Health Administration - Draft 2

HLTADM011 Manage health billing and accounting system_Draft 2

Please scroll down to review the various sections of this document. You can leave a comment by clicking on .
You can choose to be notified when someone else comments by clicking on
You can unsubscribe from notifications by clicking on

Unit application and prerequisites

UNIT CODE

HLTADM011

UNIT TITLE

Manage health billing and accounting system

APPLICATION

This unit describes the skills and knowledge required to implement and monitor a billing and accounting system in a health practice, with consideration of client accessibility, practice viability and regulatory and legislative requirements.

 

This unit applies to health practice administrators working in a coordination or management role.

 

The skills in this unit must be applied in accordance with Commonwealth and State/Territory legislation, Australian standards and industry codes of practice.

 

No occupational licensing, certification or specific legislative requirements apply to this unit at the time of publication.

PREREQUISITE UNIT

Nil

COMPETENCY FIELD

Administration

UNIT SECTOR

Health Administration

0 Comments

This section doesn't have any comments.

Elements and performance criteria

ELEMENTS

PERFORMANCE CRITERIA

Elements describe the essential outcomes

Performance criteria describe the performance needed to demonstrate achievement of the element.

  1. Implement and monitor billing system.
    1. Integrate regulatory and legislative requirements into billing systems.
    2. Evaluate payment options and equipment requirements to optimise ease of payment and client accessibility.
    3. Identify possible payment barriers that may prevent client access to practice services and develop billing strategies to best address barriers.
    4. Identify payment requirements to meet the viability and cash flow needs of the practice.
    5. Identify and respond to the accountability and reporting requirements for supported and special payment schemes.
    6. Evaluate, select and implement systems and procedures that will support the billing and payment system.
  1. Develop procedures for actioning outstanding accounts.
    1. Identify debt tolerance of the practice according to organisational policies and procedures.
    2. Select and utilise strategies for  ethical  recovery of outstanding accounts.
    3. Monitor and adjust outstanding accounts according to organisational policies and procedures.
    4. Document adjustments to accounts and report to the supervisor according to organisational policies and procedures.
  1. Manage information and data required to maintain subsidy payments.
    1. Interpret and evaluate the information and data requirements to maintain subsidy payments.
    2. Develop systems to collect data with minimal interruption to practice functions.
    3. Manage information and data requirements to meet quality and timeframe requirements.
    4. Develop necessary reports and data in the prescribed manner.

0 Comments

This section doesn't have any comments.

Foundation skills

FOUNDATION SKILLS

Foundation skills essential to performance in this unit, but not explicit in the performance criteria are listed here, along with a brief context statement.

SKILLS

DESCRIPTION

Reading skills to:

  •  

Writing skills to:

  •  

Oral communication skills to:

  •  

Numeracy skills to:

  •  

Learning skills to:

  •  

Problem-solving skills to:

  •  

Initiative and enterprise skills to:

  •  

Teamwork skills to:

  •  

Planning and organising skills to:

  •  

Self-management skills to:

  •  

Technology skills to:

  •  

0 Comments

This section doesn't have any comments.

UNIT MAPPING INFORMATION

Supersedes and is not equivalent to HLTADM004 Manage health billing and accounting system

LINKS

Companion Volume Implementation Guide

0 Comments

This section doesn't have any comments.

Performance evidence

TITLE

Assessment Requirements for HLTADM011 Manage health billing and accounting system

PERFORMANCE EVIDENCE

Evidence of the ability to complete tasks outlined in elements and performance criteria of this unit in the context of the job role, and:

  • managed an accounting  system that meets regulatory requirements for at least 1 health practice for 3 billing cycles.

0 Comments

This section doesn't have any comments.

Knowledge evidence

KNOWLEDGE EVIDENCE

Demonstrated knowledge required to complete the tasks outlined in elements and performance criteria of this unit:

  • legal and ethical considerations for health practice billing, including:
    • codes of practice
    • policy frameworks
    • privacy, confidentiality and disclosure
    • records management, including:
      • reporting for supported and special payment schemes
      • information and data requirements for subsidy payments
  • types of billing options available to health practices and the requirements to implement these:
    • bulk billing
    • direct debit of health insurance components
    • cash payment
    • credit card payment
  • features of products, systems and initiatives that support health billing systems:
    • software
    • staff training and support
    • systems support
  • client payment issues and considerations for health practices:
    • barriers to prompt or complete payment
    • barriers that may prevent access to health services
    • strategies to reduce likelihood of client debt load
    • payment options for clients and suppliers
  • debt recovery systems and practices
  • cash flow needs of the practice and associated payment requirements to ensure viability of the practice.

0 Comments

This section doesn't have any comments.

Assessment conditions

ASSESSMENT CONDITIONS

Skills must be demonstrated in the workplace or in a simulated environment that reflects workplace conditions.

 

Assessment must ensure access to:

  • use of suitable facilities, equipment and resources, including:
    • computerised billing system
    • client records
  • regulatory requirements
  • modelling of industry operating conditions.

 

Assessors must satisfy the Standards for Registered Training Organisations’ requirements for assessors.

LINKS

Companion Volume Implementation Guide

0 Comments

This section doesn't have any comments.