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NEP23 Determination publication cover image Publications Featured

National Efficient Price Determination 2023–24

The Independent Health and Aged Care Pricing Authority (IHACPA) is established under the National Health Reform Act 2011 (the NHR Act) and by virtue of section 131(1) of the NHR Act is invested with the following functions relevant to this National Efficient Price Deter...

6 Mar 2023
IHACPA's role in aged care pricing fact sheet image Fact sheets Featured

IHACPA's Role in Aged Care Pricing Fact Sheet

The Independent Health and Aged Care Pricing Authority's (IHACPA) role within the aged care sector will be to provide aged care costing and pricing advice to the Commonwealth Minister for Health and Aged Care.

15 Sep 2022
ICD-10-AM ACHI ACS Twelfth Edition - Errata 1 (Effective 1 July 2022) Publications

ICD-10-AM/ACHI/ACS Twelfth Edition

ICD-10-AM/ACHI/ACS Twelfth Edition supersedes ICD-10-AM/ACHI/ACS Eleventh Edition and is applicable for separations from 1 July 2022.

16 Mar 2023
ar-drg_v11.0_final_report_cover Publications

AR-DRG Version 11.0

The Australian Refined Diagnosis Related Groups (AR-DRGs) is a classification that provides a clinically meaningful way to relate or group the number and type of patients treated in admitted acute episodes of care to the resources required in treatment. AR-DRG...

16 Mar 2023
Governance framework for the development of the admitted care classifications Publications

Governance framework for the development of the admitted care classifications

The Governance framework for the development of the admitted care classifications (the Framework) outlines the classification development and approval process, the guiding principles and classification products that are the result of the classification development cycle...

16 Mar 2023
Cover page of the Coding Rules and FAQs for Twelfth Edition - effective 1 Jan 2023 Publications

National Coding Advice

National Coding Advice (that is, Coding Rules and frequently asked questions (FAQs) about the new edition) are published to facilitate nationally consistent assignment of ICD-10-AM and ACHI codes in the implemented edition of ICD-10-AM/ACHI/ACS. National Coding Advice i...

16 Mar 2023
Cover page image of the Draft Work Program and Corporate Plan 2023–24 Consultations

Draft IHACPA Work Program and Corporate Plan 2023–24

The Independent Health and Aged Care Pricing Authority (IHACPA) invites all interested parties to provide comment on the draft IHACPA Work Program and Corporate Plan 2023–24.

Open 8 Mar - 7 Apr 2023 Have your say
Cover image of the National Pricing Model Technical Specifications 2023–24 Publications

National Pricing Model Technical Specifications 2023–24

This document provides the technical specifications for how the Independent Health and Aged Care Pricing Authority (IHACPA) developed the activity based funding models for the service streams to be funded for the National Efficient Price and the National Efficient Cost...

6 Mar 2023
NEC23 Determination publication cover image Publications

National Efficient Cost Determination 2023–24

The Independent Health and Aged Care Pricing Authority is established under the National Health Reform Act 2011 (the NHR Act) and by virtue of section 131(1) of the NHR Act is invested with the following functions relevant to this National Efficient Cost Determination 2...

6 Mar 2023
Cover image of the Independent Financial Review of the NHCDC 2020-21 Financial Year report Publications

National Hospital Cost Data Collection, Independent Financial Review, 2020-21

The National Hospital Cost Data Collection (NHCDC) is the primary data collection that the Independent Health and Aged Care Pricing Authority (IHACPA) relies on to calculate the national efficient price used for the funding of public hospital services. To ensure that th...

3 Mar 2023
Data Compliance Policy Publications

Data Compliance Policy

The Data Compliance Policy describes the process and criteria by which the Independent Health and Aged Care Pricing Authority (IHACPA) will publicly report on compliance by jurisdictions with the data requirements and data submission dates specified in the current ...

17 Feb 2023
The General Use Items for Prostheses List Bundling Tool spreadsheet displayed on a computer screen Tools

General Use Items Bundling Tool

The General Use Items (GUI) Bundling Tool enables users to enter historical Prostheses List billing-code utilisation data and apply the GUI bundles defined in IHACPA’s Advice on Bundling Arrangements for General Use Items on the Prostheses List – December 2022.

10 Feb 2023
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