DVA – Hospital Warringal Claims


Hospital DVA Process

   Download the DVA List
Download DVA List for the last week (to be done weekly)
Login to TPC Warringal (https://tpcwarringal.com.au/logout.php), click on “Invoices”, then change the date range to the last week.
It will download the list to the Downloads Folder - I often copy and paste all the info into a new spreadsheet and save it to Desktop as the downloaded copy doesn’t save any data you input.
   Submit the claim in Proda
Log into Proda
Select Provider
Enter White Card Text eg: “Post op Physio for Lumbar Fusion” You can find the patients condition by going to the WPH Website (https://tpcwarringal.com.au/logout.php) and searching their name at the bottom left of the screen and looking at their file. Procedure names can be tricky eg, “L) TKJR = Left Total Knee Joint Replacement”. You would put the white card text as “Post-op Physio Treatment for Left Knee Replacement”. When in doubt, ask a Physio.

Process DVA using the below hospital codes:

Free Schedule

ITEM NO. DESCRIPTION FEE (excluding GST) GST STATUS
PH13 Initial Consultation – 1st Client $76.05 GST-free
PH17 Initial Consultation – 2nd & Subsequent Clients $70.80 GST-free
PH23 Standard Consultation – 1st Client $70.80 GST-free
PH27 Standard Consultation - 2nd & Subsequent Clients $70.80 GST-free
PH13: For Initial (first consults)
PH17: Second consult on the first day (not common)
PH23: Standard subsequent consult 
PH27: Second subsequent consult on same day as PH23
Enter remittance when processed (1-7 business days)
   How to process Remittance
Log on to Proda and choose the delegate who you processed the DVA under. Go to messages and click on remittance. If the patient is DVA white card holder, it make take a week for the remittance to come in.
You will need to put the remittance into Reconciliation (https://admin.tpc.brdsites.com/home)
Invoice number = Provider Number on invoice
Customer = DVA (Customer)
Date = Date that payment came in (usually on invoice)
Invoice Amount = Total amount on invoice
In the Comment Section write “HOSPITAL DVA”
You will then need to enter the payment info into the excel spreadsheet with the DVA info.
You will need to email the spreadsheet to Mat at the end of the month when all the remittance is processed.
   Anomalies
If a student treated a patient
You will have to log on to the WPH Admissions Portal.
Click on “Administration”
Go to KPI
Enter date that student saw Patient. Enter same date in the “Date One” and “Date 2” field on the left
Hit “Submit”
Select a Supervisor Physio (a physio with RA number) from the list.

How late can I submit a DVA?
Technically up to a year but try not to leave it more than a fortnight. The sooner – the better.

There's a patient of the clinic on the same remittance as hospital patients, what do I do?
You enter the clinic patient's remittance into Nookal and Reconciliation as you would for a usual clinic DVA patient. You also need to let the clinic admin know that you've done this so they don't do it as well.

If the supervisor/hospital employee doesn’t have an RA number
You will have to contact them and ask them to get a RA Number. This usually takes 4 weeks, sometimes longer if Physio is from overseas. You will just have to wait and submit it when they get you the RA Number.

If the DVA is Zero Benefit/Denied
Check the reason on the Zero Benefit Claim invoice, there is usually a reason at the bottom of the invoice. Often it’s the white card text. If it’s the appointment type that has been denied, you may have to resubmit as a different appointment type eg. PH23 was denied, so you would try PH27.

If the DVA number is missing
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