Release Notes and Installation Instructions. Medtech32. ACC Subsidy Updates
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1 Release Notes and Installation Instructions Medtech32 ACC Subsidy Updates General Practitioners, Medical Specialists, Nurses, Podiatrists and Specified Treatment Providers (April 2014) These Release Notes contain important information for all Medtech32 users. Please ensure that they are circulated amongst all your staff. We suggest that these notes are filed safely for future reference. Copyright Medtech Limited Page 1 of 8
2 ACC Subsidy Updates April 2014 This update will install the following ACC subsidy amendments effective from 1 April 2014 in Medtech32: Contract Class Service Item Code Item description Flat Rate (GST inclusive) Secondary Amount (GST inclusive) General Practitioner CON6 Under 6yrs consultation. $ N/A Hourly Rate (GST inclusive) General Practitioner GP1 Consultation $ N/A General Practitioner GPN Nurse/GP consultation $ N/A General Practitioner GPN6 Nurse/GP consultation-under 6yrs $ N/A General Practitioner MB1 Treatment of burn <4cm2 $ $ General Practitioner MB2 Treatment of burn at a single site >4cm2 $ $ General Practitioner MB3 Treatment of significant abrasions <4cm2 at a single site $ $ General Practitioner MB4 Treatment of significant abrasions >4cm2 at a single site $ $ General Practitioner MB5 Significant burns or abrasions (not including fractures) at multiple sites (>4cm2); necessary wound cleaning, preparation, and dressing $ $ General Practitioner MD1 Dislocation finger/ toe with splint/strapping $ $ General Practitioner MD2 Dislocation of thumb closed reduction and immobilisation $ $ General Practitioner MD3 Dislocation of elbow with radiological confirmation; closed reduction and immobilisation $ $ General Practitioner MD4 Dislocation of shoulder closed reduction and collar and cuff immobilisation $ $ General Practitioner MD5 Dislocation of patella closed reduction and cast immobilisation $ $ General Practitioner MF1 Fractured finger or toe (proximal, middle or distal phalanx); closed reduction and immobilisation. $ $ Copyright Medtech Limited Page 2 of 8
3 General Practitioner MF10 Fractured distal radius and ulna requiring closed reduction, involving regional or other form of anaesthesia $ $ General Practitioner MF11 Fractured shaft radius and ulna: treatment by cast immobilisation General Practitioner MF12 Fractured distal humerus (supracondylar or condylar): by cast immobilisation $ $ $ $ General Practitioner MF13 Fractured proximal or shaft humerus: immobilisation by collar and cuff or U-slab $ $ General Practitioner MF14 Fractured shaft tibia and/or fibula: treatment by cast immobilisation with reduction $ $ General Practitioner MF15 Fractured distal tibia and/or fibula: treatment by cast immobilisation with reduction $ $ General Practitioner MF16 Fractured fibula (without tibial fracture); immobilisation with soft tissue strapping $ $ General Practitioner MF2 Fractured finger or toe (proximal, middle or distal phalanx); requiring local anaesthetic General Practitioner MF3 Fractured metatarsal: closed reduction (not requiring cast); closed reduction, immobilisation by strapping $ $ $ $ General Practitioner MF4 Fractured metacarpal(s) hand: with or without local anaesthetic; immobilisation by strapping $ $ General Practitioner MF5 Fractured carpal bone, including scaphoid: treatment by cast immobilisation, not requiring reduction $ $ General Practitioner MF6 Fractured tarsal or metatarsal bones (excluding calcaneum or talus): treatment by cast immobilisation $ $ General Practitioner MF7 Fractured calcaneum or talus: treatment by cast immobilisation $ $ General Practitioner MF8 Fractured clavicle $ $ General Practitioner MF9 Fractured distal radius and ulna; cast immobilisation not requiring reduction $ $ General Practitioner MM1 Abscess or haematoma: drainage with incision (with or without local anaesthetic agent) $ $ Copyright Medtech Limited Page 3 of 8
