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

  3. 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
    4. Other Services being billed
    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.
  4. 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
  5. Click Proceed to see charges

  6. The invoice information is displayed, including:
    Accounting Period (That the revenue will be applied to)
    Bill Type
    ECLIPSE transmission status
  7. The Accommodation charges will be shown
  8. The Theatre & Other Services Charges will be displayed
  9. GST can be amended with a Right Click in the GST Field
  10. 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)
  11. Invoice template can be selected
  12. 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
  13. 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




Opening the Theatre on a Non-Standard Day / Weekend

FYDO allows users to have the available theatre times & default appointments to be set for every day. However, sometimes facilities will have the need to open a theatre on a day that it would usually not be opened on.
This can easily be done in FYDO by adding a Non-Standard Day to your theatre by following the instructions below.
  1. Open Settings
  2. Select Theatre Data
  3. Double Click on the required Theatre
  4. Select tab Add Non-Std Days
  5. Selected the required Date or click the Close Day tickbox to close the theatre for a day that is usually open
  6. Select the Start Time that the theatre will be available from
  7. Select the End Time that the theatre will be available to
  8. Once the Start Time & End Time have been entered, the appointments will populate with the Default Appointment Type for this theatre
  9. The Appointment Type can be amended using the dropdown under the Type column
  10. Once all required settings are added, click Save
  11. Once Non-Standard dates have been added, a new tab View Non-Std Days will be available where users are able to view all non-standard entries
  12. The user is able to View the appointment times
  13. The non-standard day is also able to be Deleted by selecting the checkbox on the left to display the bin



Unadmit or Undischarge a Hospital Episode

If an episode is accidentally admitted or discharged, the user can Un-admit or Un-discharge following the steps below.
  1. Navigate to the appointment that needs to be Un-admitted and/or Un-discharged
  2. Use the Right Click Menu to select Episodes 
  3. If the episode has been admitted, & discharged, Right Click on the required Episode and select
    Un-discharge
  4. The user will be asked to Confirm that they are sure they want to un-discharge the episode.
  5. The Right Click process will need to be repeated to then Un-admit the episode
  6. The user will again be prompted to confirm that they want to un-admit the episode.
  7. Once this process has been followed, click Back to Appointments and the episode will have been returned to the status of B for Booked



Hospital Cancer Registry Data

FYDO gives users the ability to enter Cancer Registry information & export the data for ease of submission.
Once the coding has been entered, by following the instructions on Hospital Coding, you are able to click on the Cancer Registry icon.
This will open up a screen that allows you to Add Cancer Information.
Once in the Cancer Registry screen, enter all relevant information for your state & click Save.
 
The Cancer Registry Data can then be exported in the same manner that you export all your monthly data.
For more information on Data Extracts, see Hospital Data Extracts



Hospital Health Fund Fees – Same Day Fees Set Up

When new contracts are negotiated with health funds, amended fees need to be loaded into FYDO to facilitate a seamless IFC & Billing process.
  1. Fees can be entered in Settings > Hospital > Fees Setup

  2. For multi location databases, ensure the correct Location is selected
  3. Use the Fund drop down to select the required health fund
  4. The Start of Current Fee date indicates the date that the Current Fees will be utilised from. Any episode from before the start date will utilise the Old Fees
  5. The End of Current Fee date indicates the date that the Current Fees will expire. Users will still be able to create IFC’s for admissions after the End of Current Fee date. However, the system will prohibit billing for episodes that fall after this date. (This date isn’t mandatory. However, it is a good way to ensure accounts aren’t accidentally billed at outdated prices)
  6. The Same Day Fees tab contains the Same Day Accommodation Fees and the Theatre Banding Charges 
  7. Users are also given the ability to Print the health fund fees, for the selected fund
  8. To edit these fees, click the Edit button
  9. Once in edit mode, you will be able to amend the Start of Current Fee & End of Current Fee dates to indicate when the new contract fees apply
  10. Use the More Actions drop down to Click to Move Current Fees to Old Fees before the new fees are entered. This will replicate all the current accommodation fees into the Old Fees columns
  11. Enter the new fees in the Full Fee column for the corresponding bands. (C is for Type C procedures)
  12. Once all Full Fees are entered, use the More Actions dropdown, and select Click to Move Charge into Full Rebate. This will copy all fees from the Full Fee column over into the Full Fee Rebate (Do not do this step for un-insured fees or for other ‘funds’ that don’t attract a rebate)
  13. Depending on the contract agreement, facilities may need to add the Full Fee amount into the Basic Fee column. This can easily be done by using the More Actions drop down.
  14. Repeat the same steps 10 > 12 for the Theatre Banding Charges on the right side of the screen
  15. Click Save

For further information on how to set up fees, please visit our pages:

