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Evidence Guide: HLTPM502B - Manage health billing and accounting system

Student: __________________________________________________

Signature: _________________________________________________

Tips for gathering evidence to demonstrate your skills

The important thing to remember when gathering evidence is that the more evidence the better - that is, the more evidence you gather to demonstrate your skills, the more confident an assessor can be that you have learned the skills not just at one point in time, but are continuing to apply and develop those skills (as opposed to just learning for the test!). Furthermore, one piece of evidence that you collect will not usualy demonstrate all the required criteria for a unit of competency, whereas multiple overlapping pieces of evidence will usually do the trick!

From the Wiki University

 

HLTPM502B - Manage health billing and accounting system

What evidence can you provide to prove your understanding of each of the following citeria?

Implement and monitor billing system

  1. Identify regulatory and legislative billing requirements
  2. Identify and consider a range of payment options and equipment requirements to optimise ease of payment
  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 the accountability and reporting requirements for supported and special payment schemes
  6. Implement and monitor billing system that takes into account regulatory and legislative requirement, practice requirements, client service accessibility and ease of payment variables
  7. Identify established products that will support the billing and payment system
Identify regulatory and legislative billing requirements

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Identify and consider a range of payment options and equipment requirements to optimise ease of payment

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Identify possible payment barriers that may prevent client access to practice services and develop billing strategies to best address barriers

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Identify payment requirements to meet the viability and cash flow needs of the practice

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Identify the accountability and reporting requirements for supported and special payment schemes

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Implement and monitor billing system that takes into account regulatory and legislative requirement, practice requirements, client service accessibility and ease of payment variables

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Identify established products that will support the billing and payment system

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Develop and implement client debt recovery strategy

  1. Identify debt tolerance of the practice
  2. Identify a range of debt recovery practices
  3. Identify possible client barriers to prompt or complete payment and strategies to reduce likelihood of client debt load
  4. Develop debt recovery policy and practices
  5. Monitor debt and adjust debt recovery policy and practices accordingly
Identify debt tolerance of the practice

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Identify a range of debt recovery practices

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Identify possible client barriers to prompt or complete payment and strategies to reduce likelihood of client debt load

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Develop debt recovery policy and practices

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Monitor debt and adjust debt recovery policy and practices accordingly

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Manage information and data required to maintain subsidy payments

  1. Identify 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. Provide necessary reports and data in the prescribed manner
Identify the information and data requirements to maintain subsidy payments

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Develop systems to collect data with minimal interruption to practice functions

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Manage information and data requirements to meet quality and timeframe requirements

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Provide necessary reports and data in the prescribed manner

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Assessed

Teacher: ___________________________________ Date: _________

Signature: ________________________________________________

Comments:

 

 

 

 

 

 

 

 

Instructions to Assessors

Evidence Guide

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 and/or 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

Required Skills and Knowledge

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

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