What do the upcoming changes to Medicare Online, DVA, and ECLIPSE claiming mean for your practice

Cheryl Ladikos

Clinic to Cloud Practice Management Software

Services Australia recently announced industry changes which requires software providers to be web services ready by 13 March 2022. Every practice owner and practice manager should understand these upcoming changes and how it can affect your practice if you are not using ‘web services ready’ practice management software.This article will cover:

  1. What are web services?
  2. What changes are being made by Services Australia?
  3. What is PRODA?
  4. How is Clinic to Cloud compliant with online claiming?
  5. What impact does this have on your practice if you are not using web services ready software?
  6. Which software providers are using adaptor technology?
  7. How do you prepare for these changes?

What are web services?

Web services is a technology used over the internet so that health professionals can securely share data with Services Australia. Many software providers are using adaptor technology which will not be compatible from 13 March 2022.

What changes are being made by Services Australia?

By upgrading to web services technology, this change will affect the following channels:
  • Medicare Online (including Australian Immunisation Register and DVA)
  • ECLIPSE
  • PBS Online
  • Aged Care Web Services
The current Public Key Infrastructure (PKI) security will also be replaced with Services Australia's own authentication system called Provider Digital Access (PRODA). PRODA is an online verification and authentication system that verifies an individual's identity and organisation against the Australian Business Register.

What is PRODA?

PRODA is used to verify and authenticate an individual's identity and there are several benefits:
  • PRODA provides a higher level of security than PKI certificates,
  • PRODA is fully digital and portable against web enabled devices,
  • PRODA does not require additional hardware or software, unlike PKI certificates,
  • Individual PRODA accounts will never expire. If you are a health professional and you change employers, your PRODA account will remain the same because it belongs to you as an individual.

How is Clinic to Cloud compliant with online claiming?

Clinic to Cloud's Head of Product, Gabrielle Benn, has advised that we have future-proofed our Medicare claiming solution by integrating with a Medicare certified web services partner to ensure our customers are not impacted by any future Medicare adaptor updates.
Clinic to Cloud is fully compliant with the required web services functionality to be formally introduced on 13 March 2022, which reduces reliance on traditional PKI certificates. There are many benefits to this change including that the providers must only register their provider numbers via PRODA once to start successfully receiving payments and do not have to renew location certificates every 2-5 years. This means there is no disruption to your claiming services over time and reduces any risks associated with having to upload certificates via CD or receive PKI pass phrases from Medicare via mail in future.

What impact does this have on your practice if you are not using web services ready software?

If you are not a Clinic to Cloud user or not using web services ready software, your software provider may be affected by these changes and strenuous efforts will need to be made to make sure they are compliant by 13 March 2022. If your software provider cannot make these changes in time, it means that your practice will not be able to submit online claims for Medicare, AIR, DVA, PBS Online or Aged Care services.

Which software providers are using adaptor technology?

Services Australia has compiled a list of providers who are currently using adaptor technology. From 13 March 2022, software that use adaptor technology will not be able to access services.
At the time of publishing this original article on 11th April 2021 on Clinic to Cloud's website, this list includes:
  • Best Practice
  • Coreplus
  • Direct Control
  • Genie Solutions
  • Healius
  • Incisive
  • JAM Software
  • Medical Director
  • Medilink
  • Medipass
  • MediRecords
  • Power Diary
  • Pro Medicus
  • Shexie

And more...!

How do you prepare for these changes?

Step 1: Contact your software provider and confirm when they plan to upgrade your software. You need to ensure that they upgrade to web services ready software by 13 March 2022.If you are a Clinic to Cloud user, you do not need to contact us as we are already compliant and using web services ready software.

Step 2: Download the Web Services eKit2 and read Factsheet 1; Web Services Medicare Online, DVA, AIR, ECLIPSE and PRODA Nov 2020. This will provide detailed instructions on how you can prepare for web services.

Here are some additional resources to help your practice prepare for the changes:

  • Web Services, visit Services Australia; Web Services for Digital Health and Aged Care Channels3
  • Health Professionals Online Services and PRODA, visit Services Australia - HPOS4
  • Online claiming, visit Services Australia - Education Services for Health Professionals5
Or call Services Australia on 1800 700 199 (call charges may apply)

References

  • Services Australia, How to find a software developer, viewed 11 April 2021, https://www.servicesaustralia.gov.au/organisations/health-professionals/subjects/web-services-digital-health-and-aged-care-channels/how-find-software-developer
  • Services Australia, How to prepare for web services, viewed 11 April 2021, https://www.servicesaustralia.gov.au/organisations/health-professionals/subjects/web-services-digital-health-and-aged-care-channels/how-prepare-web-services
  • Services Australia, Web services for digital health and aged care channels, viewed 11 April 2021, https://www.servicesaustralia.gov.au/organisations/health-professionals/subjects/web-services-digital-health-and-aged-care-channels
  • Services Australia, HPOS, viewed 11 April 2021, https://www.servicesaustralia.gov.au/organisations/health-professionals/services/medicare/hpos
  • Services Australia, Education services for health professionals, viewed 11 April 2021, https://www.servicesaustralia.gov.au/organisations/health-professionals/subjects/education-services-health-professionals

The information in this article is intended only to provide a general overview and has not been prepared with a view to any particular situation or set of circumstances. Any views expressed in this article are opinions of the author at the time of writing and do not constitute a recommendation to act. This article is not intended to be comprehensive nor does it constitute legal, financial or tax advice. While we attempt to ensure the information is current and accurate we do not guarantee its currency and accuracy. You should seek legal or other professional advice before acting or relying on any of the information in this blog as it may not be appropriate for your individual circumstance.


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