The electronic claim for each PBS/RPBS benefit item supplied from a PBS HMC and claimed from DHS must contain the usual No. A separate PBS/RPBS prescription claim information. The approved supplier is must be prepared by the PBS prescriber not required to send the PBS HMC discharging the patient. The PBS HMC is to DHS. only valid at the pharmacy attached to the hospital. claiming channels Can a copy of the PBS HMC be are available? taken to a community pharmacy to have a discharge Electronic claims must be submitted order dispensed? through current Online Claiming for PBS. No. A separate PBS/RPBS prescription must be prepared by the PBS prescriber Will Approved Pharmacists discharging the patient. The PBS HMC is be required to transmit the only valid at the pharmacy attached to entire PBS HMC in their the hospital. electronic claim? No. Approved Pharmacists will not be How does a pharmacy provide required to submit the PBS HMC to DHS Supply Certification when using a for the purposes of a However, these PBS HMC? must be retained for a period of two (2) years and be available on request by DHS. dispensing software functionality has incorporated Streamlined PBS and ‘DHS RPBS Claiming’, an approved supplier can Will there be any changes to the close their claim electronically, which PBS payment advice forwarded to prompts an electronic certification. the pharmacy? dispensing software functionality does No. There will be no change to the PBS not have the facility to close a claim payment advice. electronically, an approved supplier must send in a paper Supply Certification Form to DHS. Will my claims be subject to audit by the Department? Claiming from the PBS HMC Yes. Current arrangements What is the claiming process for remain unchanged. claiming PBS/RPBS items from a PBS HMC? My hospital currently uses a medication chart can this be adapted to allow for – PBS claiming? No. The PBS HMC will be the approved form for all prescribing, supplying and claiming. Other forms cannot be used.
No. A separate PBS/RPBS prescription must be prepared by the PBS prescriber discharging the patient. The PBS HMC is only valid at the pharmacy attached to the hospital. Can a copy of the PBS HMC be taken to a community pharmacy to have a discharge order dispensed? No. A separate PBS/RPBS prescription must be prepared by the PBS prescriber discharging the patient. The PBS HMC is only valid at the pharmacy attached to the hospital. How does a pharmacy provide Supply Certification when using a PBS HMC? dispensing software functionality has incorporated ‘DHS Streamlined PBS and RPBS Claiming’, an approved supplier can close their claim electronically, which prompts an electronic certification. dispensing software functionality does not have the facility to close a claim electronically, an approved supplier must send in a paper Supply Certification Form to DHS. Claiming from the PBS HMC What is the claiming process for claiming PBS/RPBS items from a PBS HMC? The electronic claim for each PBS/RPBS benefit item supplied from a PBS HMC and claimed from DHS must contain the usual claim information. The approved supplier is not required to send the PBS HMC to DHS. claiming channels are available? Electronic claims must be submitted through current Online Claiming for PBS. Will Approved Pharmacists be required to transmit the entire PBS HMC in their electronic claim? No. Approved Pharmacists will not be required to submit the PBS HMC to DHS for the purposes of a However, these must be retained for a period of two (2) years and be available on request by DHS. Will there be any changes to the PBS payment advice forwarded to the pharmacy? No. There will be no change to the PBS payment advice. Will my claims be subject to audit by the Department? Yes. Current arrangements remain unchanged. My hospital currently uses a medication chart – can this be adapted to allow for PBS claiming? No. The PBS HMC will be the approved form for all prescribing, supplying and claiming. Other forms cannot be used.
PBS-HMC-User-Guide.docx