Other Settings
Casebase Fees
Casebase Multi Fees
DRG Fees
Overnight Accommodation Fees




Hospital Health Fund Fees – Other Settings

When new contracts are negotiated with health funds, amended fees need to be loaded into FYDO to facilitate a seamless IFC & Billing process.
The Other Settings tab allows the entry of the Banding Percentages Breakdown, along with more specific information regarding health fund contracts.
For more information on adding Same Day Fees, please see our page
Hospital Health Fund – Same Day Fees Setup
  1. Fees can be entered in Settings > Hospital > Fees Setup

  2. For multi-location databases, ensure the correct Location is selected
  3. Use the Fund drop down to select the required health fund
  4. The Start of Current Fee date indicates the date that the Current Fees will be utilised from. Any episode from before the start date will utilise the Old Fees (See Same Day Fee Instructions to amend these dates)
  5. The End of Current Fee date indicates the date that the Current Fees will expire. Users will still be able to create IFC’s for admissions after the End of Current Fee date. However, the system will prohibit billing for episodes that fall after this date. (This date isn’t mandatory. However, it is a good way to ensure accounts aren’t accidentally billed at outdated prices)
  6.  Select the Other Settings tab
  7. Click Edit
  8. Enter all details relevant to the particular contract (hover over the for further details & information pertaining to the relevant field)
  9. Enter the Theatre Banding Percentages to ensure the system calculates the percentage breakdown of the subsequent theatre items correctly. If there are old fees entered, ensure that the percentage breakdown is also entered in the Old column
  10. Enter the Casebase Banding Percentages to ensure the system calculates the percentages breakdown for subsequent casebase items correctly. If there are old fees entered, ensure that the percentage breakdown is also entered in the Old column
  11. Enter all Miscellaneous Fees relevant to the particular contract
  12. Click Save            

For further information on how to set up fees, please visit our pages:

Casebase Fees
Casebase Multi Fees
DRG Fees
Overnight Accommodation Fees




Hospital Health Fund Fees – Casebase Fees

When new contracts are negotiated with health funds, amended fees need to be loaded into FYDO to facilitate a seamless IFC & Billing process.
The Casebase Fees tab allows the entry of any contracted All Inclusive Procedure Fees.
For more information on adding Same Day Fees, please see our page 
Hospital Health Fund Fees – Same Day Fee Set Up
  1. Fees can be entered in Settings > Hospital > Fees Setup

  2. For multi-location databases, ensure the correct Location is selected
  3. Use the Fund drop down to select the required health fund
  4. The Start of Current Fee date indicates the date that the Current Fees will be utilised from. Any episode from before the start date will utilise the Old Fees (See Same Day Fee Instructions to amend these dates)
  5. The End of Current Fee date indicates the date that the Current Fees will expire. Users will still be able to create IFC’s for admissions after the End of Current Fee date. However, the system will prohibit billing for episodes that fall after this date. (This date isn’t mandatory. However, it is a good way to ensure accounts aren’t accidentally billed at outdated prices)
  6. Select the Casebase Fees tab
  7. Click Edit
  8. If entering an amended contract, use the Actions dropdown to select Move to Old Charge before the new fees are entered. This will replicate the Current fees across to the Old Fees columns
  9. Use the bottom row to add new items
  10. Use the to remove any items that are no longer required
  11. Enter the item number in the MBS column
  12. Enter the casebase fee, listed in the contract, in the Casebase column
  13. If there is a procedure fee associated with the item number, it can be entered into the Procedure column
  14. Select the relevant Type for the item being added.
    Standard will prompt FYDO to bill just the fee documented in the Casebase column & no accommodation fee will be added
    PerDiem-Proc will add an the relevant accommodation fee to the procedure fee
    PerDiem-Case will add the relevant accommodation fee to the casebase fee
  15. The DVA column is where the DVA codes are added (e.g. the “H” codes etc.). NB. All DVA items, with an associated item number, will need to be entered with the item number in the MBS column & will need to be billed using the MBS item number. FYDO will then send the associated DVA code via ECLIPSE to ensure claims are transmitted successfully
  16. Tick the GST box if the fee that has been entered is inclusive of GST
  17. Tick the Exclude Other Services box if the other services/prosthesis are unable to have a charge raised when billed with the item number. E.g., If a contract stipulates that any prosthesis used is included in the casebase fee. NB for this function to work, each applicable prosthesis code will need the Exclude fee when billing tick box ticked.
  18. Once all details have been entered click Save

For further information on how to set up fees, please visit our pages:

Other Settings
Casebase Multi Fees
DRG Fees
Overnight Accommodation Fees




Hospital Health Fund Fees – Casebase Multi Item Fees

When new contracts are negotiated with health funds, amended fees need to be loaded into FYDO to facilitate a seamless IFC & Billing process.
The Casebase Multi Item Fees tab allows the entry of any contracted All Inclusive Package Fee for more than one item number. For example, a bundled fee for a colonoscopy & gastroscopy together.
For more information on adding Same Day Fees, please see our page
Hospital Health Fund Fees – Same Day Fees Set Up
  1. Fees can be entered in Settings > Hospital > Fees Setup

  2. For multi location databases, ensure the correct Location is selected
  3. Use the Fund drop down to select the required health fund
  4. The Start of Current Fee date indicates the date that the Current Fees will be utilised from. Any episode from before the start date will utilise the Old Fees (See Same Day Fee Instructions to amend these dates)
  5. The End of Current Fee date indicates the date that the Current Fees will expire. Users will still be able to create IFC’s for admissions after the End of Current Fee date. However, the system will prohibit billing for episodes that fall after this date. (This date isn’t mandatory. However, it is a good way to ensure accounts aren’t accidentally billed at outdated prices)
  6. Select the Casebase Multi Item Fees tab
  7. Click Edit
  8. If entering amended prices, use the Actions dropdown to select Move to Old Charge, so that the fees listed in the current contracted fees can be moved into the Old fees fields, before they are updated
  9. Enter the item numbers that coincide with the case base fee in the MBS columns
  10. Enter the casebase fee amount in the Casebase column
  11. Leave the Type as Bulk, unless there is a specific fund code that needs to be entered for those items. E.g., NIB codes COL1 or PKG38 etc., in which case, choose Prefix from the drop down
  12. Selecting Prefix from the drop down will then allow the health fund specific code to be entered into the Code column NB. Only codes that have previously been added to Settings > Items are able to be typed in this section & they may require Eclipse Mapping
  13. Selecting AddOn from the drop down will allow for a fee to be added to the Fee column. This would be used to add a surcharge fee when billing this combination of items to a health fund and would be outlined in the relevant health fund contract
  14. The DVA column is used if there is a “H” or other code in the DVA contract that is relevant to the group of item numbers
  15. Use the Excl OS column if the other services /prosthesis charges associated with the procedure are unable to be raised in conjunctions with the case base fee. NB for this function to work the Exclude fee when billing tick box will need to be ticked in each relevant prosthesis
  16. Use the GST tick box if the fee is inclusive of GST
  17. Use the in the Action column to remove any lines that are no longer needed
  18. Click Save

For further information on how to set up fees, please visit our pages:

Other Settings
Casebase Fees
DRG Fees
Overnight Accommodation Fees




Hospital Health Fund Fees – DRG Fees

When new contracts are negotiated with health funds, amended fees need to be loaded into FYDO to facilitate a seamless IFC & Billing process.
The DRG Fees tab allows the entry of any contracted fees pertaining to DRGs.
For more information on adding Same Day Fees, please see our page
Hospital Health Fund Fees – Same Day Fees Set Up

DRG Fees are also able to be imported into FYDO from an Excel file. Please see our instructional wiki page below to find out how to do this:
Hospital Health Fund Fees – Importing DRG Fees

  1. Fees can be entered in Settings > Hospital > Fees Setup
  2. For multi location databases, ensure the correct Location is selected
  3. Use the Fund drop down to select the required health fund
  4. The Start of Current Fee date indicates the date that the Current Fees will be utilised from. Any episode from before the start date will utilise the Old Fees (See Same Day Fee Instructions to amend these dates)
  5. The End of Current Fee date indicates the date that the Current Fees will expire. Users will still be able to create IFC’s for admissions after the End of Current Fee date. However, the system will prohibit billing for episodes that fall after this date. (This date isn’t mandatory. However, it is a good way to ensure accounts aren’t accidentally billed at outdated prices)
  6. Select the DRG Fees tab
  7. Search for the required DRG or to update all fees click Edit
  8. If entering amended prices, use the Click to Move Current Charge into Old Charge option so that the fees listed in the current contracted fees can be moved into the Old fees fields
  9. Locate the required DRG in the DRG Column. They will be listed in alphabetical order. If adding a new DRG, a new line becomes available below the table to add the next DRG.
  10. Add the applicable Same Day fee into the Same Day Rate column
  11. Add the applicable Inpatient fee into the IP Rate column
  12. Add the Short Stay Trim into the SS Trim column
  13. Add the applicable Short Stay Fee into the SS Fee column
  14. Add the Long Stay Trim into the LS Trim column
  15. Add the applicable Long Stay Fee into the LS Fee column
  16. Add the Transfer Trim into the TFR Trim column
  17. Add the relevant Transfer Discount into the TRF Disc column
  18. Tick the GST box (scroll right) if the fees are inclusive of GST
  19. Click Save once all fees are entered

For further information on how to set up fees, please visit our pages:

Other Settings
Casebase Fees
Casebase Multi Fees
Overnight Accommodation Fees