WAGMSS billing

WAGMSS billing

WAGMSS is the Western Australian Government Medical Services Schedule.
 

It's used in WA for Contracted Medical Practitioners  working in government hospitals engaged under a Fee for Service Medical Services Agreement.

Cutting Edge comes pre-loaded with the WAGMSS items and schedule of fees.
Follow the steps below to get set up.
 
  1. The first thing you need to do is to create an entry in the Funds table for the entity (usually a hospital department) that will pay you for these services. See this article for advice on creating a new fund: https://support.cesoft.com.au/portal/en/kb/articles/manually-adding-health-funds
  2. You may also need to create a new entry in the Facility table (Databases > Facilities) to show where the work was done. if you don't already have one see this link for advice.   https://support.cesoft.com.au/portal/en/kb/articles/adding-hospitals-or-facilities   
  3. Once that's done, go to the Invoices screen and create your invoice, using the fund code created in step 1 above. You should see WAGMSS come up in the Fee Calc box. If you know the correct items, go ahead and enter them 
  4. Cutting Edge has some built in assistance for WAGMSS items. If you enter an MBS item but WAGMSS requires a different item for that service, you will be prompted with the correct item. For Anaesthetics, on a WAGMSS invoice there will be a Show WAGMSS button in place of the Show RVG button. This brings up a menu of items organised alone the headings of the RVG, to assist you in finding the correct item. When you select an item from this list it will be automatically entered for you.
  5. SPECIAL NOTE: For emergency after hours anaesthetics, use item EAHA. This is more or less equivalent to the 25025 on MBS invoices, however in WAGMSS the loading gets applied to the individual items, so the EAHA item has a value of $0.

NOTE: WAGMSS invoices can't be sent electronically. You have to print and post them.
Likewise, payments will have to be processed manually when received

    • Related Articles

    • Billing Accurately Under Medicare

      While the support staff at Cutting Edge are happy to provide general advice about how to correctly bill Medicare for medical services, it's the responsibility of the servicing provider to ensure that all services for their provider numbers are billed ...
    • NIB Medigap versus GapSure

      NIB has MediGap and GapSure billing arrangements, for more information see https://www.nib.com.au/providers/medical MediGap If you’re a medical specialist, you can register to become a MediGap provider, which means you agree not to charge NIB members ...
    • Adding Additional Provider Numbers

      Cutting Edge Software can easily handle different provider numbers for the same provider. Within the Facilities database there is a field for the Doctor's (Practitioner's) provider number. Simply enter the provider number you wish to use for services ...
    • Manually adding Health Funds

      Adding and Editing Fund Details   Cutting Edge is regularly updated with all funds participating in ECLIPSE. You never need to add registered health funds. Should you wish to manually add a specific fund, such as Workcover or an institution that you ...
    • An Overview of Cutting Edge Software

      Cutting Edge (CE) is a medical billing application for Australian providers. It has been written especially for online claiming and payment, but also handles printed invoices and receipting. It runs on both MAC and WINDOWS. The online claiming ...