Houston to demonstrate new Day Surgery module at IAAS Ambulatory Surgery Congress

Houston Medical will demonstrate their new Day Surgery module at the International Association for Ambulatory Surgery (IAAS) Congress, to be held in Brisbane starting on July 3.

The software developer is best known throughout Australia and New Zealand for its specialist practice software solution, Houston VIP, which is widely adopted by ophthalmology practices drawn to the products tight integration with relevant medical devices.

According to Managing Director of Houston Medical, Derek Gower, the company’s research into the Day Surgery market identified a niche that wasn’t being appropriately serviced.

“Before embarking on this major development Houston’s market research and consultants found there were plenty of applications to do the basics — products that used a relatively simplistic approach. There were also bigger products at the top end from vendors such as McKesson from the USA and iSoft/IBA from Australia. But nothing in the middle at a reasonable price,” said Mr Gower.

The solution is designed to assist staff to manage the complex funding arrangements prevalent in Day Surgery environments.

“Taking ophthalmology as an example the patient can visit the doctor for a standard eye examination and all the usual, prescribing, billing and Medicare claiming can be completed. If the doctor recommends a procedure in an associated day surgery the patient can be immediately booked or placed on a waiting list. As information for each fund is stored in a contracts area from which the rules, applicable to the patient, health fund and hospital, are automatically applied, the Health fund can be checked for eligibility and insurance level of cover recorded,” explained Mr Gower.

When booking the operation MBS codes are recorded by reception for later conversion to the linked ICD-10 codes. A quote is produced, insurance excess billed and the appropriate NPHCF claim forms printed for the patient and later, the surgeon to sign. Time in theatre is recorded and the appropriate accommodation and theatre bands applied. Once the diagnosis has been recorded the program then uses the integrated DRG Grouper from Visasys to create the required diagnostically related groups.

Entries are validated at all stages and if any required information is missing the program alerts and guides the user to the required field. Finally, the recorded health fund insurer contract is consulted and case base, DRG or per diem rules are applied and an invoice to the appropriate health fund is produced. Automatic journal entries move the excess originally received from the patient to the health fund concerned and a full audit trail produced.

Having spent four years developing the Day Surgery functionality, the company is pleased with the pre-launch response to the solution.

“Contracts have been received for specialities as diverse as oral and facial, endoscopy, urology and ophthalmology,” said Mr Gower.

Posted in Australian eHealth

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