Medicare Claiming: How Tyro Health makes it easier to process bulk bill and patient claims

For most healthcare practices, being able to quickly process Medicare bulk bill and patient claims is not only an essential part of doing business, but it also has a tangible impact on the patient experience.  

We make it easier for all healthcare providers and their patients to get paid quickly by supporting both Medicare Easyclaim and Medicare Online bulk bill and patient claims. 

With Tyro Health, you can process instant Medicare claims (including ECLIPSE claims) through an integrated Tyro EFTPOS device, or digitally with Tyro Health Online. 

Read on for more details on our Medicare claiming functionality, including FAQs, and how you can experience faster processing of Medicare claims today.  

Medicare claiming with Tyro EFTPOS 

Medicare claims via a physical Tyro EFTPOS device are referred to as Easyclaim.  

Medicare Easyclaim allows patients to claim their Medicare benefit on-the-spot and have it paid into their bank account through your practice’s Tyro EFTPOS device.¹ It can be used 24 hours a day, 7 days a week for patient billing and bulk bill claims. 

This option is ideal for in-person processing of Medicare rebates and bulk billing patient Medicare claims. 

With Tyro EFTPOS, you also have access to our multi-merchant facility, which allows multiple providers to share a single EFTPOS device that allows Medicare claims to be raised at a provider level. 

Some of the great features of Medicare Easyclaim include: 

Medicare Bulk Bill

• No gap is charged to the patient 
• No batching or storage is required 
• Single payment for health professionals, bulk bull claims are made in 1-2 working days, paid directly into their nominated bank account

Medicare Patient Claim

• Full payment is taken upfront 
• Patients using a savings/debit card to pay in-person receive the rebate almost immediately into their bank account after the claim has been processed 
• Instant confirmation of a patient’s concessional status available to doctors, dentists, specialists, and allied health professionals that utilise Medicare for their billing purposes 

Medicare Online claiming with Tyro Health Online 

Our cloud solution, Tyro Health Online, enables you to send bulk billed and patient claims to Medicare. This is ideal for providers who want to automatically claim with Medicare, without the need for an EFTPOS device or their patient’s physical Medicare card. 

Our Medicare integration supports General Practitioners, Medical Specialists, Dentists and Allied Healthcare Professionals, and provides the ability to lodge claims for: 

• General and referred services; 
• Permitted telehealth scenarios; 
• Dental scenarios (Child Dental Benefits Scheme) – please ensure you’re familiar with DHS rules applicable to this scheme; 
• Permitted remote, regional, residential aged care facility, in-home, after-hours and other out of consultation room scenarios; 
• Hospital inpatient (admitted) scenarios; 
• Simple pathology services by qualified providers; and 
• Overrides and exceptions: duplicate service overrides, aftercare overrides, restrictive overrides and multiple attendance 

Medicare Bulk Bill

With Medicare bulk bill, providers can claim for eligible services billed at Medicare Benefits Scheme (MBS) rates and receive payments direct from Medicare. 

Medicare Patient Claim 

With Medicare private patient claims, providers can charge for eligible services at or above the MBS rates and have benefits paid by Medicare to patients or claimants. Patients must pay for the service prior to claiming, but usually receive their benefit payment by the next business day and do not need to submit a claim to Medicare. 

DVA claiming  

Tyro Health Online enables you to raise claims with the Department of Veterans’ Affairs (DVA) for straight-through processing and fast payment. 

Our DVA integration is offered via Medicare, so if you enable a provider for Medicare, we automatically enable you for DVA claims also. The following are the exceptions which require a special call to DVA: 

• Neuropsychologists 
• Social Workers (generalist) 
• Optical dispensers 
• Lymphoedema providers 

I’m ready to experience faster Medicare claiming, what next? 

If you’re ready to activate Medicare Online and DVA claiming in Tyro Health Online, follow the simple steps outlined here.  

Good news, if you are already a Tyro Health EFTPOS customer, Medicare Easyclaim is enabled on the EFTPOS device by default.  To check if your PMS is compatible and able to be integrated, please refer to our list of PMS partners and the available features.   

If you’re not already using Tyro Health EFTPOS, and would like to get started with Medicare EasyClaim, feel free to submit an enquiry or contact us, and we’d be happy to help. 

Disclaimers

¹ Medicare Easyclaim is only available where your third-party software or practice management system supports the integration.