Multiple Procedure & Diagnostic Rules

Multiple Procedure Rules

When Multiple Procedure items are added to an invoice, Genie allows you to apply the Multiple Procedure Rule (MPR) to the items.

Those items which are affected by the MPR should already be marked as such in the Billing Items table (Open > Billing Items), as shown below.

The Multiple Procedure Rule Applies to This Item checkbox is automatically ticked when importing the Medicare Schedule. However, if it doesn’t seem to be working properly, then you should open the Item’s record (Open > Billing Items), by double clicking on the item and check that this checkbox is ticked.

When invoicing procedures you should enter the full normal fee for each item. When the second procedural item has been added a new button will appear on the invoice screen, as shown below.

You should continue adding all the items to the invoice. When you are finished, click on the Calculate Multiple Procedures button.

Genie will work from the most expensive item down applying the multiple procedure rule, based on the Medicare Schedule Fee.

The rule applies differently to GPs and Specialists, and sometimes Organisations. You can specify what MPR to apply when billing an Organisation, via the Account Holder record (Open > Account Holders).

You can specify whether you are a GP or a Specialist in your User Preferences (see User Preferences). If the calculation isn't working correctly, then this is the most likely case.

It doesn't matter in what order you enter the items. Genie will still work from the most expensive down. The important thing is that you enter all the items with their full fee to be charged before clicking the Calculate Multiple Procedures button.

Note: If you are entering multiple procedural items which took place on different days on the one invoice, then Genie will calculate each day's items separately, so that there is no need to create a separate invoice for each day's items.

Note: If there are items on the invoice for which the Multiple Procedure Rule applies, and you forget to press the Calculate Multiple Procedure button before trying to save or print the invoice, you will be presented with a reminder window which will allow you to go back and calculate the multiple procedure rule before saving the invoice.

Diagnostic Rules

If either the DIMSR or MVUSSR (diagnostic imaging and vascular ultrasounds) rule applies, a DIMSR or MVUSSR button will appear.

Click this and the appropriate rule will be applied to the billing items.