Blue Chip BC 2.6.

67 Multiple Procedure Scaling and other bug fixes

Handover to Support 11 August 2010
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TOPIC AREAS


Whats in BC 2.6.67 release Go through changes made for Multiple Procedure scaling:
Multiple scaling issues Multiple procedure scaling ordering Scaling rates applied Assistant Fee Calculation in Multiple Procedure scaling Fix 0% scale calculation bug

Go through some other bug fixes in BC 2.6.67 release

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Whats in BC 2.6.67

# 1 2 3 4 5 6 7 8 9

Functional Area Invoicing and Estimates Invoicing Invoicing and Estimates Receipting Estimates Reporting Appointments General IMC via THELMA

Change made Fix multiple procedure scaling Fix invoice rounding problem using quantity field Fix toggle display of RMFS in / out hospital fees Fix 3 decimal place bug in receipting (e.g. entering $92.154) Fix estimate cloning bug copying class & scaling Change Medicare Claim Payment Report to cater for multiple providers in same run Fix bug related to searching appointment slots Upgrade PKI Certificate Manager to v2.3.13 Fix technical bugs with retrieving SOB and RMT in IMC claiming (part of IMC receipting process)

Tracking items QC - 1009,1802, 2250, 2251, 2252, 2155 QC 2029, Applix 27139 QC #2275 QC 2276, Applix 23269 QC #2277 QC 2145, Applix 27374 QC #2169 QC #2272 QC 2257, 2254, 2222, 2255, 2264

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Summary of multiple procedure scaling issues

Issue Service items not listed in correct scaling order Invoice printout does not list items in order of service date Multiple procedure scaling does not get re-applied when invoice is adjusted and re-issued Multiple procedure scaling should only be based on MBS fee rate, regardless of fee rate charged to patient If 0% is used in scaling, the scaled item should be 0.00 Tracking Item Applix 20493 QC1009, QC1802 Applix 7558, 1413, 23156 Applix 3918, 14325 QC2250, QC2251 Applix 26392 QC2252 Applix 27475, QC2155

Assistant Fee calculation not working correctly in Applix 851, 16572 Multiple Procedure scaling (did not align with Medicare) Slide 4 of 12

Changes Required
Multiple Procedure Ordering & Scaling
Multiple Procedure Ordering rule:


Invoicing
If multiple procedure option is selected, upon issuing the invoice: Applies only to service items flagged for multiple procedure scaling Ordering of Service items:
And And 1 Date of Service (in ascending order) 2 Medicare Fee Rate (in descending order) 3 Order of entry where the Medicare Fee Rate is of the same value

Estimates
Same rules except Date of Service is excluded

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Changes Required
Multiple Procedure Ordering & Scaling


Include column to show MBS fee rates clear to user sorting is based on this rate

Scaling % is applied as defined in the account class

Claim type Medicare, DVA, Private Work cover Custom Scaling % 100%, 50%, 50%, 25%... 100%, 50%, 50%, . User defined %

Changes Required
Multiple Procedure Ordering & Scaling
Assistant Fee for Multiple Procedures (e.g. 51300 or 51303):
Derived Fee is based on the following:
Assistant Service item fee = 20% x (applied scaling rules to only Service items associated with the assistant) Multiple Procedure scaling Item A - $300 @ 100% Item B - $250 @ 50% Item C - $200 @ 25% Item D - $150 @ 25% Scaled Total Amount $300.00 $125.00 $50.00 $37.50 $512.50 Applied scaling related to Assistant Item A (Assistant) - $300 @ 100% Item B (No Assistant) Item C (Assistant) - $200 @ 50% Item D (Assistant) - $150 @ 25% Assistant Scaled Total $100.00 $37.50 $437.50 Amount $300.00

Assistant Service Item 51303 fee = 20% x $437.50 = $87.50

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Changes Required
Multiple Procedure Ordering & Scaling
Assistant Fee for Multiple Procedures (e.g. 51300 or 51303):
Remove recalculate assistant fees checkbox. The assistant fee is always recalculated regardless.

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Changes Required
Multiple Procedure Ordering & Scaling
Fix to 0% scale calculation bug
Problem:
The calculation of 0% scale was not working correctly showed full fee instead of $0.00

Fix:
If custom multi-scaling is used and scale of 0% is applied to an item, fee should be $0.00 Item Accommodation 45451 31000 45200 Totals Fee $250.00 $300.00 $100.00 $200.00 $512.50 Scale N/A 100% 0% 0% Scaled Amount $250.00 $300.00 $0.00 $0.00 $550.00

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BC 2.6.67 Items

# 1 2 3 4 5 6 7 8 9

Functional Area Invoicing and Estimates Invoicing Invoicing and Estimates Receipting Estimates Reporting Appointments General IMC via THELMA

Change made Fix multiple procedure scaling Fix invoice rounding problem using quantity field Fix toggle display of RMFS in / out hospital fees Fix 3 decimal place bug in receipting (e.g. entering $92.154) Fix estimate cloning bug copying class & scaling Change Medicare Claim Payment Report to cater for multiple providers in same run Fix bug related to searching appointment slots Upgrade PKI Certificate Manager to v2.3.13 Fix technical bugs with retrieving SOB and RMT in IMC claiming (part of IMC receipting process)

Tracking items QC - 1009,1802, 2250, 2251, 2252, 2155 QC 2029, Applix 27139 QC #2275 QC 2276, Applix 23269 QC #2277 QC 2145, Applix 27374 QC #2169 QC #2272 QC 2257, 2254, 2222, 2255, 2264

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Changes Required
Invoice Rounding problem using QTY
Problem:
  

Applies to Radiation Oncology customers that use quantity field in invoicing and estimates Rounding to nearest high 5c (as defined in Class setup) was incorrectly applied to Fee Rate instead of the multiplied invoice line amount Annoying inconvenience to user when they do receipting either had to do a write-off or sundry invoice every time to handle 5 cent discrepancies

Example:
Who Blue Chip Medicare Item Fee Rate $30.47 round up to $30.50 $30.47 Quantity 3 3 Multiplied Invoice Line Amount = $91.50 = $91.41 round up to $91.45

Fix:
Rounding is now applied to multiplied invoice line amount, in line with the Medicare method.

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Changes Required
Medicare Claim Payment Report
Problem:
 

Occurs in situation where Medicare Benefit payment run covers two or more different Provider Numbers of the same bank account Report total payment amount did not correlate with the Medicares payment run lump sum amount Payment total in report should now = Medicare run payment total

Fix:

This amount should be $876.60

Provider 0333999Y 033399CH Total

Deposit $657.45 $219.15 $876.60

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