Submitting a Medicare Claim for In-Hospital Services - Medicare 2.0 – Nookal

This article explains how to submit Medicare In-Hospital Services Claims.

Submitting a Medicare Claim for In-Hospital Services at the time of Invoicing.

1. Click on Generate Invoice on the appointment screen.

Hot Tips
In Fresh View, it looks like this:

2. Tick Add to Medicare Queue.

3. Click on Save Invoice.

4. Select the Claim Type from the top dropdown menu.

Medicare Bulk Bill Claim: Medicare is billed directly for a Patients medical or allied health service, and the practice accepts the Medicare benefit as full payment for the service. The patient assigns their right to a Medicare benefit, so the benefit is paid to the practice.
Medicare Patient Paid Claims (Client Reimbursement): The Patient or Claimant (e.g. a parent) pays the practice for the total amount of the service, and the practice lodges a Medicare claim on their behalf. If the Claim is accepted, Medicare will pay the designated amount directly to the Patient or Claimant
DVA Medical Claim: Select this option if you are seeing a DVA Client while they are in Hospital.

5. After the Claim Type is selected, further Claiming Options will appear.
If you are submitting a Client Reimbursement for a Client under age 12, select a Claimant. You can also optionally enter an Account Reference into the ACRF Field.

6. Select a Service Type.

7. For Location select Hospital.

Hot Tip!
If Hospital is missing from the Location list it might not be enabled in your Online Claiming Setup. Read the Setting up your Medicare Claiming Settings section in our help guide here.

8. Select Yes from the In Hospital dropdown menu. Then select the Hospital name and review the Registration / Facility ID below it.

Hot Tips
If the Hospital doesn't have a Facility ID saved, navigate to the Contacts menu > locate the Hospital from the list > add the Facility ID to the section highlighted below > Save Changes.

9. If required, select a Principal Payee.

10. Select a Referral or No Referral Required as appropriate.

11. If a Referral is selected also select the Referral Period and the Referral Type.

12. Ensure the Item Code and Claim amount are correct in the open pop-up box.

13. Select the appropriate Provider Number for the Provider that matches the Location or Claiming Group (Minor ID).

14. Tick the box of the Item(s) to claim.

Hot Tip!
You can add multiple items to an invoice to claim them simultaneously to reduce online claiming fees.

15. The remaining fields will vary depending on the Service Type and the settings you have selected in the Online Claiming Setup. Complete any remaining fields with the relevant information.

16. Click Submit Claim.

For successful claims, Patient Medicare benefits are usually available in their bank account within one to two business days.

Important!
After clicking Submit, any errors will be outlined in red with helper text identifying the issue. After the error is resolved, the user can click Submit again to send the invoice for claiming. For example: