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:
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.
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.