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Audit4 Billing transition to Medicare Web Services

Services Australia is introducing new mechanisms to communicate with Medicare. If you are currently using Audit4’s billing module then your organisation’s Medicare PKI Certificate is currently configured in your Audit4 and this is used to secure the communications with Medicare Online and ECLIPSE. After the 13 March 2022, this current mechanism using the Medicare PKI will cease to function.  Audit4, and all other software that provides billing with Medicare integration, will need to use the Medicare Web Services from March 2022

Timeline 

February 2021:

S4S commenced Audit4 development work to support Medicare Web Services.

July 2021:

Audit4 v20.1.0 granted Notice of Integration (NOI) by Services Australia for Medicare Online – Online Patient Verification (i.e. Medicare, DVA and Health-fund numbers), Patient Claims, Bulk Bills and DVA Claims.  Inpatient Medical Claims are excluded at this point and still rely on Medicare Adapter and PKI Certificate for secure communication with Eclipse.

August 2021:

Audit4 v20.1.0 deployed to our Alpha site for live real world use communicating with Medicare Online via Web Services.

August 2021:

S4S commenced Audit4 v20.2.0 development work to extend Web Services support to include Inpatient Medical Claims and Eligibility Checking.

Sept/Oct 2021: 

Audit4 v20.1 deployed to a number of Audit beta users for real world use for communicating with Medicare Online via Web Services.

Q4 2021:

Audit4 submission to conformance testing for Inpatient Medical Claiming via Web Services.  Deployment to Audit4 Alpha and Beta sites once final conformance granted by Services Australia.

Q1 2022:

Fully conformant version of Audit4 using Web Services roll-out to all practices using the Audit4 Billing module.

Preparing for Web Services

You will need to register your organisation in PRODA. The following link is provided by Services Australia to help you prepare for Web Services.
https://www.servicesaustralia.gov.au/organisations/health-professionals/subjects/web-services-digital-health-and-aged-care-channels/how-prepare-web-services

Services Australia can help with the PRODA Organisation registration process.  When your Audit4 is upgraded to v20.1.0 (or greater), S4S Support can assist linking your PRODA Organisation to use Medicare Online and HPOS via Medicare Web Services – this will require some Audit4 configuration.

Will Audit4 be different?

Basically no.  The user Audit4 user billing interface does not really change – it is the communication method underneath that uses the new Medicare Web Services method.  But the good news is that whenever you interact with Medicare (validate a Medicare Number, submit a claim, download a report etc.) it will probably be faster then the old Medicare Adapter/PKI method.