Before You Begin
There are settings you must configure in both Clinical and Pracsoft in order to process immunisation claims.
In
Clinical select Tools > Options > Links
tab.
Ensure you have;
Ticked the Link to Billing Package check box.
Selected the option to Link to Pracsoft.
Ticked the Create Immunisations check box.
Click
The
Advanced Link Options
window appears.
Ensure you have ticked the check box to Enforce ACIR Validation...
Click
Close and re-open Clinical.
In
Pracsoft, select MedicalDirector > Medical Director
Link Options. The Medical
Director Link Options window appears.
Ensure you have;
Ticked the Link to Clinical check box.
Ticked the Read Immunisation (ACIR) Data check box.
Select
Admin > Practitioners.
The Registered Practitioners
window appears.
Double-click
a practitioner to access their details.
Ensure that you have;
Ticked the Online Claiming Agreement Signed check box.
Ticked the Added to Location Certificate check box.
Click
Processing Immunisation Claims
Immunisation claims are batched and sent via online claiming to notify AIR of a child's vaccination record. This system is an alternative to contacting AIR directly, saving your Practice time.
Before you can process an immunisation claim in Pracsoft, the patient must first have received a vaccination, recorded in Clinical.
In Pracsoft, select Processing > Online/Easyclaim Claiming.
If your Practice has been using Clinical for some time before you linked it to Pracsoft, and you have been recording childhood immunisations in Clinical, MedicalDirector Pracsoft will detect this and offer you the opportunity to import those immunisation records now.
Note that in such circumstances, if you had already manually made the immunisations claims, you should click No at this point, as any immunisations already claimed for will simply be rejected by Medicare if you click Yes.
You
will be prompted that there are immunisations claims to import
from MedicalDirector Clinical. This prompt refers to those immunisations
recorded in MedicalDirector Clinical since you linked
it with Pracsoft.
Click
to
import the claims.
The
Medicare Australia Online Claiming
window appears. Notice that the immunisation claims are already
listed for you to prepare.
This window will only display claims for
practitioners who have indicated
that they use Medicare Australia Online Claiming.
The left-hand section of this window displays claims that have
been batched but not yet prepared and transmitted. The right-hand
side displays claims that have been prepared or transmitted. Claims
can be moved to the right or left of this screen by simply double-clicking
them. You might want to do this if you wish to prepare your ACIR claims separately.
Click
to
continue. You are presented with the Prepare
Claim Data tab.
Preparing claim data validates the immunisations within the claim,
and notifies you of any issues, such as a patient without a recorded
Medicare number, or date-of-birth.
Click
to
prepare the claims. You will be prompted to confirm this action.
The
results of the preparation are presented to you. If preparation
has failed for
any reason, you must resolve any issues now, and attempt to
process the claim again later.
Click
You
are presented with the Print
Claim Reports tab. You have an opportunity here to print
hardcopy reports of what you have sent to Medicare.
Click
You
are presented with the Transmit
Claims tab.
Click
The
Transmit Claims window
appears. Select which claims you wish to transmit by ticking the
associated Selected check
box.
Click
The
claim will be automatically sent electronically to Medicare for
processing. You should receive confirmation of its success, as
shown in the example below.
Medicare may return a '9501- Assessment Report' if claim assessment
has failed. This report will be sent automatically to your printer.
If you receive any errors, please consult the topic Troubleshooting
Immunisation Claims for assistance.
This concludes the steps necessary for make an immunisation claim for ACIR.