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Finance
Manage accounts, fees, claiming, billing and banking in Pracsoft.
Online Claiming
Send Bulk Bill claims to Medicare Australia Online or Department of Veterans' Affairs (DVA) claims.
Medicare Easyclaim
Process Medicare patient claims and Medicare Bulk Billing using Pracsoft.
Easyclaim and Online Claiming with Pracsoft
Resolving Exceptions

Finance
Manage accounts, fees, claiming, billing and banking in Pracsoft.
- Recording Visits
- Online Claiming
  Send Bulk Bill claims to Medicare Australia Online or Department of Veterans' Affairs (DVA) claims.
  - About the Online Claiming Process
  - Batching Bulk Claims for Medicare / Vet Affairs
  - Sending Bulk Claims to Medicare / Vet Affairs
  - Cancelling Claims and Deleting All Visits
  - Deleting Claims (Same-Day Delete)
    Real-time patient claims sent to Medicare Australia can be deleted on the same day that they were sent.
  - DVA Online Claiming Workarounds
  - Medicare Easyclaim
    Process Medicare patient claims and Medicare Bulk Billing using Pracsoft.
    - How Medicare EasyClaim Works
      A summary of the Medicare EasyClaim process in different scenarios.
    - Easyclaim and Online Claiming with Pracsoft
      - Before You Begin
      - Overview of the Online Claiming Process
      - Activate Online Claiming in Pracsoft
      - Setting up Practitioners to use Online Claiming
      - Batching Bulk Claims Using HIC Online
      - Facility IDs
        If you offer bulk billing for services provided at a hospital, Medicare requires you record a Facility ID for each hospital you visit.
      - Sending Claims to Medicare Australia
        Explains end-to-end procedures for sending claims to Medicare Australia online.
      - Editing a Voucher
        Errors in a voucher must be fixed before you can send a batched claim.
      - Resolving Exceptions
      - Displaying the Status of Claims
      - Online Patient Verification (OPV)
        OPV is a system that allows you to check that the patient's Medicare information recorded in Pracsoft matches that as registered with Medicare Australia.
      - Troubleshooting
      - Ancillary Information
      - Exception Reason Codes
    - Medicare Easyclaim Transaction Status
      Describes the various Medicare Easyclaim Transaction states, and how to deal with them, where applicable.
    - Enabling Medicare Easyclaim with EFTPOS
    - Enabling Medicare Easyclaim with TYRO
    - Claiming with Medicare Easyclaim
  - Exception Reason Codes - DVA
  - Exception Reason Codes - Medicare
  - Immunisation Claims
  - Integrated EFTPOS - About and Usage
  - Manually Receipting Bulk Payments
  - Nursing Home Claim Workaround for Pracsoft
  - Manual Online Patient Verification (OPV)
    Online Patient Verification is a process whereby, before processing a claim with Online Claiming, the patient can be checked for eligibility to receive Medicare benefits.
  - Online Veteran Verification (OVV)
  - Patient Claims History
  - Printing Claim Details
  - Resetting a Claim's Status
    Reset the status of multiple claims' simultaneously and view the claim audit logs.
  - Resolving Claim Exceptions
    After sending bulk claims to Medicare Online and requesting the associated processing reports,Medicare may return a processing report that contains exceptions.
  - Sending 'Store and Forward' Claims
  - Tips for Sending Patient Claims
    The Practice has the choice of sending the Patient claims immediately or storing them up for later transmission.
  - Medicare Australia and Post Office Boxes in Pracsoft
  - Medicare Card Swiper
  - Integrating Healthcare Identifiers into Electronic Practice Records
    Make Healthcare Identifiers available for Secure Message Delivery and for use in the personally controlled electronic health (eHealth) record.
- Accounts and Receipts
- Banking
  Short videos about Pracsoft banking and end of financial year reporting.
- Fees
  Pracsoft provides you with a Standard Fee list of over 100 commonly used items.
- Institutional Payers

Resolving Exceptions

Before you begin

Exceptions must be resolved for each claim, for payment reports to be requested, and for receipting to occur.

For example:

If 3 claims are paid on the one payment report, all claims for that receipt must be resolved before receipting will occur.
If single claim receipting is ticked, the remaining two will receipt-off automatically.

Procedure

Click

to resolve claims. The Resolving Claim Exceptions window is divided into two sections:
- Upper: Claims with exceptions.
- Lower: The exceptions relating to the claim selected in the upper section.
Select the claim to resolve in the upper window.
- Clicking on the reason code exception for that voucher will show the below screen.
Proceed with one of the following two options:
- Accept Exceptions: click
  
  to accept Medicare's exception. For exceptions returned by Medicare where a partial payment has been made, you must accept these exceptions - you cannot edit and resubmit them.
- Resubmit/Edit Exceptions: Click
  
  button to edit and resubmit the claim.
  - The voucher can then be edited and batched in a subsequent claim.
  - You will be prompted to enter a comment for why you are editing or resubmitting the voucher. It is not essential to enter a comment when editing.This comment does not get sent to Medicare - only comments added to the text field of service details within the voucher are sent.
  - Confirm that you want to edit and resubmit the voucher by clicking the Yes button. The Edit Visit from Claim window will appear.
  - Make any changes you think necessary to resolve the exception reported by Medicare.
    
    Click
    
    or
    
    to confirm your modifications. You will be returned to the Resolving Claim Exceptions window. Click
    
    when all exceptions are resolved.
    Once all exceptions are resolved when closing the resolve exception window Pracsoft will automatically request the payment report and receipt the claim.

Results