Medical Certificates

Medical Certificates

At times, health fund processing/claiming cannot proceed unless a medical certificate can be quantified. There are some treatments the Health funds won't pay for unless a Medical provider has signed off that the treatment is required.

CareRight enables the recording of certificates, with a start and end date, the certifying provider and the date the certificate was issued. These Medical Certificate details get sent off electronically with the claim (if there is an active certificate during the admission period.)

Examples of the type of certificates available:

  • Type B
  • Type C
  • Nursing Home Type Patient (Acute Care)
  • Psychiatric
  • Rehabilitation
  • Multiple Admission (Chemotherapy and Dialysis)
  • Critical Care

 Most funds require you to keep the copy on file for audit purposes (like the signed HC21 form). Some health funds may have a separate portal and may require you to upload certificates.

Add a new Medical Certificate

  1. Search for a patient.
  2. Click Show.
  3. In the Main Menu, click Admissions.
  4. Select Medical Certificates.
  5. Click New.
  6. Complete fields using the table below as a reference.
  7. Click Create Medical Certificate.

Field Name

Description

Examples

Certificate Type

This is a drop-down list. This is the type of certificate

Type C

Start Date

This is the Certificate Start Date

Please Note: It is important  hat if the date of the claim does not fall between these dates, the process will fail.

01/05/2018

End Date

This is the Certificate End Date

01/07/2018

Certifying Provider

Select a Medical Provider. This is a search field

Dr Eric Jones

Date Issued

This is the date that the certificate is issued

15/04/2018

Nature of Illness

This is a free text field

The Patient is currently experiencing ....