre banding.
When multiple theatre items are placed on a IHC invoice then the multiple theatre rule applies which is defined in the guarantor you are using
Using multiple items on an IHC invoice may require multiple IHC Theatre segments.
- When claiming multiple procedures via IHC you have to ensure that each procedure is correctly classified to the required theatre band (number). Theatre Band to use is generally standardised across all funds, but some funds use custom banding.
- It is possible that a patient may receive more than one theatre during an admission. Although not common it is possible for this to occur even for Day Surgery. For example Marie Stope do this for late term terminations..
After and invoice has been generated and user is in the process of generating the IHC claim the Theatre Band Type is generated from the theatre band type defined on the Theatre Banding List linked
The theatre band is generated from the item number and the guarantor and the item number used
Override
Remember these are just the default values when creating and IHC all theatre and multiple theatre sections can be overridden when creating the IHC claim prior to sending
