Surgical Medicare Benefits Schedule (MBS) coding
In order to accurately report on surgical data and support surgical billing, MBS codes are recorded at time of surgery in the operation report.
In April 2024, data discrepancies identified significant errors in documentation and medical team knowledge gaps.
The SERT Institute undertook a review, connecting with finance to identify relevant billing codes and education strategies, address medical knowledge deficits and increase compliance rates. An automated database was created to extract data from the operation report, upload it to a finance repository access by the administration team responsible for data entry. A timeline was created to swiftly close the gap and enter retrospective data gaps for 2022-2023 and 2023-2024 FY generating revenue on Medicare rebate item numbers. Overall compliance has increased at time of surgery and revenue generation. The project remained on track to complete 2022-23 FY missing data by 30 June 2024 and subsequent years.
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Operational Plan Report: Key Priority 6
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