Dispensing Considerations in Claims

Editing of scripts, or changes to the Claims settings, can be carried out at any time up to the moment of claim preparation. The claim depends only on the state of affairs at time of preparation.

'Scripts owing' and drugs owing will cause the item to be reported on the exception report at time of claiming and held. Marking them as 'No longer script owing' or "Owing Drugs supplied' automatically adds the item to the next claim.

Once the Claims function has been initialised in a new site, Claiming screens appear and a 'Claim' panel appears at the RHS of the dispensing and edit screens.

Dispensing

Units of measure are automatically adjusted at time of claiming to suit Medicare Australia requirements. There are checks to ensure that it does not claim for 2 puffs instead of 2 inhalers.

Controlled drugs.

If a 'starter pack' is used, dispense as an original and a repeat rather than an 'owe' to be paid dispensing fees on both.

Multiple repeats

Selecting 'U = Unlimited repeats' automatically allows for up to 99 repeats.

Dr's Bag and BSO

If dispensed as instructed, Claims claims for these as a supply order rather than a script.

Stat repeats

Can be specified at time of dispensing the original, by editing before repeating, specified at time of repeating, or later after repeating but before claiming.

Claim panel.

The 'Claim' panel at the RHS of the Dispensing and Edit screens shows the claim status of the item. It does not need to be referred to in normal use, but allows manual over-rides for unusual situations.

Don't Claim

Use to manually suppress a claim for an item that would be normally claimable, eg, a script for a foreign tourist where the operator forgot to mark the patient category as 'Private' at the time.

Claim regardless.

Use to force a claim of an item which is normally not claimable.

Claim for wastage.

Use to force a claim for the whole pack quantity, eg when 75ml from a 100ml reconstituted antibiotic is dispensed. Described in detail separately.