HICAPS/Medicare Charting

About HICAPS Charting

Some Health Funds have rules that require each item of service that has a tooth number to be charted as an individual item instead of EXACT's usual format.
However, you can just chart services as normal, because where necessary EXACT will convert charted services into a format acceptable to HICAPS.

For example, if three adjacent teeth are extracted and charted as one item, EXACT will create three individual line items for sending to HICAPS. The charted items will not be changed, but the individual items will be stored and displayed in the HICAPS format wherever they are used in HICAPS claim and quote documents or reports.

If you resubmit treatment to the chart, single line chart items will remain single line items with multiple teeth assigned.

Services which cover multiple teeth and which do not require tooth numbers for HICAPS claims will not be changed.

To Chart Treatment using HICAPS

  1. Open the Patient File by selecting File > Patients or the Patients shortcut button Patients button on the Toolbar.
  2. Select the required patient by typing the first few letters of their surname into the search box at the top left of the screen, then use the and/or buttons to refine your search.
  3. When the patient's record is displayed, click the Chart tab to open the tooth chart.
  4. In the Treatment Plan area, click the button to create a new treatment plan:
    Create a new Treatment Plan
    The Create Treatment Plan window displays:
    Create Treatment Plan dialog
    Adjust the Number of Appointments and colour details as required, then click the button.
  5. You will now have to choose the provider who is to carry out the treatment, and the fee schedule used:
    Select Provider dialog
    Click in the entry box for the field and use the and/or buttons to select from the options displayed. Click the button when you have finished.
  6. From the Service List on the right-hand side of the window, select the service to chart, by clicking once on it. Click the tooth surface the service is to apply to; this will add the treatment to the new treatment plan. Repeat for any other services and/or teeth surfaces included in the treatment.
  7. If you make any mistakes with adding treatment, either highlight the item and press the Delete key, or drag the item to the 'trashcan' icon in the bottom left corner of the screen. Either of these actions will remove the treatment item from the treatment plan.
  8. When you have completed the patient's treatment, click on the checkbox for each item to mark it as complete:
    Completed treatment
  9. Click the button at the bottom of the screen. This will create invoice entries for the treatment items.
  10. A Print Invoice screen displays:
    Print Invoice dialog
    This allows you to print or email an invoice if the practice or the patient requires one. If you wish to print an Invoice, select the appropriate details and format, click the 'Preview' button to check it, then the 'Print' button (there is also a 'Print' button on the 'Preview' window). If you do not require a copy, click the 'Cancel' button.
  11. Click the button; this will mark the treatment plan as completed, move the treatment items into 'History', and allow you to set recall details for the patient's next appointment(s):
    Set Recalls dialog

    To view the invoice details, click the Transactions button (£) (transactions) button. This will display all outstanding transactions for the patient.

See also...

HICAPS Connect

Installing HICAPS Connect

Patient File Setup for HICAPS / Medicare

View HICAPS Providers list

Claiming via HICAPS Connect

HICAPS Quotes

EFTPOS

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