Healthscope fast tracks rebate claims thanks to Bizcaps
Data Management, Business Process, Business Process Management
For private hospitals, rapid and accurate processing of health care rebates for costly items like prosthetics can have a significant positive effect on cash-flow. Extracting the correct rebate code for one of the myriad of surgical prostheses available, can be a complex and time-consuming process.
Thanks to innovative Australian software developers Bizcaps, one of the country’s major private health providers, Healthscope Limited, has been able to streamline some of the more complex areas of their rebate claims processes to speed up their rebate claims and reduce costly administrative errors.
Healthscope operates 48 private hospitals across Australia and in a recent quality audit of their prosthesis claim systems discovered that inconsistent practices and a lack of tools were hindering efficiency.
There are around 9,500 rebate codes on the Commonwealth Prostheses List (CPL) covering often expensive surgically implanted items that range from cardiac pacemakers and stents, items used in hip and knee replacements, intraocular lenses and even human tissues like heart valves and corneas.
Around 30 surgical hospitals search every day for anything from ten to a hundred CPL rebate codes following surgery, and Healthscope racks up a $200 million spend on prosthetics across the group each year.
“We feed the CPL pricing information into our systems every six months, but that just contains a rebate code. It doesn’t include actual product information,” says Warwick Potts, Supply Operations Manager for Healthscope. “Several hundred thousand products exist and one rebate code may cover fifty items.” Administration staff use the product packaging to search for information, but Australian CPL rebate codes are not printed on the product packaging, he adds. Using Bizcaps MCIS software, Healthscope will be able to link into the NEHTA-established National Product Catalogue hosted on GS1 Australia’s GS1net datapool and instantly access the correct rebate code for each product as suppliers populate the data. Using Bizcaps A1 deployment framework, the system was installed in a matter of days. Over thirty suppliers have met the requirement to populate this data, with Healthscope waiting on just six suppliers to complete their data fields.
“The Bizcaps solution will enable us to search for real-time catalogue data, live from the supplier, to find that rebate code, saving us a lot of time and ensuring accuracy of information,” says Mr Potts.
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, Data Integration
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, Master Data Catalogue
, Master Data Management
, National Product Catalogue
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, Product Life Cycle Management Software
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