4 General Practitioner MM2 Insertion of IV line for administration of IV medications or electrolytes or transfusion (if provided under local or national guideline approved by ACC) $ $ General Practitioner MM3 Nail, simple removal of $ $ General Practitioner MM4 Nail, removal of or wedge resection requiring the use of digital anaesthesia General Practitioner MM5 Removal of embedded or impacted foreign body from cornea or conjunctiva (with use of topical anaesthetic);or from auditory canal or nasal passages; or from skin or subcutaneous tissue with incision; or from rectum or vagina $ $ $ $ General Practitioner MM6 Pinch skin graft $ $ General Practitioner MM7 Dental anaesthetic $ $ General Practitioner MM8 Epistaxis: arrest during episode by nasal cavity packing with or without cautery $ $ General Practitioner MT1 Simple soft tissue injuries; management of simple sprain of wrist/ankle/knee/elbow/or other soft tissue injury requiring crepe bandage or similar immobilisation not requiring formal strapping $ $ 8.22 General Practitioner MT2 Soft tissue injury (other than splinting of dislocated or fractured digit), unless specified elsewhere; application of plaster or padded splint or specific strapping within agreed guidelines (includes splinting of Achilles tendon injury and serious ankle sprains) $ $ General Practitioner MT3 Inflamed joint, tendon, bursa or other subcutaneous tissue or space; aspiration (with or without injection) $ $ General Practitioner MT4 Extensor tendon, primary repair $ $ General Practitioner MT5 Ruptured Tendo Achilles: management by plaster immobilisation $ $ General Practitioner MW1 Closure of open wounds less than 2cm - any necessary care and treatment including cleaning and debriding, exploration, administration of anaesthetic, and dressing $ $ Copyright Medtech Limited Page 4 of 8
5 General Practitioner MW2 Closure of open wound (or wounds) of skin and subcutaneous tissue or mucous membrane 2cm to 7cm long: any necessary care and treatment including cleaning and debriding, exploration, administration of anaesthetic, and dressing $ $ General Practitioner MW3 Closure of open wound (or wounds) of skin and subcutaneous tissue or mucous membrane >7cm long: any necessary care and treatment including cleaning and debriding, exploration, administration of anaesthetic, and dressing $ $ General Practitioner MW4 Amputation of digit - including use of anaesthetic, debridement of bone and soft tissue, closure of wound $ $ Medical Specialist CS01 Specialist practicing within any other recognised branch of medicine $ $ Medical Specialist CS02 Internal Medicine, Neurosurgery,Occupational Medicine, Paediatrics, Psychological medicine or Psychiatry, Rehabilitation medicine consultation $ $ Medical Specialist SB1 Foreign Body Removal - Local Anaesthetic $ $ Medical Specialist SB2 Foreign Body Removal - General Anaesthetic $ $ Medical Specialist SB3 Foreign Body Removal - Cornea Or Sclera $ $ Medical Specialist SB4 Foreign Body Removal - Ear (Not Simple Syringing) $ $ Medical Specialist SB5 Foreign Body Removal - Muscle/Tendon/Deep Tiss $ $ Medical Specialist SB6 Foreign Body Removal - Nose (Not Simple Probe) $ $ Medical Specialist SB7 Foreign Body Removal - Throat $ $ Medical Specialist SD1 Disloc Elbow, Wrist, Thumb, Finger - Strapping/Splint $ $ Medical Specialist SD2 Dislocations, Clsd Reduc - Shoulder $ $ Medical Specialist SD3 Dislocations, Clsd Reduc - Patella $ $ Medical Specialist SD4 Dislocations, Clsd Reduc - Hip $ $ Medical Specialist SF1 Fractures, Clsd Reduc - Phalanges $ $ Medical Specialist SF10 Fractures, Clsd Reduc - Talus-Neck $ $ Copyright Medtech Limited Page 5 of 8
