Invoicing
Claiming for transoesophageal echocardiography (TOE) on anaesthetic invoices
Medicare benefits for transoesophageal echocardiography (TOE) by anaesthetists are payable with Item 22051, but not in association with items 55130, 55135 or 21936. Anaesthetic claims should not include item 55130, no benefit will be payable. From ...
Anaesthetic items for abandoned surgical procedures (21990)
Where a surgical procedure is abandoned, the anaesthetist should use item 21990, worth 3 units, plus the item for the actual anaesthetic time. See http://www9.health.gov.au/mbs/fullDisplay.cfm?type=note&q=TN.10.12&qt=noteID&criteria=21990
Multiple operation rules
For surgeons and assistant surgeons, where there are several billable surgical items on an invoice the appropriate Multiple Operation Rule will apply. CESoft will apply the appropriate rule when you select a fund. In most cases this is the MBS rule ...
COVID-19 Items
Cutting Edge has the COVID-19 specific telehealth consultation items loaded. They are initially available for consultations between 13 March 2020 and 30 Sept 2020. These item numbers are stand-alone and cannot be billed with regular telehealth items ...
Assistant Surgeon Invoices
The Invoices screen for Surgeons has an Assist check box which should be ticked for Assistant claims. Uncheck the Assist box for other claims, such as consultations and non-surgical procedures, or if you are the primary surgeon. NOTE: You don't need ...
Abandoned Surgical Procedures (30001)
In some cases Medicare allows providers to make a claim when a procedure is abandoned for medical or other purposes. For the surgeon, this is Item 30001. This is a derived item calculated at 50% of the fee which would have applied had the procedure ...
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. See this link for more details ...
Workers compensation claims
Workers compensation claims cannot be submitted via ECLIPSE electronically, they can be emailed via CE8 - click on the email box in the Contact Details box and tick the Use Fund Address in the bottom left corner. Cutting Edge offers the schedules and ...
Creating epidural items
Epidural items can be sent with or without other items on the invoice. Cutting Edge prompts you for duration in minutes when required to automatically calculate the correct fee and set the Service Text on the Extra Details tab, which is required with ...
How to provide discounts for early payment
Offering discounts for early payment is a slightly 'thorny' issue. Most funds require that invoices are for a definite amount, and offering a conditional discount based on early payment contravenes this requirement. If you decide that you do want to ...
Working with LSPNs
Diagnostic items involving ultrasound require that you enter a Location Specific Provider Number (LSPN) in the Facilities database before the claim can be sent. To assist you to find the correct LSPN there's a link on the Facilities page, which can ...
Entering Referral Details
Specialists A referral is required for most specialist services. A referral can be Standard, Non-Standard or Indefinite A standard referral by default is for a period of 12 months from a GP or 3 months from another specialist, unless it’s for an ...