Telehealth Billing Configuration

This article is part of the systems administration guide. You will require administration access to view the pages mentioned in this article.

Overview

Telehealth Item Codes

The following MBS item codes will be supported; 99, 112, 149, 288, 389, 2820, 3015, 6016, 13210, 16399 and 17609. When these items are added to an invoice the fee calculation will be based on 50% of the associated item. The rebate will be calculated as 85% of this derived fee.

Telehealth MBS ItemAssociated Items
99104.105
112110,116,119,132,133
149141.143
288291,293,296,300,302,30,306,308,310,312,314,316,318,319,348,350,352
389385,386
28202801,2806,2814
30153005,3010,3014
60166007,6009,6011,6013,6015
1321013209
1639916401,16404,16406,16500,16590,16591
1760917610,17615,17620,17625,17640,17645,17650,17655

 Rate Definition Configuration for Telehealth Billing

The rate definition has a configuration option called "Telehealth Method". This has a selection of the following available choices:

  • MBS
  • MBS Rebate
  • Associated Fee

This selection sets the calculation method used for final fee calculation for Telehealth items. When calculating the final fee for a Telehealth item the following applies:

  • MBS If the MBS method is selected then the percentage entered for the rate definition shall be applied to the calculated Telehealth MBS 100% rate to determine the charged fee for the item.
  • MBS Rebate If the MBS Rebate method is selected then the percentage entered for the rate definition shall be applied to the calculated Telehealth MBS Rebate rate to determine the charged fee for the item.
  • Associated Fee If the Associated Fee method is selected then the percentage entered for the rate definition shall be applied to the fee charged on the associated item to determine the charged fee for the item. Existing rate definitions and new rate definitions shall default to MBS Rebate as the Telehealth Method value.


Item Price Configuration

If the item being edited is a Telehealth item then the pricing display needs to reflect the different rate definition Telehealth Method.