GoodX Manage for Medical

Setting up NAPPI Claim Codes allows you to set a specific code that will be used to classify how Medicine and Materials Items are dispensed. This will determine how and where Stock Items are used in the Hospital.

These are the default codes used by the entity when generating Statements for submission to Medical Aids and Patients. Specific codes must be associated with certain Stock Items to ensure accurate claims.

Claiming codes vary based on the type of Hospital and specific agreements. Hospitals not part of the NHN (National Hospital Network) have different claiming codes, as do certain Medical Aids. This means that the code you use for billing might differ from the claiming code sent to the Medical Aids, therefore you will send your NAPPI or LOC code along with the appropriate claiming code.

• This user manual will start on the GoodX Manager screen.

• Click on the Global Lists menu.

• Click on the Lists sub-menu.

• Click on the Medical Aids sub-menu.

• Click on Medical Aid Claim Codes (Hospitals).

• The List screen will open.

• Click on each Claim Codes field to enter the relevant information:

• Ward Stock: Stock that has been used in the Ward.
• Theatre Stock: Stock that has been used while in the Theatre for a procedure.
• TTO: To Take Out - Stock given to the Patient to take home, after being discharged. 
• Pharmacy: Scheduled medication given to the Patient, received from the Hospital Pharmacy.
• Prosthesis: Any Prosthesis or Medical Device that the Patient received during their Hospital stay.
• PPE in General Ward: Personal Protection Equipment used in the General Ward of the Hospital.
  
• PPE in High-care: Personal Protection Equipment used in the High-care ward.
  
• PPE in ICU: Personal Protection Equipment used in the Intensive Care Unit.
  

Please Note: You are able to enter an * (asterisk) into the Out Patients and Per Diems fields to copy all the information over from the In Patients fields.

• Click on the Load Data button. 

• The Data will be loaded into the Medical Aid Defaults section.

• Click on the Scheme Code drop-down menu to select the desired Medical Aid from the list that has become available.

• All the Scheme Codes of the selected Medical Aid will load in the Medical Aids Default section.

• Click on the Mark Options with Applicable Claim Codes button.

• The Claim Codes data will be added to each column.

• Click on the Save Data button.