MyMedicare - for MedicalDirector

Key MyMedicare metrics and actionable steps to analyse which patients are registered and could be registered

The MyMedicare cabinet is full of actionable data and key insights to assist you in analysing the current patients who are MyMedicare registered with your practice and patients eligible to register for your practice.

You can access Cubiko's MyMedicare metrics from the home page by going to MyMedicare > MyMedicare 


NOTE! To access the list of "My Medicare registered patients," you must upgrade to MedicalDirectors Clinical and Pracsoft version 4.3. The registered patients metric is not compatible with versions before 4.3. This update introduces the new MyMedicare Enrollment Status field. Follow the instructions provided by MedicalDirector to import data and verify that this field is accurately filled out. Once this step is completed, Cubiko will automatically display the patient as registered in our metrics. See more information from MedicalDirector here!

TOP TIP! Active patients:

Cubiko’s current suggestion is to work on the patient database and ensure that patients are active where appropriate. To be eligible for MyMedicare most patients will need to have made two face-to-face visits to the practice within the past two years to register. Source: RACGP NewsGP

 

The Management team can use MyMedicare metrics to view:

There are two additional key MyMedicare metrics designed for your Administration/Reception team that look at :

 

To navigate to the MyMedicare cabinet go to MyMedicare tab > MyMedicare cabinet

 

The sections included in this article are:


Understanding the Metrics and Key Components


  • MyMedicare registered: Refers to a patient that has registered your practice under MyMedicare and this data will come from your CSV import from Proda. 
  • MyMedicare eligible: This will look at patients who meet the eligibility criteria for MyMedicare registration. The RACGP advises that most patients will need to have had two face-to-face visits to the practice within the past two years to register. Source: DOHAC
  • Ineligible patients: Identifies patients who have not had two face-to-face visits to the practice within the past two years but may have had previous billings in the below categories.
  • MyMedicare eligible patients with previous RACF billing: Identifies patients with a past billing history for RACF MBS items. These items include items 731, 903, 90001, 90020, 90035, 90043, 90051, 90002, 90092, 90095, 90096, 90183, 90188, 90202, 90212, 5010, 5028, 5049, 5067, 5260, 5263, 5265, 5267 and have had two face-to-face visits to the practice within the past two years
  • MyMedicare eligible CDM patients: Identifies the patients that meet the eligibility criteria for MyMedicare registration and have had an item 721, 723, 731 or 732 (or equivalent) billed at the practice and have had two face-to-face visits to the practice within the past two years
  • MyMedicare eligible telehealth/telephone patients: Identifies patients who have had a telehealth/telephone item billed at the practice and have had two face-to-face visits to the practice within the past two years
  • MyMedicare eligible patients with previous MHTP billings: Identifies patients who have a history of MHTP billings and have had two face-to-face visits to the practice within the past two years
  • Preferred Practitioner: A Practitioner is determined as being ‘preferred’ if they saw a patient more than other Practitioners in at least two appointments at the clinic in the past 365 days. If more than one Practitioner meets this criteria, the one seen most recently by the patient is shown.
  • Registered Practitioner: The practitioner the patient has registered with for MyMedicare.  Unfortunately, at this stage, MD/PS do not have an option to enter this information on the patient's file.  This means there is no information for Cubiko to extract.  This column will appear at "Registered doctor unknown to Cubiko".


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Using the metrics and data in your practice

MyMedicare registered patients breakdown

Identify the total number and percentage of MyMedicare registered patients, cumulative MyMedicare registrations and registered patients by age.

Use this metric to Identify the number of MyMedicare registered patients, here you will find an overview of the number of patients currently registered, the number of patients eligible but unregistered and the percentage of MyMedicare eligible patients registered. You will find on this page a detailed list of those registered with upcoming appointments. 

The key list on this page to use frequently is the List of eligible patients with upcoming appointments - Use this list to flag the patients who could be advised of patient registration whilst attending the clinic. 

TOP TIP: Expand the List of eligible unregistered patients and use the filter to see patients with upcoming appointments.

Your reception and team can also review Unregistered patients with upcoming appointments in Clinic Insights > Today's clinic metrics > Possible MyMedicare eligible patients

Under the MyMedicare Patients tab, you will also MyMedicare registrations and Registered patients by age:

NOTE! To access the list of "My Medicare registered patients," you must upgrade to MedicalDirectors Clinical and Pracsoft version 4.3. The registered patients metric is not compatible with versions before 4.3. This update introduces the new MyMedicare Enrolment Status field. Follow the instructions provided by MedicalDirector to import data and verify that this field is accurately filled out. Once this step is completed, Cubiko will automatically display the patient as registered in our metrics. See more information from MedicalDirector here!

Where in MD are we identifying these patients as MyMedicare registered? 


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MyMedicare eligible patients to register

View your total MyMedicare eligible patients in the practice and total MyMedicare eligible patients with no appointment in the next three months. 

