Release Notes & Installation Instructions Medtech32

Transcription

1 Release Notes & Installation Instructions Medtech32 ACC Subsidy Updates for s, Nurses, Radiologists, Specialists & Specified Treatment Providers and for Physiotherapy Services (Effective 1 December 2016) These release notes contain important information for Medtech32 users. Please ensure that they are circulated amongst all relevant staff. We suggest that they are filed safely for future reference. Copyright Medtech Limited Page 1 of 20

2 ACC Subsidy Updates 1 December 2016 ACC has advised that there is an increase of 2.22% to all the amounts ACC is liable to pay, or contribute towards treatment, under the Cost of Treatment Regulations (CoTR). These changes will take effect on 1 December In addition, ACC has advised that new service item codes for physiotherapy following ACC-funded surgery (acute and elective surgery) are being introduced on 1 December Physiotherapists will not have to apply for further treatment via the post-surgery phone approval or the ACC32 process before commencing post-surgery treatment. This update will install the following ACC subsidy amendments for the listed Services Contracts, effective from 1 December 2016, within Medtech32. The update can be run anytime prior to 1 December Cost of Treatment Regulations Changes GP1 Consultation $ N/A GP13 Under 13yrs consultation GP only $ N/A GPN Nurse/GP consultation $ N/A GN13 Under 13 yrs consultation GP Nurse combined $ N/A MB1 Treatment of burn <4cm2 $ $ Copyright Medtech Limited Page 2 of 20

3 MB2 Treatment of burn at a single site >4cm2 $ $ MB3 MB4 MB5 Treatment of significant abrasions <4cm2 at a single site Treatment of significant abrasions >4cm2 at a single site Significant burns or abrasions (not including fractures) at multiple sites (>4cm2); necessary wound cleaning, preparation, and dressing $ $ $ $ $ $ MD1 Dislocation finger/ toe with splint/strapping $ $ MD2 MD3 MD4 Dislocation of thumb closed reduction and immobilisation Dislocation of elbow with radiological confirmation; closed reduction and immobilisation Dislocation of shoulder closed reduction and collar and cuff immobilisation $ $ $ $ $ $ MD5 MF1 MF10 MF11 Dislocation of patella closed reduction and cast immobilisation Fractured finger or toe (proximal, middle or distal phalanx); closed reduction and immobilisation. Fractured distal radius and ulna requiring closed reduction, involving regional or other form of anaesthesia Fractured shaft radius and ulna: treatment by cast immobilisation $ $ $ $ $ $ $ $ MF12 Fractured distal humerus (supracondylar or condylar): by cast immobilisation $ $ MF13 Fractured proximal or shaft humerus: immobilisation by collar and cuff or U-slab $ $ MF14 Fractured shaft tibia and/or fibula: treatment by cast immobilisation with reduction $ $ Copyright Medtech Limited Page 3 of 20

4 MF15 Fractured distal tibia and/or fibula: treatment by cast immobilisation with reduction $ $ MF16 Fractured fibula (without tibial fracture); immobilisation with soft tissue strapping $ $ MF2 MF3 MF4 MF5 MF6 MF7 Fractured finger or toe (proximal, middle or distal phalanx); requiring local anaesthetic Fractured metatarsal: closed reduction (not requiring cast); closed reduction, immobilisation by strapping Fractured metacarpal(s) hand: with or without local anaesthetic; immobilisation by strapping Fractured carpal bone, including scaphoid: treatment by cast immobilisation, not requiring reduction Fractured tarsal or metatarsal bones (excluding calcaneum or talus): treatment by cast immobilisation Fractured calcaneum or talus: treatment by cast immobilisation $ $ $ $ $ $ $ $ $ $ $ $ MF8 Fractured clavicle $ $ MF9 MM1 MM2 Fractured distal radius and ulna; cast immobilisation not requiring reduction Abscess or haematoma: drainage with incision (with or without local anaesthetic agent) Insertion of IV line for administration of IV medications or electrolytes or transfusion (if provided under local or national guideline approved by ACC) $ $ $ $ $ $ MM3 Nail, simple removal of $ $ MM4 Nail, removal of or wedge resection requiring the use of digital anaesthesia $ $ Copyright Medtech Limited Page 4 of 20

