Hospital Health Fund Fees – Importing DRG Fees

FYDO now has the option to import DRG fees from an Excel file.
It is important to note that the file must be an Excel file, and must be set out in the same way as the sample template below. 

Or click the link below to download a blank template:

Using the same column titles as can be seen in this spreadsheet example. 

Column headings need to be:
A – DRG
B – ChargeSD
C – ChargeIP
D – CWO
E – SSTrim
F – SSFee
G – LS1From
H -LS1To
I – LS1Fee
J – LS2From
K – LS2To
L – LS2Fee
M – LS3From
N – LS3To
O – LS3Fee
P – TRF
Q – TRFDisc
R – GST
S – Exclpros
T – ExcludePrivateRoom

The above layout reflects the content, and order of information, that is displayed in FYDO.

If the file is not formatted in this way, with the exact column titles, the data will not be able to be imported into FYDO, or will upload into the wrong fields.

How to Format an Excel File for DRG Upload

Data from a Health Fund contract can be transferred into the relevant columns of the template, or a copy of a contract can be modified using the following steps:

  1. Save a copy of the contract (do not edit the master copy)
  2. Go to DRG tab or section in the contract
  3. Remove any lines above the DRG header table so that there is only one header row
  4. Delete any columns that do not contain the required information as per the images above
  5. Ensure the names and order of all columns and the header row match the template exactly

How to Upload DRG File into FYDO

  1. Go to Settings & select Fees Setup

  1. Choose your location from the dropdown menu (only applicable to multi-site users)
  2. Select required Fund
  3. Ensure Same Day Fees tab is selected and Click Edit

  1. Update Start of Current Fee and End of Current Fee dates
  2. Click Save

  1. Click DRG Fees tab
  2. Click Edit

  1. Click More Actions and select Click to move all Current fees to Old and follow instructions – this step is optional, however it is recommended as it ensures that episodes prior to the new contract dates are billed at the appropriate rates, otherwise all unbilled episodes will be billed at the newly loaded rates
  2. Click Save

  1. Click Edit
  2. Click More Actions and select Import Fees

  1. Click Fee Type and select Current File

  1. Click Upload DRG Fees File and locate the relevant Excel file to be uploaded
  2. Click Upload

  1. DRG items and fees will populate into the DRG Fees tab
  2. Click Save
  3. Select Print to print or download, then conduct a spot check with the contract to ensure fees have populated correctly

Note:  If a DRG no longer exists in the new fees, but there was an old rate, the line will remain in the fees screen and Current will show as $0 (Old will show the previous rate).  If a DRG has a zero-dollar balance under the Current fees AND the Old fees, FYDO will automatically remove this line from the fees page, as it is no longer required.




Amending a User’s Email Address

There may be instances when a user needs to change their FYDO log in email address. This can be done by the user themselves by following the steps below.
The only exception is the Subscriber who is unable to change their email address themselves & will need to contact FYDO Support if amendments need to be made.
  1. Hover over User Profile (Your Initials)
  2. Select Edit Profile
  3. Select Edit
  4. Amend Email
  5. Click Save

The new email address will need to be used for log ins from there on.




How to change user’s timezone

Need to change your timezone? Read on to learn how!

Note: This setting is unique to the user. Therefore, each user will need to check their own timezone settings.

  1. Hover over the profile icon (Your Initials)
  2. Click on Edit Profile.
  3. Select Edit
  4. Select the desired TimeZone.

Click Save and you’re all done! You have successfully updated your TimeZone on this profile.




Adding MBS Item Numbers – Hospital

Adding or amending an MBS item in FYDO for the purpose of updating descriptions, adding facility specific cosmetic codes or removing items that are no longer needed.
The item numbers are updated in FYDO with each National Procedure Bandings Update.
Facilities will be responsible for updating the Theatre Band (State) according to their relevant contracts.
  1. Go to Settings
  2. Select Items from the General menu
  3. Add all MBS Codes will update all items in your FYDO system according to the current National Procedure Bandings.
  4. Use the filters to search specific categories or groups etc
  5. Use the Show Inactive tick box to view any items that have been made inactive in the database
  6. Use the Export To option to export the list that is shown on the screen to an Excel spreadsheet
  7. Use the Search field to find a specific item number or key word to determine if the item is already in the system. All items that include the searched information in the description will also appear
  8. If the required item number displays, double click anywhere on the line to open the information
  9. If the required item number doesn’t appear, and it needs to be added, click Add Item

  10. Add the item number, or desired code, into the Number NB. This field will never be editable after it has been created & saved
  11. Add the description for the item into the Procedure Name (The Number & Procedure Name fields are both mandatory fields that are required to add an item)
  12. The Notes field is available for any notes that may be required that relate to the item. It has no effect on how the item number is billed or displayed & can only be seen by navigating to this screen
  13. Linked Procedures give the ability to add ICD procedure code base items to link to this item number. This can make coding the ICD procedures easier. (Hovering over the for the explanation of this field at any time)
  14. Category, Group & Sub Group are fields that will pre-populate when a real MBS item number is added. FYDO will look up all these values, from the MBS Schedule, and import them. These values will be updated whenever a new MBS update is loaded & there is no need to edit these manually
  15. Item Type is a field that can help categorise the item being entered. (NB. These Item Types can be added by going to Settings, Item Types & clicking Add Item Type). This field allows the user to allocate items to a group (e.g., cardiology, consults etc) and to run reports on the items that are grouped together by the category
  16. Qty on Hand can be used in conjunction with the item type
  17. Modal is not required for hospitals (this is a clinic related field)
  18. Rule is used to determine the rules to apply step downs etc for doctor billing
  19. 100% Rebate is to be ticked when the Medicare benefit is 100%, rather than 85% for in room services and is only applicable for doctor billing
  20. R-Type is to be ticked if the item requires a referral. NB. This only relates to radiology/imaging items for doctor billing
  21. Stock Item is not required for hospitals (this is a clinic related field)
  22. Ask Quantity is not required for hospitals (this is a clinic related field)
  23. Use the following to ensure the item is classified correctly, according to the relevant banding & accommodation types:
    – Theatre Band (National) – will be updated by FYDO automatically
    – Theatre Band (State)
    – Day Type – will be updated by FYDO automatically
    – Patient Class – will be updated by FYDO automatically
    – DVA Accommodation
  24. Tick Same Day Accom Band 1 Override if the item number can only have a band 1 accommodation billed in conjunction with it, regardless of the anaesthetic type or length of procedure
  25. Tick Accom Item if the item being entered is required to be billed as an accommodation fee, as per the health fund contract
  26. Tick Eclipse Code Mapping if the code being entered requires mapping to be able to be sent via Eclipse for billing. E.g., COL1, PKG38 or D001
  27. Tick Item Excluded from PSG to exclude the item from the IHC PSG/MSG segment when being sent via eclipse. E.g., for NIB endoscopy claims
  28. Tick Miscellaneous/ADA Code if the item is required to show in the Miscellaneous code section for data submission, instead of in the MBS code section. Commonly used for dental codes
  29. Tick Timebase if this item is required to be billed according to the time it takes. Ticking this box will alert the system to look in the Timebase Fees set up for the chargeable fee
  30. Click Save
  31. To Deactivate an item number, follow steps 1-4 above & click Edit
  32. Un-tick the Active box & the word will change to Inactive
  33. Click Save
  34. To Re-Activate an item, simply tick the Inactive box again & click Save
  35. To remove an item number all together click on the Blue Drop Down Arrow on the right of the screen (as seen in the first image above) and click Delete item
  36. You will be asked to confirm that you want to delete the item. Click Yes



Resetting a Users Mobile Number

If a user needs to amend the mobile number, that is used for 2 step authentication, they can follow the instructions below.

Using the email option for 2 Step Authentication will allow you to received the code via email to be able to log in without the old mobile number. Once logged in you will be able to:

  1. Hover over the User icon (Your Initials)
  2. Select Edit Profile
  3. Select 2 Step Authentication tab
  4. Click Edit
  5. Select Yes to the question Would you like to reset mobile?
  6. Click Save

The next time you log in you will be prompted to set a new mobile number.




