The Eligibility tab shows MBS items relevant to the patient open in the CIS and their status. Eligibility is determined by the patient currently open in the clinical information system by checking:
- existing conditions (coded diagnosis only)
- current medications
- billing history (at this practice only)
A green tick in the 'UP TO DATE' column means the item has been claimed successfully. The numbers in that column (2/2 or 0/1) indicate the required actions recorded. Details of the relevant items are displayed by clicking on the item. They will be displayed on the right or the bottom of the screen, depending on screen resolution and name of the item due to space requirements. The details for the TCA in this example look like this:
The 2/2 in the example below means that the provider has recorded that they have met with at least two other providers and they have recorded a coded reason for a visit indicating that at Team Care Arrangement was done for this patient. This completes the required ACTIONS for the patient and is indicated by the 2/2 count. To get a green tick in the up to date row the item has to be claimed and paid for as well.
An item that has been successfully claimed will always be shown as up to date, even if not all action items have been recorded in the CIS. The GPMP/TCA review below is an example for this. The item has been successfully claimed, but it has not been recorded as a coded reason for visit. Topbar will indicate this by showing a green tick in the up to date column but still show the 0/1 - indicating that the action item has not been recorded. Recording coded reason for visits is good practice in general and recommended.
MD3 and BP allow changing the settings to add the reason for visit to the patient history so that each visit shows in the patient past history. Topbar does not rely on this setting to read the coded reason for visit so the decision to included or exclude reason for visit in the patient past history is up to the clinic.
For more in depth information on the Diabetes Cycle of Care and MBS items claimed at another clinic please see here: