For service providers in healthcare and working with NDIS, DSS, HCP, etc, there is a tonne of administration and paperwork that needs to be done in order to get paid.
In this article, we will help you work out how claims are done for NDIS providers, what types of documentation are required, and how Comm.care streamlines your claims and payment process for NDIS - NDIA Managed services.
For NDIA-managed Clients (or Agency-managed Clients), the best practice is to first send a statement (like an invoice) to the participant detailing the services provided. It’s good practice to wait a few days after sending the statement, so the participant can raise any concerns or issues before the claim is submitted to PRODA for payment and the funding withdrawn from the participant’s budget. This payment request is in the form of a Bulk upload file that details the support provided (as evidence of support delivery when requested) through the NDIS Myplace provider portal, to receive payment for services. Your payment requests have to be submitted within 90 days from the end of the service booking.
To get paid, you will need the following information to claim:
Depending on the nature of your support service, additional documentation guidelines may apply and be requested as part of the Provider Payment Assurance Program. Tonnes of information and paperwork for your team to manage! Let’s see how to do all of this, with just a few clicks, on Comm.care:
Before claiming, please make sure all the support delivery is documented. See detailed tutorial about how to quickly lookup undocumented appointments from Organisation Calendar. Now let's see how the claim process is done on Comm.care.
Go to Organisation > Reports.
You can select the Occurrence Date. It is best to create a report every 2 weeks or monthly.
Select Roadmap Type: NDIS - NDIA Managed
1.1 Create Claim.
The generated report will list all the details from the Progress notes, which will include: Circle's name, Service and its status, time of delivery, support item and type of service (direct service or provider travel), total time of service and unit price.
Send Participant statements via Email:
1.2 Send Email.
1.3 Export Claims.
Note that once you have downloaded into the CSV format, if you still wish to open and check the document, you can do so by opening it in Notepad. It is not advised that you open it in any other application as the format for NDIS upload will be disturbed, and PRODA will not accept the file for uploading. Opening it in Notepad will retain the CSV format.
That's it! We hope this new feature saves you many hours of work each month. Claiming now is just a few clicks away!