Hospital Appointments Screen – Right Click Menu

Most functions available in the Appointments Screen can be accessed by selecting the required episode & using your mouse to right click. This menu can also be accessed with a single click on the appointment time which allows users on tablets to access the menu as well.

  1. Make an Appointment allows users to add a booking
  2. Create from Waitlist allows a booking to be made using a patient on the Waitlist
  3. Edit Appointment allows users to amend an existing booking
  4. Copy / Cut / Paste / Delete allows users to copy, cut or past an existing booking or delete
  5. Episodes gives a list of all episodes for the selected patient, along with financial information
  6. Documents displays all documents that have been generated in or scanned into FYDO
  7. Chart Tracking allows for chart movement to be tracked
  8. EMR will be displayed if the facility integrates with an external Electronic Medical Record system
  9. OEC is where users will go to perform an Online Eligibility Check for the patient for that admission
  10. IFC is where users will go to generate an Informed Financial Consent for the episode
  11. Send SMS gives the user the option to send an SMS to the patient or to their pickup person
  12. Confirmed gives users the option to make appointments as confirmed
  13. Arrived / Unarrived gives users the ability to mark patients as arrived as they present to the facility
  14. Admit is the page where the admission time & information is recorded
  15. Excess/Deposit is where a receipt for a patient payment can be generated
  16. Theatre is where all the theatre times, item numbers and other services etc. are recorded
  17. Discharge is the page where the discharge time & information is recorded
  18. Coding is the page that the relevant diagnosis & procedure codes are entered & where the episode can be grouped
  19. Create Invoice / Other Service Only Invoice is where users will go to invoice the episode
  20. Rehab Screen is used for recording rehabilitation information
  21. Check List allows users to mark off tasks easily & efficiently as they are complete e.g., OEC, IFC, Consent Form etc
  22. Inpatient is where information regarding scheduled inpatient procedures, bed allocation & leave can be recorded
  23. Certificate is where Type C, Type B, psychiatric etc certificates can be entered into FYDO to be transmitted electronically via ECLIPSE
  24. Clinical Indicators is where certain indicators relating to the episode can be recorded. This feature allows for efficient collation of statistical data
  25. Print Chart Label is where labels can be printed for the patient chart
  26. Print Wristband is where a wristband label can be printed for the patient
  27. Quick Form allows users to print other forms that have been loaded into the database. For example, Discharge Summaries
  28. HC21 (Left, Right and Back) for the patient to sign (left), for the facility to complete and sign (right) and for the surgeon to complete if a certificate is required (back)
  29. Create Letter allows users to create letters in FYDO from preloaded templates



Obtaining ATSI Statistical Data (Hospital)

From time to time, it will be necessary to report on Aboriginal & Torres Strait Islander statistics. FYDO makes this extremely easy using the Episode Stats report.
  1. Select Reports from the main menu
  2. Select Episode Stats

  3. In the Group By (Primary) field select Indigenous
  4. Select the date range required in the From & To fields
  5. Click Update

The report will give you the total number & percentage total of episodes that fall under each category.




SMS Template Examples

FYDO allows users to easily & efficiently send SMS/Text Messages to patients’ & pick-up contacts. Templates can be added to FYDO to allow users to send different types of pre-set messages with the click of a button.
SMS templates use “tokens” to draw information from the patients’ appointment & populate the message with the patients’ relevant information.
Below are some examples of text message templates that facilities can use, along with the tokens that will need to be added to ensure the templates work for all patients.

SMS Templates can be added to FYDO by following the instructions in this link:
Adding SMS Templates to FYDO

Pre-Admission Text
Dear <<patFirstN>>, Your appointment at <<EpLoc>> with <<EpDocTitle>> <<EpDocLastN>> on <<EpDayL>> <<EpAdmDate>> will be at <<Time12h>>. Please reply YES to confirm your appointment. Many Thanks

Payment Reminder
Dear <<patFirstN>>, When you arrive for your appointment with <<EpDocTitle>> <<EpDocLastN>> on <<EpAdmDate>> your out of pocket expense will be $<<EpExcessCo>>. This is payable on admission. Please reply YES to confirm you are aware of your hospital fee or call <<EpPhone>> if you have any queries. Many Thanks

Preadmit Paperwork Reminder
Dear <<patFirstN>>, Please click on the link below to complete your admission forms for your appointment on <<EpAdmDate>> at <<Time12h>>. Add preadmit URL in here.

