This metric is available to our Best Practice software integration customers.
The Historical Flu Vaccine Opportunities metric contains two tabs to help you identify flu vaccines that may have missing billing data. The sections in this are:
- Flu vaccines without an invoice - Displays flu vaccine immunisation records where the visitID is linked to a visit at your practice location, but no corresponding invoice exists for the date the vaccine was given.
- Flu vaccines with an invoice - Displays all flu vaccinations that do have a corresponding invoice at your practice location, allowing you to review records for any other billing irregularities.
To navigate to Historical Flu Vaccine Opportunities, go to: Cubiko home page > Essential actions >Billing actions > Missed Billing Opportunities > Historical flu vaccine opportunities
NOTE: A time limit of two years currently applies to the lodgement of claims with Medicare under the direct billing (assignment of benefit) arrangements. This means that currently, Medicare benefits are not payable for any service where the service was rendered more than two years earlier than the date the claim was lodged with Medicare.
For further information, refer to the MBS Medicare claiming time limit note and the Services Australia bulk bill late lodgements page.
Flu vaccines without an invoice
This tab shows a list of patients who have received a flu vaccine in their immunisation history but have no corresponding invoice for that date. Vaccines in this list have been recorded your practice location for the location where the vaccine was given as per the vaccine's visitID.
TOP TIP! Use this list to identify patients who may have attended an appointment for a flu vaccine and have no corresponding invoice. Such instances can occasionally occur amidst the hustle of busy flu clinics, where billing for this service may have inadvertently slipped through the cracks.
Use your filters on the left-hand side to filter down this list via the practitioner.
Flu vaccines with an invoice
This list shows patients who have received a flu vaccine in their immunisation history and also have a corresponding invoice for that date that comes from your practice location.
This list is a valuable tool for verifying the billing of private flu vaccines at your practice. Use the Item List column to review billed items for the day, cross-referencing vaccine records with patient eligibility for government-funded vaccines. If a patient is categorised as "Not eligible for government-funded vaccine" and their billing is limited to the consultation item only, consider whether a separate vaccine billing should be raised. You can also use this list to identify patterns across particular practitioners and ensure that privately purchased vaccine stock is being billed correctly.
TOP TIP! Use the filters on the left to filter down your list via Vaccine eligibility and vaccine name to assist you in targeting those who may not be eligible for government-funded vaccines:
