Process Medicare Remittance Advices
There may be times that Medicare ERA reports advise a payment has been made however they money has not been allocated or paid down. This may be for a number of reasons.
From the CR Dashboard:
- Select Reconciliations from Menu.
- A warning message will display advising 'There are unprocessed Medicare Remittance Advices - view".
- Select the View button.
- The Medicare era Reports screen will display with the unprocessed reports.
Field | Description | Example |
|---|---|---|
Deposit Date | This is the date the deposit was made into our organisations bank account | |
Payer Name | Medicare Australia | |
Payment Reference | 123456H1 | |
| BSB | ||
| Account Number | ||
| Account Name | ||
Amount | $750 |
Time Range for Automatic Fetching of ERA Reports
CareRight only fetches ERA reports for the last 30 days. If a claim is made outside of this range, it will not be automatically fetched. Please note that in the Report Parameters field on the Invoice Claims screen, reports are fetched within a specified date range. Conversely, reports are fetched on an individual basis when the Fetch Processing and Payment Reports buttons are clicked on claims.
Display of Medicare Rebates
CareRight records the Medicare Benefit payable for a PCI claim on the invoice based on the scheduled rate configured in CareRight. This is recorded as the Rebate Price. However the actual benefit paid by medicare may be different due to the following:
- The patient is not eligible for service (i.e. no benefit paid).
- The rate configured in CareRight have not been update so medicare benefit is different to what is configured.
- The patient is eligible for medicare safety net and receives a higher rate of benefit.
Given this situation, a new field termed "Rebate Paid" will be added as a line item to invoices when applicable. Rules for the display of rebate information are:
- Rebate Paid: Appears if a rebate has been paid by Medicare.
- Rebate Price: If the Rebate Paid field is applicable AND if the Rebate Price is the same value as the Rebate Paid, then the Rebate Price field will not display.
Reprocess Medicare Requests (v6.68 Enhancement)
In the event that a report is not created as expected, CareRight now supports the ability to re-process a Medicare request in order to produce desired reports (e.g., ERA report, payment report, etc.).
- To do this, browse to a patient's Medicare Requests.
- Below the banner, select Reprocess.
- A notification message appears notifying you of the reprocessed request.
