NSW SIRA/WorkCover update & BUPA schedule changes
Posted by Sinclair Hughes on 01 December 2021 09:30 AM
NSW SIRA/Workcover have a new fee schedule from 1st Dec.
BUPA have implemented a national fee schedule from 1st December and allow the specialist to participate in either a Known-Gap or No-Gap Scheme. https://www.bupa.com.au/for-providers/bupa-medical-gap-scheme-whats-changing. This means the existing fee schedules cannot be used for new services or treatment and you will need to add BUPA-KnownGap or BUPA-NoGap as new Health Fund policies.
Instructions on how to add a new Health Fund is available from the following link http://go.incloud.clinic/healthfundpolicies
The SIRA/WC and BUPA fee schedules are included in the latest Rates.Aus file which is now available to download and import into SPM.
Note that importing the Medicare & Health Fund fee schedules will not adjust the fees that each doctor chooses to charge.
To download and import the new Medicare and Health Funds rates file:
The process to import and update the fee tables in the database could take 20-30 minutes and can be completed while other staff are still using SPM - although as it may cause some slow-down the import process should ideally be performed when no-one is using SPM.
When a small message box appears saying that the import has been successful you can exit by clicking on the Cancel button.
This notice has only been sent to you, for the whole practice, and if you are not the practice manager or administrator please notify them and forward this to their email address. Also let us know so that we can amend our records.
Advanced instructions for configuring the Health Funds in SPM, importing the Rates.AUS file and updating the specialist's individual charges from AMA or other fee schedules are available in this document
If you have any queries regarding the importing of the new schedules please let us know and we will do our best to help you.