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EXACT PRACTICE MANAGEMENT GUIDE - Republic of Ireland

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PROVIDERS PAYOR DETAILS

  1. Go to File > Providers

  2. Chose the provider you need to add the NHS details for in the code box

  3. On the right-hand side of the screen you will see the four options shown below please fill out all that apply.

  4. Once you have enter all of the relevant information click on the save icon below on the toolbar.

You will need to set up a GMS payor in order for the Med Card checker to appear.

File > Payor > Add new Payor > Set Payor Type to: GMS > Restart Exact

After you have set up a GMS payor the Med Card checker will appear under the Recalls Tab for the patient.

The Validator has two fields:

  • Med Card

  • Expiry

Only the Med Card field is used in the validation process, the expiry is not used.

A successful validation will provide the following details:

  • Whether or not the card number is valid on a GMS scheme

  • Doctor Number

  • Date of birth

  • Eligibility Start Date

  • Eligibility End Date

These details should match the information received from the online checker (https://www.sspcrs.ie/portal/checker/pub/check).

PAYOR PAYMENTS

GMS and PRSI fees can be amending within Exact;

  1. Click on File > Payors

  2. Then find which Payor you wish to amend the fees for;

  3. Click on the fee schedule box;

  4. This will bring you into the list payor fees and will bring up all your service codes. Find which code you wish to amend the fee for, by either scrolling through the list, or by searching in the bottom left corner.

  5. Click in the code you want to amend and with GMS where there is only the payor fee to amend if will bring up this box;

  6. You can then amend the fee in the payor amount box. With PRSI fees, you can change the Payor amount and also the Patient contribution. When you follow the above steps but in the PRSI payor you will get this box when you click into the service you want to edit;

There is an additional box of fee, this is the total amount that you receive for the service being done, so the patient contribution and the payor amount added together will equal the total fee

So using the service above the patient will pay €40 and you will receive €31.10 payor contribution, totalling €71.10 for the total service fee.

  1. Open a GMS COT

  2. Charted all the relevant treatment

  3. Click on the form icon shown below at the bottom of the COT window.

  4. You will then see the ‘Treatment Complete screen which will show the GMS Form number. This number should automatically generate from your system numbers

  5. Select OK

  6. You will then be prompted to print the form

  7. The GMS form below will automatically fill with the details from your treatment plan.

 

Printing the form

  1. Open a PRSI COT

  2. Click on the form icon below at the bottom of the COT window.

  3. On the screen below select Yes

  4. Choose the relevant option if you do not have a duplex printer I would advise to use the first option. Then click on Print

  5. Once the first page is printed you will be prompted to print the second page select Yes

Page 1

This is to be filled out by the patient. If available the information for the form such as name and address will be pulled through from the patient file.

Part 2

This is to be filled out by you

 

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