Configuring Item Codes to enable Medicare claiming

For an Item Code to be claimed through Medicare via the Tyro terminal, it must first be enabled as a Medicare Item.

Go to Settings > Billing > Item Codes

From your list of available Item Codes, click on an item to open its settings.

You can now Edit this item code, and under the Claiming Options enable the Medicare Item option.

If required, an Override Code can be entered if you need to submit a different code when processing a claim. This is only necessary if your Item Code is not already a valid Medicare code.

Submitting a Medicare Bulk Bill Claim

Bulk bill claims can be submitted via the Tyro terminal. Once successful claims are paid to you by Medicare, they need to be manually paid off in PracSuite. To avoid having to manually pay off invoices, consider using the Medipass integration.

After adding a Medicare item to an invoice, the Tyro button will appear.

Select the Medicare Bulk Bill option.

The Medicare details and referral details stored on the patient file will be displayed.

The '+' icon to the left of each item allows you to submit additional information with the claim.

The Tyro popup window will appear. Step through the prompts accordingly.

A popup will appear in PracSuite summarising the status of the claim. Again, once successful claims are paid to you by Medicare, they need to be manually paid off in PracSuite.

Submitting a Medicare Patient Claim

Medicare Patient Claims can be submitted via the Tyro integration, which can be submitted with or without payment from the patient:

- If you submit a Patient Claim without a full up-front payment from the patient, the patient will receive a cheque from Medicare in the name of the business, which they will need to return to the business as payment for the service. This also applies if the patient has made a partial payment that doesn't cover the full service cost.


- If you submit a Patient claim with a full up-front payment from the patient, the patient will be asked to swipe an EFTPOS card and the rebate will be paid back to their account. It is important that you "Add" the full up-front payment in PracSuite before selecting the 'Tyro - Medicare Patient Claim' option to achieve this result.

Considering the additional overhead in returning cheques to the business, where they then need to be deposited at the bank, most businesses choose to take the full up-front payment from the patient and process the rebate to the patients debit/savings card immediately. As an alternative, businesses can consider using the Medipass integration to submit patient claims where the rebate is paid back into the patient's bank account that is registered with Medicare.

After adding a Medicare item to an invoice, the Tyro button will appear.

Select the Medicare Patient Claim option.

The Medicare details and referral details stored on the patient file will be displayed

You will be stepped through the process of submitting the claim, including swiping the patient's debit/saving cards to receive the rebate if the patient has paid up-front. Please note in this scenario the patient must have a debit/savings card to proceed.

Once complete, you will receive confirmation of the benefit in PracSuite.

Did this answer your question?