Theatre Banding Overview

Theatre Banding is done at a guarantor level. Generally there are 2 theatre bands.

• National

• Western Australia

A clients have procedure centres in both Western Australia and the rest of the country they will require 2 guarantors to pick from different Theatre Banding codes.

Each code is linked to an MBS item number and is only used when doing IHC theatre services.

Setup

Importing the Theatre Banding

Theatre banding can be imported in bulk in Administration > Accounting > Theatre Bandings.

A CSV file with the headings 

• item_number - the MBS Item Number linked to the specific theatre band

• theatre_band - the specific value to send via IHC

Linking the Theatre Banding to the guarantor

Once a theatre band has been created linking the band to the guarantor is done in Administration > Accounting > Guarantors edit

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

Add a New Theatre Banding

1. Click Administration.
2. Select Accounting Menu item.
3. Select Theatre Bandings sub-menu item.
   1. The Theatre Bandings screen will display with all the existing list.
4. Select the New button.
5. Add the Name of the new Theatre Banding.
6. Select the Theatre Banding code from the drop down list.
7. Select Create Theatre Band List button.
   1. A message advising that the Theatre Banding List successfully created.
8. Once the list is created, the bands need to be imported.
9. Select the Import button.
10. Select the Choose file button and locate the file on your network.
11. Select Import Data button.

Review Theatre Bandings

1. Click Administration.
2. Select Accounting Menu item.
3. Select Theatre Bandings sub-menu item
   1. The Theatre Bandings  screen will display with all the existing list.
4. Select the Show button, next to the item you wish to review.
5. The Theatre Banding details will display. This screen shows the following information:

Advanced Configuration

How do I configure items that are usually one theatre band, but sometimes are a higher theatre band?

Usage

Creating a IHC invoice

When creating an IHC, invoice setup can detail MBS items as theatre items e.g. 14100 can be setup as a HCP Theatre charge. This is used when the hospital is not billing for the medical procedure but the theatre charges for doing the medical procedure.

If the hospital is doing both then a claim contract needs to be used to map a different item to the MBS item number when doing a IHC claim. EG and item number called theatre is mapped to MBS item 14100.

This claim contract maps the item theatre to the MBS item number 14100 so when doing the IHC claim for Mock HF guarantor the theatre item will be shown as item 14100 with the appropriate theatre banding.

When multiple theatre items are placed on a IHC invoice then the multiple theatre rule applies which is defined in the guarantor you are using

Using multiple items on an IHC invoice may require multiple IHC Theatre segments. 

• When claiming multiple procedures via IHC you have to ensure that each procedure is correctly classified to the required theatre band (number). Theatre Band to use is generally standardised across all funds, but some funds use custom banding.
• It is possible that a patient may receive more than one theatre during an admission. Although not common it is possible for this to occur even for Day Surgery. For example Marie Stope do this for late term terminations..

After and invoice has been generated and user is in the process of generating the IHC claim the Theatre Band Type is generated from the theatre band type defined on the Theatre Banding List linked

The theatre band is generated from the item number and the guarantor and the item number used

Override 

Remember these are just the default values when creating and IHC all theatre and multiple theatre sections can be overridden when creating the IHC claim prior to sending