6 Medical Specialist SF11 Fractures, Clsd Reduc - Calcaneus $ $ Medical Specialist SF12 Fractures, Clsd Reduc - Other Tarsals $ $ Medical Specialist SF13 Fractures, Clsd Reduc - Ankle #/Disl, Potts $ $ Medical Specialist SF14 Fractures, Clsd Reduc - Tibia/Fibula-Shaft $ $ Medical Specialist SF15 Fractures, Clsd Reduc - Tibia/Fibula, Upper $ $ Medical Specialist SF16 Fractures, Clsd Reduc - Tib/Fib w Joint Traction $ $ Medical Specialist SF17 Fractures, Clsd Reduc - Femur w/wo Traction $ $ Medical Specialist SF2 Fractures, Clsd Reduc - Metacarpals Excl Bennett $ $ Medical Specialist SF3 Fractures, Clsd Reduc - Metatarsals $ $ Medical Specialist SF4 Fractures, Clsd Reduc - Bennetts $ $ Medical Specialist SF5 Fractures, Clsd Reduc - Carpal Bones $ $ Medical Specialist SF6 Fractures, Clsd Reduc - Colles $ $ Medical Specialist SF7 Fractures, Clsd Reduc - Radius & Ulna, Shafts $ $ Medical Specialist SF8 Fractures, Clsd Reduc - Radius Head/Neck $ $ Medical Specialist SF9 Fractures, Clsd Reduc - Humerus $ $ Medical Specialist SH1 Haematoma, Abscess, Infect - Simple Aspiration $ $ Medical Specialist SH2 Haematoma, Abscess, Infect - Inc/Drain Local Anaesthetic $ $ Medical Specialist SH3 Haematoma, Abscess, Infect - Inc/Drain Gen Anaesthetic $ $ Medical Specialist SM1 Other Aspiration Of Joint $ $ Medical Specialist SM2 Other-Amputation All Or Part Of 1 Digit $ $ Medical Specialist SM3 Other-Extensor Tendon,Primary Repair $ $ Medical Specialist SM4 Other-Nail, Simple Removal Of $ $ Medical Specialist SP1 Plaster Upper Limb - Above Elbow $ $ Medical Specialist SP2 Plaster Upper Limb - Below Elbow $ $ Medical Specialist SP3 Plaster Lower Limb - Above Knee $ $ Medical Specialist SP4 Plaster Lower Limb - Below Knee $ $ Copyright Medtech Limited Page 6 of 8
7 Medical Specialist SR1 Repair Recent Wound - Superficial < 7 cm $ $ Medical Specialist SR2 Repair Recent Wound - Deeper Tissue <7 cm $ $ Medical Specialist SR3 Repair Recent Wound - Superficial > 7 cm $ $ Medical Specialist SR4 Repair Recent Wound - Deeper Tissue > 7 cm $ $ Nurses NCON Nurse consultation $ N/A Nurses NUP1 Nurse Practitioner Consultation $ N/A Podiatrist POD1 Podiatry-Clinical Assessmt &Treatmt:Conds of Lower Limb/Foot $ Podiatrist POD3 Podiatry: Abscess or haematoma: drainage with incision $ N/A $65.27 Podiatrist POD4 Podiatry: Nail, simple removal of $ N/A Podiatrist POD5 Podiatry: Nail, removal of/wedge resection, w digital anaes $ N/A Specified Providers Treatment OT01 OST1 ACU1 PHY3 POD1 CH01 ST01 occupational osteopathy Acupuncture physiotherapy podiatry chiropractic speech therapy therapy $ $65.27 Specified Providers Treatment XRAY Chiropractic Xray $ N/A Copyright Medtech Limited Page 7 of 8
8 Installation Prerequisites Checklist Check the current Medtech32 installed version [Help About Medtech32] before attempting this upgrade. The practice must be on the following Medtech32 version: Version 10 or later. It is not required for users to be logged out of Medtech32 for this update to be run, because the main application is not affected. 3. This document has been reviewed and is understood. 4. Ensure you are logged onto Windows with Full Administrative rights when performing ANY installation, update, or maintenance tasks. 5. You are logged onto the Medtech32 Server. Installation Instructions 1. Visit our website at 2. Select New Zealand in the region drop down (top right hand side of the window). 3. Select menu, Medtech Online Medtech32 Downloads. The New Zealand Medtech32 Updates page will be displayed. 4. Click on the link ACC Subsidy Updates (April 2014). 5. If any security warnings appear in your environment, select Run. 6. The installation process will begin. 7. Once the update is completed, the following message will be displayed. 8. Click on OK to close the installation screen. For further information on these new features, or any other queries regarding the changes in this release, please contact Medtech Support as follows: Via the Medtech32 application [Help Contact Support] By to By fax to 0800 MEDTECH ( ) By phone on MEDTECH ( ) Copyright Medtech Limited Page 8 of 8
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