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MedFePS (Medical Fee for Service Payment System) software records patient encounter details, calculates payments due to visiting medical officers (VMOs), and provides DRG based income and expense reports:

The central components of the MedFePS database record information about patient admissions and all patient encounters. These records provide a detailed medical history that may be used in a variety of ways, including:

Processing accounts

MedFePS uses the information recorded to calculate the fee payable to each provider for each service provided. MedFePS applies all the rules contained in the relevant Schedule and ensures that the fee is correct in each case.

Auditing and reviewing procedures

A major benefit of MedFePS is that it provides a level of checking not possible using manual procedures. Rules are so complex and tedious to check that it is beyond the capabilities of hospitals to check more than a random sample of claims. MedFePS checks every encounter and produces a printed report of encounters that warrant investigation.

Cost summaries

MedFePS provides a detailed analysis of patient costs in a variety of formats and several of these reports are sorted by DRG number to match the methods used for budget allocation.

MedFePS was initially designed around the Medicare Benefits Schedule issued by the Australian Government (Commonwealth), but has been adapted to work with similar schedules. The software allows for multiple schedules to be held at the one time (provided that there is no duplication in item numbers), and it applies the fee appropriate at the time the service was provided. MedFePS explains how a fee has been calculated when requested to do so.

Contact Ebor for further information.

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