Unit of competency Outline
Date retreived
22/07/2026 3:00 PM AWST
22/07/2026 3:00 PM AWST
Whilst all efforts are made to provide accurate and timely information from the relevant source/documentation, please be aware that the information supplied may not be the most current version. The accuracy of the detail has not been confirmed by the Department and therefore should not be relied upon without first confirming the contents.
Manage health billing and accounting system
Manage health billing and accounting system
Unit of competency
National Code
HLTPM502B
HLTPM502B
State Code
D8429
D8429
TGA Status
Replaced
Replaced
DTWD Status
Replaced
Replaced
State Implementation and Classification
Approved Date
20/08/2013
Field of Education
080301 - Business Management
Original Release Date
20/08/2013
Nominal Hours
30
Description
DescriptorThis unit of competency describes the skills and knowledge required to manage a billing and accounting system in a health practice, with consideration of client accessibility, practice viability and regulatory and legislative requirements
Notes
Elements and Performance Criteria
1. Implement and monitor billing system
- 1.1 Identify regulatory and legislative billing requirements
- 1.2 Identify and consider a range of payment options and equipment requirements to optimise ease of payment
- 1.3 Identify possible payment barriers that may prevent client access to practice services and develop billing strategies to best address barriers
- 1.4 Identify payment requirements to meet the viability and cash flow needs of the practice
- 1.5 Identify the accountability and reporting requirements for supported and special payment schemes
- 1.6 Implement and monitor billing system that takes into account regulatory and legislative requirement, practice requirements, client service accessibility and ease of payment variables
- 1.7 Identify established products that will support the billing and payment system
2. Develop and implement client debt recovery strategy
- 2.1 Identify debt tolerance of the practice
- 2.2 Identify a range of debt recovery practices
- 2.3 Identify possible client barriers to prompt or complete payment and strategies to reduce likelihood of client debt load
- 2.4 Develop debt recovery policy and practices
- 2.5 Monitor debt and adjust debt recovery policy and practices accordingly
3. Manage information and data required to maintain subsidy payments
- 3.1 Identify the information and data requirements to maintain subsidy payments
- 3.2 Develop systems to collect data with minimal interruption to practice functions
- 3.3 Manage information and data requirements to meet quality and timeframe requirements
- 3.4 Provide necessary reports and data in the prescribed manner
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
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
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
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
Replaces
| State Code | National Code | Title | Type |
|---|---|---|---|
| C9433 | HLTPM502A | Manage health billing and accounting system | Unit of competency |
Replaced By
| State Code | National Code | Title | Type |
|---|---|---|---|
| AVB15 | HLTADM004 | Manage health billing and accounting system | Unit of competency |
| State Code | National Code | Title | Type |
|---|---|---|---|
| J111 | HLT52012 | Diploma of Practice Management | Qualification |