Calculate out-of-pocket costs with The OOP

Medical software solution provider Direct Control has launched The OOP, a mobile web service that allows medical and allied health specialists to calculate out-of-pocket costs and generate or email a quote or invoice to billing staff or the patient themselves.

Currently available for disciplines including specialists, assistants in surgery and anaesthetists, The OOP is not so much a traditional app but a web service that provides access to the user's Direct Control account.

The company is also offering a free limited version to new doctors or those who need a simple way to calculate fees while on the go.

The full version of The OOP also allows users to view and manage their lists or appointments, search for existing patients or add new ones, verify patient details for online eligibility checks (OEC) and direct bill Medicare.

For assistants in surgery, it lets them input the surgeon’s fees and calculate results in the correct assistant item code and fee. For anaesthetists, it allocates the age modifier if relevant, allows for the selection of the Australian Society of Anaesthetists (ASA) gradings, enter whether the procedure is an emergency and enter the duration or start end times of the procedure.

Direct Control's Robyn Peters said the company had decided that rather than writing apps for Apple or Android, The OOP was designed to run from the web browser.

“The OOP reads and writes directly to the Direct Control database, so any existing client with Direct Control can add The OOP and it gives them the advantage of travelling around and using it quickly to view lists and appointments, verify patients, generate informed financial consents (IFCs) or invoices and update details,” Ms Peters said.

“Currently we have clients that log onto the Direct Control application through all means, such as remote desktop protocol and LogMeIn from PCs or Macs, and they are a logging on with any device they have,” Ms Peters said.

“This works very well but may need to be set up by their IT people. The OOP is quick and easy to use as Direct Control can be used as a web service.”

The company is offering what it is currently calling The OOP Independent, which offers both existing customers and non-customers added extras such as the ability to add patients, do a Medicare verification or a health fund online eligibility check, and directly send bulk bills or an Eclipse claim directly from The OOP.

“The OOP Independent basically does what Direct Control does but from your device,” Ms Peters said.

“However, we are giving the basic OOP away for free, so for new doctors, if they are wanting to do private billing and want to know what to charge a patient, The OOP informs them of the fund fees and the known out-of-pocket (OOP) allowed.

“This detail can then be emailed to themselves, staff or the patient in the form of an IFC.”

For current Direct Control customers and those using its managed services, transactions are collected by the Direct Control database so data doesn't have to be entered twice.

“The way Direct Control works is that when you log on, it knows that you are an anaesthetist or an assistant or a surgeon or a pathologist or a radiologist or allied health, and it will apply all of the correct rules for billing,” she said.

“Surgeons might choose to use it if they want to do a quote for the anaesthetist. They can go onto The OOP and generate it while the patient is in their rooms.

“A link can be added to the doctor's website for the patient to log on and enter their own details and do their own quote and pay their account.”

The OOP Independent costs $100 a month or $1000 a year if paid in advance for non-Direct Control users. This version allows doctors to perform all of the functions of the free version but also to add or edit patient details for verification, select the health fund and carry out an online eligibility check, and then transmit the account directly to Medicare or the health fund.

For Direct Control customers, The OOP costs $55 a month or $550 a year per provider.

Posted in Australian eHealth

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