MBS Updates

You can update your MBS Rates via CareRight Administration.

The import process extracts the following information from the XML file: updated pricing, effective dates, MBS item descriptions, and lists for adding new items to the CareRight billing items table included in the XML file.

Retrieving the MBS Schedule XML File

In order to complete this process, download the MBS Schedule XML file:

Visit http://www.mbsonline.gov.au/internet/mbsonline/publishing.nsf/Content/downloads
Scroll down to the Data File (XML) section.
Save the XML file locally to your network. To save right click on XML file > select 'Save as'

Import MBS Schedule to CareRight

Access CareRight Administration.
In the Main Menu, click Accounting and then, also in the Main Menu, click MBS Items.
1. The Medicare Item screen will display.
Select Import Xml Data button.
1. The import screen will display.
In the Update National prices for MBS 100%, MBS 85% and MBS 75% field, select the checkbox to indicate that the download should include pricing data (new v6.63 feature).
1. Note: If selected, CareRight will automatically set a Discontinued Date for items, if defined (see Editing an Item). If the user tries to add an item to an invoice, the system will check if the status is discontinued and, if so, will verify that the discounted date is the same or after the service date. If the service date is after the discontinued date, then the item will not be returned in the item selection picker.
Click Choose file.
Navigate to the previously downloaded XML file on your system, select it and then click Open.
Click Import Data.
1. A message will display ‘Running.’
2. When the Import process has completed successfully a message will display “Complete. Task was successful. File Successfully imported. Click the continue button to return to the previous screen.”
Click Continue.
1. Medicare items screen will display, and you can review any item by selecting the Show button.

Notes on Selecting Pricing Data Inclusion

If Update National prices for MBS 100%, MBS 85% and MBS 75% is selected, then the system will check the national region price for the item using the effective date of "FeeStartDate" and add a new region pricing row for each of the MBS 100, 85 & 75 if the price is different in the XML to the current price in CareRight for that effective date.

Notes:

"FeeStartDate" is typically a future date (i.e., 1st of next month) which is why the effective price for that date needs to be checked;
Only configured items will have their prices checked and updated.
Only the national region price will be checked and updated.
If a region price entry with the same date exists it will be updated to match the new price.
From the XML the "ScheduleFee" will be loaded into the MBS 100% rate, the, "Benefit85" will be loaded into the MBS 85% rate and the "Benefit75" will be loaded into the MBS 75% rate.

Rate Definitions

The import process will update region pricing for the following rate definition:

MBS 100%
- (RATE1) F_RATE_DEF.RD_index = 1
MBS 85%
- (RATE2) F_RATE_DEF.RD_index = 2
MBS 75%
- (RATE3) F_RATE_DEF.RD_index = 3

XML File

The MBS XML file contains the most recent price MBS items.

<?xml version="1.0" encoding="UTF-8"?>
<MBS_XML>
<Data>
    <ItemNum>104</ItemNum>
    <SubItemNum/>
    <ItemStartDate>01.11.1990</ItemStartDate>
    <ItemEndDate/>
    <Category>1</Category>
    <Group>A3</Group>
    <SubGroup/>
    <SubHeading/>
    <ItemType>S</ItemType>
    <FeeType>N</FeeType>
    <ProviderType/>
    <NewItem>N</NewItem>
    <ItemChange>Y</ItemChange>
    <AnaesChange>N</AnaesChange>
    <DescriptorChange>Y</DescriptorChange>
    <FeeChange>N</FeeChange>
    <EMSNChange>N</EMSNChange>
    <EMSNCap>P</EMSNCap>
    <BenefitType>C</BenefitType>
    <BenefitStartDate>01.11.1990</BenefitStartDate>
    <FeeStartDate>01.07.2019</FeeStartDate>
    <ScheduleFee>88.25</ScheduleFee>
    <Benefit75>66.20</Benefit75>
    <Benefit85>75.05</Benefit85>
    <BasicUnits/>
    <EMSNStartDate>01.11.2012</EMSNStartDate>
    <EMSNEndDate/>
    <EMSNFixedCapAmount/>
    <EMSNMaximumCap>500.00</EMSNMaximumCap>
    <EMSNPercentageCap>300.00</EMSNPercentageCap>
    <EMSNDescription/>
    <EMSNChangeDate/>
    <DescriptionStartDate>01.11.2019</DescriptionStartDate>
    <Description>Professional attendance at consulting rooms</Description>
    <QFEStartDate/>
    <QFEEndDate/>
  </Data>
</MBS_XML>

The "Data" element is repeated for each MBS item. The import elements for the price loading is "ItemNum", "FeeStartDate", "ScheduleFee", "Benefit85" and "Benefit75". Not all items have all these elements, so you must check first to ensure that they exist.

v6.68 Update: Addressed an Issue Relating to Price Creation

Pre-v6.68, CareRight would create a $0 price when no benefit was applicable. In order to align with MBS benefit type allocations, we have updated CareRight to provide a null result when no benefit is applicable (i.e., no price is created).

Updating MBS Rates