5 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 $ $ MM6 Pinch skin graft $ $ MM7 Dental anaesthetic $ $ MM8 MT1 MT2 MT3 Epistaxis: arrest during episode by nasal cavity packing with or without cautery 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 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) Inflamed joint, tendon, bursa or other subcutaneous tissue or space; aspiration (with or without injection) $ $ $ $ 8.41 $ $ $ $ MT4 Extensor tendon, primary repair $ $ MT5 MW1 MW2 Ruptured Tendo Achilles: management by plaster immobilisation Closure of open wounds less than 2cm - any necessary care and treatment including cleaning and debriding, exploration, administration of anaesthetic, and dressing Closure of open wound (or wounds) of skin and subcutaneous tissue or mucous membrane 2cm to 7cm long: any necessary care and treatment $ $ $ $ $ $ Copyright Medtech Limited Page 5 of 20

6 Medical Specialist Medical Specialist MW3 MW4 CS01 CS02 including cleaning and debriding, exploration, administration of anaesthetic, and dressing 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 Amputation of digit - including use of anaesthetic, debridement of bone and soft tissue, closure of wound Specialist practicing within any other recognised branch of medicine 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 $ $ Copyright Medtech Limited Page 6 of 20

7 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 $ $ 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 $ $ Copyright Medtech Limited Page 7 of 20

8 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 $ $ Medical Specialist SR1 Repair Recent Wound - Superficial < 7 cm $ $ Medical Specialist SR2 Repair Recent Wound - Deeper Tissue <7 cm $ $ Copyright Medtech Limited Page 8 of 20

9 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 NC13 Under 13yrs consultation Nurse only $ N/A Nurses NUP1 Nurse Practitioner Consultation $ N/A Nurses NU13 Under 13yrs consultation Nurse Practitioner only $ N/A Podiatrist POD1 Podiatry-Clinical Assessmt &Treatmt:Conds of Lower Limb/Foot $ N/A $ Podiatrist POD3 Podiatry: Abscess or haematoma: drainage with incision $ N/A Podiatrist POD4 Podiatry: Nail, simple removal of $ N/A Podiatrist POD5 Podiatry: Nail, removal of/wedge resection, w digital anaes $ N/A Radiologist RA01 Sternum $ N/A Radiologist RA02 Sterno-Clavicular Joints $ N/A Radiologist RA03 Clavicle $ N/A Radiologist RA04 Acromio-Clavicular Joints $ N/A Radiologist RA05 Scapula $ N/A Radiologist RA06 Shoulder $ N/A Copyright Medtech Limited Page 9 of 20

10 Radiologist RA07 Humerus $ N/A Radiologist RA08 Elbow Joint $ N/A Radiologist RA09 Forearm $ N/A Radiologist RA10 Hand And/Or Wrist Joint $ N/A Radiologist RA11 Wrist/hand for bone age $ N/A Radiologist RA15 Upper Limb Infant $ N/A Radiologist RA21 Sacro-Iliac Joints $ N/A Radiologist RA22 Pelvis And/Or Both Hip Joints $ N/A Radiologist RA25 Hip Joint (>1 Projectn) $ N/A Radiologist RA26 Femur $ N/A Radiologist RA27 Knee Joint $ N/A Radiologist RA28 Knee Joint (+ Intercondylar/Axial) $ N/A Radiologist RA29 Tibia And Fibula $ N/A Radiologist RA30 Ankle Joint $ N/A Radiologist RA32 Foot $ N/A Radiologist RA35 Long Legs (hips to ankles - measurement) $ N/A Copyright Medtech Limited Page 10 of 20