Fasting Times
Dear <<patFirstN>>, In preparation for your procedure on <<EpAdmDate>> at <<Time12h>> please ensure you cease eating food at <<TimeFF12h>> and have no further fluid after <<TimeFW12h>>. Please contact <<EpLoc>> on <<EpPhone>> if you have any queries. Many Thanks

Patient Experience Survey
Dear <<patFirstN>>, Thank you for visiting <<EpLoc>> on <<EpAdmDate>>. If you would like to give feedback regarding your admission, please follow the link below. Add patient survey URL in here.

Dear <<patfirstn>>, Thank you for attending <<EpLoc>>.  We are committed to continuous improvement and would value your feedback.  Please click on the following link to complete our online survey. Add URL to patient survey here.

Pre-Operative Phone Call Reminder
Dear <<patFirstN>>, Please contact <<EpLoc>> on <<EpPhone>> to speak with our nurses regarding your appointment on <<EpAdmDate>>. Many Thanks

Change of Admission Time
Dear <<patFirstN>>, Your admission time for your appointment on <<EpAdmDate>> has changed. Please now arrive at <<EpLoc>> at <<Time12h>>. Many Thanks

Post-Operative Message
Dear <<patFirstN>>, We hope you are recovering well following your procedure at <<EpLoc>> on <<EpAdmDate>>. Please contact us on <<EpPhone>> if you have any concerns or queries. Many Thanks

Estimated Pick Up Time for Patient
Dear <<patFirstN>>, your admission time on <<EpAdmDate>> will be <<Time12h>>. We anticipate that you will be ready for collection from <<EpLoc>> at <<TimeP12h>>.

Estimated Pick Up Time for Pick Up Person
Dear <<PUfirstn>>, we anticipate that <<patFirstN>> will be ready for collection from <<EpLoc>> at <<TimeP12h>>. Please alert staff at reception when you arrive. Many Thanks

Pick Up Person – Patient Ready
Dear <<PUfirstn>>, <<patFirstN>> is now ready to be collected from <<EpLoc>>, <<EpLocAdd1>> <<EpLocSub>>. Please report to reception on arrival. Many Thanks

Dear <<PUfirstn>>, Please return to <<EpLoc>> at <<EpLocAdd1>> <<EpLocAdd2>> <EpLocSub>> as <<patFirstN>> is now ready to be discharged. Many Thanks

Outstanding Account
Dear <<patFirstN>>, following your procedure at <<EpLoc>> your account was finalised & there is now an outstanding amount payable by you. Please call <<EpPhone>> to arrange payment. Many Thanks




Hospital Invoicing / Billing an Episode – Simple

Once the episode is complete, an invoice can be raised to a health fund or patient.
For an invoice to be raised, the episode needs to be:

– Admitted
– Discharged
Theatre Complete tick box checked (depending on the facility requirements)
– Coding Grouped (depending on the facility requirements)

  1. Open the Appointments Screen and locate the required episode
  2. Right Click to reveal the menu & select Create Invoice

  1. The Create Invoice page will display with the following necessary information:

  1. All patient information specific to the episode
  2. Billing information including:
    Billing Type
    Theatre Times
  3. Procedure Items being billed (drawn from Theatre Screen if entered)
  4. Other Services being billed (drawn from Theatre Screen if entered)
  5. The Bill To feature allows other services to be billed to the patient or a third-party company, even if the main invoice is being billed to a health fund. Selecting Patient from this dropdown will create a separate invoice/invoice number for the patient account
  6. The Financial Notes & Episodes notes fields will reflect notes that have been entered into the patients’ Episodes screen.
  7. As long as all required information has been previously entered into the Theatre Screen, there should be few reasons that anything on the Create Invoice page needs to be amended
  8. Click Proceed to see charges

