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Radiation Oncology Billing items require specific price calculations for some items and a specific way to submit claims electronically.
Rebate Calculation
Similar to some Anaesthetic items some Radiation Oncology billing items rebates are derived based on quantity and a base price.
For example item 15236 can be billed for 2 to 5 treatments (fields). The price is calculated as "The fee for item 15221 plus for each field in excess of 1, an amount of $37.95". Item 15221 has the MBS 85% rate of $44.75.
If someone had 3 fields treated the MBS rebate would be calculated as $120.65 (37.95+37.95+44.95)
To facilitate this all rebate and private, fund prices will need to be pre-calculated with a new item created to represent each number of fields.
E.g.
15236/2
15236/3
15236/4
15236/5
Sending Claims
When claims are sent - derived fees are broken down to:
