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Elements and Performance Criteria

  1. Implement and monitor billing system
  2. Develop and implement client debt recovery strategy
  3. Manage information and data required to maintain subsidy payments

Required Skills

This describes the essential skills and knowledge and their level required for this unit

Essential knowledge

The candidate must be able to demonstrate essential knowledge required to effectively do the task outlined in elements and performance criteria of this unit manage the task and manage contingencies in the context of the identified work role

This includes knowledge of

Cash flow needs of the practice and associated payment requirements to ensure viability of the practice

Information and data requirements related to subsidy payments

Possible client barriers to prompt or complete payment and associated strategies to reduce likelihood of client debt load

Potential barriers relating to payment that may prevent client access to practice services

Practice policies procedures and systems related to payment options for clients and suppliers

Relevant debt recovery practices

Relevant regulatory and legislative billing requirements

Reporting requirements for supported and special payment schemes

Essential skills

It is critical that the candidate demonstrate the ability to effectively do the task outlined in elements and performance criteria of this unit manage the task and manage contingencies in the context of the identified work role

This includes the ability to

Develop billing strategies to address identified payment barriers

Develop monitor and maintain debt recovery policy and procedures for a practice

Identify and implement resources to support billing and payment system requirements

Identify debt tolerance level of the practice and appropriate debt recovery processes

Implement and monitor billing system to address practice regulatory and legislative requirements

Manage information and data required to maintain subsidy payments

Promote implement and manage work attitudes and practices that reflect awareness of the importance of a range of aspects of sustainability

Provide reports and data to address requirements

Evidence Required

The evidence guide provides advice on assessment and must be read in conjunction with the Performance Criteria Required Skills and Knowledge the Range Statement and the Assessment Guidelines for this Training Package

Critical aspects for assessment and evidence required to demonstrate this competency unit


The individual being assessed must provide evidence of specified essential knowledge as well as skills

Consistency of performance should be demonstrated over the required range of situations relevant to the workplace

Where for reasons of safety space or access to equipment and resources assessment takes place away from the workplace the assessment environment should represent workplace conditions as closely as possible

Access and equity considerations

All workers in the health industry should be aware of access and equity issues in relation to their own area of work

All workers should develop their ability to work in a culturally diverse environment

In recognition of particular health issues facing Aboriginal and Torres Strait Islander communities workers should be aware of cultural historical and current issues impacting on health of Aboriginal and Torres Strait Islander people

Assessors and trainers must take into account relevant access and equity issues in particular relating to factors impacting on health of Aboriginal andor Torres Strait Islander clients and communities

Context of and specific resources for assessment


Assessment must be completed in the workplace

Relevant guidelines standards and procedures


Range Statement

The Range Statement relates to the unit of competency as a whole. It allows for different work environments and situations that may affect performance. Add any essential operating conditions that may be present with training and assessment depending on the work situation, needs of the candidate, accessibility of the item, and local industry and regional contexts.

Billing options may include

Bulk billing

Direct debit of health insurance components

Cash payment

Credit card payment

Equipment requirements may include:

Soft ware

Specific insurance details or credit processing equipment and connections

Supported and special payment schemes may include:

Pensioner payments

Bulk billing

Established products may include:

Software programs

Staff training and support

Systems support

Information

Information and data may include:

Usage rates and evidence

Coded clinical data