Helix Updates

17 April, 2024

Automatic loading of Modified Monash Model (MMM) incentives

The Modified Monash Model (MMM) is a categorisation of geographic locations within Australia, depending on remoteness and population size.

There are seven Modified Monash (MM) categories, MM 1 to MM 7.  MM 1 is a major city and MM 7 is very remote.

Helix now automatically applies incentive payments specific to each MM category.  Practices can set their MM category and bulk billing incentives will automatically load for applicable item codes when invoicing eligible patients.

More information on MMM incentives:

• Bulk billing incentive eligibility
• Background on the Modified Monash Model
• Applicable Item Codes and BBI codes
• Look up your Monash category

How to setup Modified Monash Category incentives

1. To set your Modified Monash Category go to Settings > Centre > Billing and select your category from the drop down box (MM1 – MM7 depending on your location). 

2. Make sure you have uploaded the updated 1 March 2024 Medicare Benefit Schedule (MBS) fee file. This 30 second video guide and Knowledge Centre article demonstrates how to upload the MBS fee file in Helix.  This will update the pricing for item codes automatically and load the correct incentives.

MyMedicare patient registration status

MyMedicare is a voluntary patient registration model where patients can register a practice as their primary care provider.

Practices can access triple bulk billing incentives for registered patients for longer MBS telehealth consultations (Levels C, D and E), for children under 16, pensioners and concession card holders.

Practices can now mark a patient’s MyMedicare registration status in Helix using the check box.  More information is available here.

Relevant incentives will automatically populate for applicable telehealth item codes: 91801, 91802, 91920 (Telehealth – Video) and 91900, 91910 (Telehealth – Phone).

Users should note the following:

• A patient’s MyMedicare enrolment status can only be verified after transmitting the claim to Medicare and receiving a response.
• If the MyMedicare registration check box has been ticked and the patient is not in fact enrolled for MyMedicare with the practice, the incentive(s) will not be paid by Medicare (rejected claim).

Services Australia have advised that they will provide relevant APIs later this year, which will enable Helix to check a patient’s MyMedicare enrolment status instantly.