Medicare


Medicare Gaps
 Reservoir - Physiotherapy Gaps: Initial $51.70 | Subsequent $36.70
 Heidelberg - Physiotherapy Gaps: Initial $51.70 | Subsequent $36.70
 Footscray - Physiotherapy Gaps: Initial $51.70 | Subsequent $36.70
 Kew - Physiotherapy Gaps: Initial $62 | Subsequent $42
 Kew - Podiatry Gaps: Initial $68 | Subsequent $38 | Comprehensive Repeat (long) $67
 Heidelberg - Podiatry Gaps: Initial $66 | Subsequent $37 | Comprehensive Repeat (long) $67
 Reservoir - Exercise Physiology Gaps: Initial $56.70 | Subsequent $36.70
 Heidelberg - Exercise Physiology Gaps: Initial $56.70 | Subsequent $36.70
 Footscray - Exercise Physiology Gaps: Initial $56.70 | Subsequent $36.70

Medicare (To check unpaid claims): 13 21 50 #6
EPC Stands for Enhanced Primary Care Plan, and is a referral given by Doctors for those with chronic conditions.
Patients can get this EPC referral from their GP's for up to 5 allied health visits per calendar year. The referral is valid for 12 months, after that they will need to get a new referral.
Any EPC's that are submitted on Hicaps on a Saturday won't show up on Proda until the following Tuesday.
Gaps are normal prices minus the $58 that Medicare pays (search gaps above), and can be offset against any one-on-one appointments (not classes)
Upload the care plan to Nookal documents, and note the following in the patient file
     In Nookal:
     EPC x5
     Provider Number
     Medicare Number
     Date of referral
Booking In
 Follow steps as new patient booking
 Select Physio Medicare Initial EPC Consultation (40 mins) or Subsequent EPC (20mins)
 Payer is Medicare
 Gap for all Physio, Podiatry, Ex Phys appointments are different. It is normal appt price - $58 that medicare covers.