11 Radiologist RA40 Lower Limb (Infant) $ N/A Radiologist RB01 Cervical Spine $ N/A Radiologist RB02 Thoracic Spine $ N/A Radiologist RB03 Lumbarspine Incl. Lumbosacral Joint $ N/A Radiologist RB04 Sacro-Coccygeal Spine $ N/A Radiologist RB08 Spine - scoliosis views $ N/A Radiologist RB10 Skull $ N/A Radiologist RB12 Nasal Bones $ N/A Radiologist RB13 Facial Bones $ N/A Radiologist RB14 Optic Foramina $ N/A Radiologist RB16 Auditory Canals (plain films only) $ N/A Radiologist RB21 Nasal Sinuses $ N/A Radiologist RB22 Naso-Pharynx $ N/A Radiologist RB23 Mastoids (bilateral) $ N/A Radiologist RB24 Larynx And Or Trachea $ N/A Radiologist RB31 Upper Teeth $ N/A Copyright Medtech Limited Page 11 of 20

12 Radiologist RB32 Lower Teeth $ N/A Radiologist RB33 Mandible Or OPG Or Lateral Ceph $ N/A Radiologist RB34 Temporo-Mandibular Joints $ N/A Radiologist RB35 Salivary Gland $ N/A Radiologist RB37 Pharynx $ N/A Radiologist RC05 Thoracic Inlet $ N/A Radiologist RC06 Chest (Single View) $ N/A Radiologist RC07 Chest (> 1 View) $ N/A Radiologist RC08 Chest and Thoracic Cage $ N/A Radiologist RC09 Chest and Both Oblique Views $ N/A Radiologist RC31 Screening mammogram $ N/A Radiologist RC32 Recall mammogram $ N/A Radiologist RC35 Problem mammogram bilateral $ N/A Radiologist RC36 Problem mammogram unilateral $ N/A Radiologist RC40 Needle localisation $ N/A Radiologist RC41 Galactogram $ N/A Copyright Medtech Limited Page 12 of 20

13 Radiologist RC45 Breast aspiration biopsy $ N/A Radiologist RC46 Breast biopsy with stereotaxis $ N/A Radiologist RD01 Abdomen (Single Projection) $ N/A Radiologist RD02 Abdomen (2 Or More Projections) $ N/A Radiologist RD07 Pelvimetry (one view) $ N/A Radiologist RD08 Pelvimetry (two or more views) $ N/A Radiologist RD10 Contrast swallow (oesophagus only) $ N/A Radiologist RD11 Contrast study upper GI tract $ N/A Radiologist RD13 Small bowel meal $ N/A Radiologist RD14 Small bowel enema (enteroclysis) $ N/A Radiologist RD15 Contrast enema $ N/A Radiologist RD20 Dynamic proctogram $ N/A Radiologist RD30 ERCP $ N/A Radiologist RD40 Intravenous Pyelogram (incl plain film & tomos) $ N/A Radiologist RD44 Cystogram retrograde or antegrade $ N/A Radiologist RD45 Urethrogram $ N/A Copyright Medtech Limited Page 13 of 20

14 Radiologist RD46 Micturating Cysto-Urethrogram $ N/A Radiologist RD47 Ascending urethrogram $ N/A Radiologist RS42 Tube injection $ N/A Radiologist RS43 Dacrocystogram $ N/A Radiologist RS44 Sialogram $ N/A Radiologist RS46 Hysterosalpingogram $ N/A Radiologist RS61 Myelogram cervical $ N/A Radiologist RS62 Myelogram lumbar $ N/A Radiologist RS63 Myelogram multilevel $ N/A Radiologist RS70 Arthrogram $ N/A Radiologist RS71 Arthrogram upper limb $ N/A Radiologist RS73 Arthrogram lower limb $ N/A Radiologist RU01 US Abdomen $ N/A Radiologist RU02 US abdomen and pelvis $ N/A Radiologist RU03 US Renal Tracts $ N/A Radiologist RU04 US abdominal aorta (without Doppler) $ N/A Copyright Medtech Limited Page 14 of 20

15 Radiologist RU06 US pelvis (trans-abdominal only) $ N/A Radiologist RU10 US infant head $ N/A Radiologist RU11 US infant pylorus $ N/A Radiologist RU12 US infant heart $ N/A Radiologist RU13 US infant hips $ N/A Radiologist RU19 US infant miscellaneous $ N/A Radiologist RU20 US thyroid/neck $ N/A Radiologist RU21 US Scrotum & Testis $ N/A Radiologist RU22 US breast $ N/A Radiologist RU23 US veins $ N/A Radiologist RU24 US eye $ N/A Radiologist RU25 US chest $ N/A Radiologist RU27 US injection/aspiration $ N/A Radiologist RU28 US additional region $ N/A Radiologist RU29 US miscellaneous $ N/A Radiologist RU30 US shoulder $ N/A Copyright Medtech Limited Page 15 of 20