  1. The invoice information is displayed, including:
    Accounting Period (That the revenue will be applied to)
    Bill Type
    ECLIPSE transmission status
  2. The Accommodation charges will be shown
  3. The Theatre & Other Services Charges will be displayed
  4. GST can be amended with a Right Click in the GST Field
  5. Custom Invoice Messages are able to be added. (Invoice Message Templates can also be added in Settings > Invoice / IFC Messages, so that they can easily be selected from the dropdown list)
  6. Invoice template can be selected
  7. Print & Save can be selected when the invoice isn’t able to be sent via ECLIPSE & the user requires a printed or PDF copy of the invoice
  8. Save can be selected when the invoice is able to be transmitted electronically via ECLIPSE & the user does not require a hard copy of the invoice

Once the user has selected Save for an invoice that can be transmitted electronically via ECLIPSE, they will then need to send this invoice by following the FYDO wiki instructions
Claiming Hospital – Not Yet Sent

For a more detailed explanation of FYDO invoicing please see:
Hospital Invoicing / Billing an Episode Detailed




Hospital Invoicing / Billing an Episode – Detailed

Once the episode is complete, an invoice can be raised to a health fund or patient. For an invoice to be raised, the episode needs to be Admitted & Discharged. Depending on the requirements that the facility has stipulated in System Configuration, the Theatre Complete tick box may need to be ticked in order to confirm the item numbers are correct for billing. And the episode may need to be Grouped in order for billing to be able to be done.

A simple invoicing & billing explanation can be found at:
Hospital Invoicing / Billing an Episode – Simple

  1. Navigate to the Appointments Screen
  2. Use the Search field to locate the required episode or
  3. Use the Calendar to select required date & Theatre Tabs to select required theatre
  4. Locate required episode & Right Click to reveal the menu
  5. Select Create Invoice
                                  
  6. The Create Invoice page will display with the following necessary information:

    1. All patient information specific to the episode
    2. The health fund being invoiced
    3. Billing Type can usually be left as default. This allows FYDO to review the fees entered for the health fund & bill accordingly by Casebase, Per Diem or DRG
    4. The Status of the invoice being billed: either Full Fee or Basic Fee
    5. The Accommodation Type
    6. The anaesthetic type being billed
    7. The theatre times that the invoice will be based on
    8. The Mode of Separation
    9. The items being billed
    10. The Other Services being billed
    11. The Re-order Item Numbers tick box allows users to keep the item numbers in the order they have been entered in. However, if this box is checked, then FYDO will order the item numbers from highest to lowest banding
    12. The Bill To feature allows other services to be billed to the patient or a third-party company, even if the main invoice is being billed to a health fund. Selecting Patient from this dropdown will create a separate invoice/invoice number for the patient account
    13. The Financial Notes & Episodes notes fields will reflect notes that have been entered into the patients’ Episodes screen.
  7. As long as all required information has been previously entered into the Theatre Screen, there should be few reasons that anything on the Create Invoice page needs to be amended
  8. Click Proceed to see charges

  9. The Accounting Period date, which the revenue will be applied to, is displayed. (The default date that is selected in this field is set in Settings > System Configuration)
  10. The Bill Type that has been used will be displayed
  11. The invoice’s ability to be transmitted via ECLIPSE will be shown with the tick box
  12. The Accommodation charges will be displayed
  13. The Theatre & Other Services Charges will be displayed
  14. GST will be displayed if the fees for that item have been set up to include GST. Otherwise, users are able to calculate the GST amount by Right Clicking in the GST Field
  15. Custom Invoice Messages are able to be added & the user is able to type the required messages. However, Invoice Message Templates can also be added in Settings > Invoice / IFC Messages so that they can easily be selected from the dropdown list
  16. FYDO allows for multiple Invoice Templates to be added. A default template can be set, but if another template is required, it can be selected from the Template dropdown
  17. Print & Save can be selected when the invoice isn’t able to be sent via ECLIPSE & the user requires a printed or PDF copy of the invoice
  18. Save can be selected when the invoice is able to be transmitted electronically via ECLIPSE & the user does not require a hard copy of the invoice

 

Once the user has selected Save for an invoice that can be transmitted electronically via ECLIPSE, they will then need to send this invoice by following the FYDO wiki instructions Claiming Hospital – Not Yet Sent