Use this list to identify patients with upcoming appointments to determine if these patients could be advised of patient registration whilst attending the clinic. You can also identify patients with no appointment and determine if these patients should be contacted for patient registration. You can use this list to export to .csv and import it into your online appointment platform to bulk SMS patients. 

MyMedicare eligible patients:

MyMedicare eligible patients with no appointment in next 3 months:


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MyMedicare patients with previous RACF billings

View your MyMedicare patients with previous RACF billings - both registered patients and eligible to register patients, alongside ineligible patients.

This metric is found under the MyMedicare cabinet > Cohort analysis

The front tile will show the Percentage of MyMedicare patients with previous RACF

This metric contains 3 key actionable lists:

  • List of registered patients with previous RACF billing

  • List of eligible patients with previous RACF billing - Use this list to identify patients with upcoming appointments to determine if these patients could be advised of patient registration whilst attending the clinic. You can also identify patients with no appointment and determine if these patients should be contacted for patient registration.

TOP TIP! Under the eligible patients with previous RACF billings you can view the metric "Possible RACF MyMedicare annual aged care incentive for practice".

From 1st August 2024 the General Practice Aged Care Incentive is available for Practices and Practitioners who meet the requirements as outlined in this fact sheet from the Department of Health and Aged Care available here. 
This figure represents the possible annual incentive for a practice and the Practitioner if every eligible RACF patient met the criteria for the incentive.

 

TOP TIP! When reviewing your Cohort anaylis data - use the filter MyMedicare registered patients to target your unregistered patients.

You can then filter these lists to view patients with upcoming appointments!

 

  • List of ineligible RACF patients- These patients have had previous RACF billings but are not eligible to register at your practice. Use this list to engage with those RACF patients to proactively book in with your practice so they become eligible to register with your practice. 

 

 

MyMedicare CDM patients

View your MyMedicare CDM patients - both registered patients and eligible to register patients, alongside ineligible patients.

This metric is found under the MyMedicare cabinet > Cohort analysis

The front tile will show the Percentage of MyMedicare CDM patients 

TOP TIP! Use the Percentage metrics to determine whether the RACF, CDM, or Telehealth/telephone category has the lowest percentage of registered MyMedicare patients, or identify which category is most crucial for your practice to focus on.

 

This metric contains 3 key actionable lists:

  • List of registered CDM patients

  • List of eligible CDM patients - Use this list to identify patients with upcoming appointments to determine if these patients could be advised of patient registration whilst attending the clinic. You can also identify patients with no appointment and determine if these patients should be contacted for patient registration.

  • List of ineligible CDM patients - These patients have had previous CDM billings but are not eligible to register at your practice. Use this list to engage with those CDM patients to proactively book in with your practice so they become eligible to register with your practice.

 

 

MyMedicare Telehealth/Telephone patients

View your MyMedicare Telehealth/telephone patients - both registered patients and eligible to register patients, alongside ineligible patients.

This metric is found under the MyMedicare cabinet > Cohort analysis

The front tile will show the Percentage of MyMedicare Telehealth/telephone patients. 

This metric contains 3 key actionable lists:

  • List of registered Telehealth/telephone patients

  • List of eligible Telehealth/telephone patients - Use this list to identify patients with upcoming appointments to determine if these patients could be advised of patient registration whilst attending the clinic. You can also identify patients with no appointment and determine if these patients should be contacted for patient registration.

  • List of ineligible Telehealth/telephone patients- These patients have had previous Telehealth/telephone billings but are not eligible to register at your practice. Use this list to engage with those Telehealth/telephone patients to proactively book in with your practice so they become eligible to register with your practice.

TOP TIP! These metrics help you look at which patients may be impacted by the changes to Telehealth & Telephone billings with MyMedicare. This allows you to prioritise which patients to discuss MyMedicare and patient registration with. 


 

 

MyMedicare eligible patients with previous Mental Health Care Plan billings 

This metric identifies a list of patients who have a history of MHTP billings who have had two face-to-face visits to the practice within the past two years. Use this list to identify patients with upcoming appointments to determine if these patients could be advised of patient registration whilst attending the clinic. You can also identify patients with no appointment and determine if these patients should be contacted for patient registration.


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Most valuable patients

Identify the most valuable patients and look to engage with these patients to ensure they register with your practice. 

This metric will help you identify your most valuable patients by identifying details for each patient that has been billed in the selected time frame. You can see how much each patient has been billed (inclusive of GST), the number of completed appts, their most recent appt, last seen doctor and usual doctor. Use this list within the metric to identify your most valuable patients and look to engage with these patients to ensure they register with your practice.

TOP TIP! Use the columns $Billed to see your top-billed patients alongside #of completed appts to see patients that have had the highest number of patients and look to engage with these patients to ensure they register with your practice. If patient registration for MyMedicare is restricted only to patients who are defined as MyMedicare eligible in your practice ensure you use the filter below:


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Additional Resources and Tools

    • Use the Resources tab within the MyMedicare cabinet to view trusted MyMedicare information and resources. 


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