16 Radiologist RU31 US Musculo-Skeletal $ N/A Radiologist RU32 US Foreign Body Localisation $ N/A Radiologist RU39 US skeletal miscellaneous $ N/A Radiologist RU40 US prostate $ N/A Radiologist RU41 US anus/rectum $ N/A Radiologist RU42 US Female Pelvis Trans Vag. $ N/A Radiologist RU43 US trans-esophageal $ N/A Radiologist RU44 US intraoperative $ N/A Radiologist RU49 US intracavitary miscellaneous $ N/A Radiologist RU51 Duplex/Doppler of chest $ N/A Radiologist RU56 Duplex/Doppler: additional limb arterial or venous $ N/A Radiologist RU60 US routine pregnancy < 28 weeks $ N/A Radiologist RU61 US problem pregnancy $ N/A Radiologist RU62 US pregnancy > 28 weeks $ N/A Radiologist RU64 US with amniocentesis $ N/A Radiologist RU68 US pregnancy per extra foetus > 1 $ N/A Copyright Medtech Limited Page 16 of 20

17 Radiologist RX24 Xray additional region $ N/A Radiologist RX25 Domicillary Xray (in addition) $ N/A Specified Treatment Providers OT01 Occupational therapy $ N/A $ Specified Treatment Providers OST1 Osteopathy $ N/A $ Specified Treatment Providers ACU1 Acupuncture $ N/A $ Specified Treatment Providers PHY3 Physiotherapy $ N/A $ Specified Treatment Providers POD1 Podiatry $ N/A $ Specified Treatment Providers CH01 Chiropractic $ N/A $ Specified Treatment Providers ST01 Speech therapy $ N/A $ Specified Treatment Providers XRAY Chiropractic Xray $ N/A Service Item Unit Rate TIME Emergency consultation>30 mins $ DIS Emergency travel per km $ 0.84 Copyright Medtech Limited Page 17 of 20

18 New s for Physiotherapy Services Service Item Hourty Rate Physiotherapy Services PT11 Physiotherapy consultation post surgery initial $ N/A Physiotherapy Services PT12 Physiotherapy consultation post surgery follow-up $ N/A Specified Treatment Providers PHY7 Physiotherapy Treatment Post Surgery $ $ IMPORTANT NOTE The trigger treatment details must be updated in the specific Read s that will be used for the new services. Copyright Medtech Limited Page 18 of 20

19 Installation Prerequisites Checklist Check the current Medtech32 installed version [Help About Medtech32] 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. Ensure you are logged onto Windows with Full Administrative rights when performing ANY installation, update or maintenance tasks. 4. Ensure you are logged onto the Medtech32 Server. 5. Check that this document has been reviewed and understood. Location of Installer 1. Visit our website at 2. Select New Zealand in the region drop down menu (top right-hand side of the window). 3. Select the menu Support Medtech32 Downloads. The New Zealand Medtech32 Downloads page will be displayed. 4. Locate the update called ACC Subsidy Updates (1 December 2016) in the list. 5. Download the installer Medtech32 ACC Subsidy Updates (1 December 2016) Installer (EXE). Copyright Medtech Limited Page 19 of 20

20 Medtech32 ACC Subsidy Updates Installation 1. Ensure that you have completed and checked all the items in the Installation Prerequisites Checklist above. 2. Download the Medtech32 ACC Subsidy Updates (1 December 2016) Installer as described above. 3. Double click on the EXE to start the installation process. 4. If any security warnings appear in your environment, select Run. 5. The installation process will begin. 6. Once the update is completed, the following message will be displayed. 7. Click OK to close the installation screen. For further information, or any other queries regarding this release, please contact Medtech Support via: Medtech32 application [Help Contact Support] Online chat: Phone: MEDTECH ( ) Copyright Medtech Limited Page 20 of 20