Workshop: Effective Use of the ‘Prompt’ Procedure for Improving Patient Care and Billing Outcomes
Target Audience: Nurses and Allied Health Professionals in General Practice
Workshop Length: 1-2 hours
Learning Objectives:
- Understand the importance of the ‘Prompt’ procedure in ensuring necessary services for patients.
- Learn how to effectively prompt GPs to perform key actions that improve patient outcomes.
- Recognise how certain actions can increase billings through High-Value Items (HVIs).
Workshop Outline:
1. Introduction to the ‘Prompt’ Procedure
- Overview of the role of nurses and allied health professionals in prompting GPs.
- Explanation of what ‘Prompting’ entails (reminding GPs to offer certain services based on clinical guidelines or patient needs).
- Benefits of the ‘Prompt’ procedure:
- Ensures patients receive comprehensive care.
- Improves practice efficiency.
- Identifies billing opportunities through HVIs.
2. High-Value Items (HVIs): What Are They?
- Definition of High-Value Items in the billing context.
- Examples of common HVIs:
- Health assessments (e.g., 75+ health checks).
- Chronic disease management (e.g., GP Care Plans).
- Mental health treatment plans.
- Preventative services (e.g., immunizations, health checks).
- Home Medicines Reviews
- CDM follow-up service by nurses (10997)
- How prompting GPs for these items ensures necessary services and boosts practice billings.
3. Practical Application: Identifying Opportunities for Prompts
- Scenario-based training: Recognizing situations where a prompt is needed.
- Example 1: A patient with multiple chronic conditions could benefit from a management plan.
- Example 2: A patient due for a preventive health screening.
- Example 3: A patient eligible for mental health support who hasn’t yet been offered a treatment plan.
- When and how to approach GPs with prompts:
- Respectful communication tips.
- Effective use of clinical notes or alerts in the practice software.
- Collaborating with the GP to balance care priorities with the workload.
4. Maximizing Patient Outcomes Through ‘Prompt’ Procedure
- The relationship between patient care and financial sustainability of the practice.
- Ensuring GPs know services that benefit patients while also considering revenue generation.
- It is important to document patient needs accurately to support prompts.
5. Enhancing Billing Accuracy and Efficiency
- How can nurses and allied health professionals assist with Medicare items coding and billing based on services prompted?
- Case studies where practices improved care quality and financial outcomes through effective prompting.
