Resources

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...

National Benchmarking Portal User Guide
The National Benchmarking Portal (NBP) is a website-based application that provides public access to insights from data collected by the Independent Health and Aged Care Pricing Authority (IHACPA).

Residential Aged Care Pricing Advice 2023–24
The Independent Health and Aged Care Pricing Authority (IHACPA) will provide annual residential aged care pricing advice to the Commonwealth Government, commencing 1 July 2023, for each coming financial year

General List of In-Scope Public Hospital Services Eligibility Policy
Each year, the Independent Health and Aged Care Pricing Authority (IHACPA) publishes the General List of In-Scope Public Hospital Services (the General List) as part of the National Efficient Price Determination. The General List defines the public hospital services eli...

Mental Health Phase of Care Guide
This document provides information for clinicians to enable them to assess phases accurately when applying the mental health phase of care concept.

AMHCC User Manual
This document provides background to the development of the Australian Mental Health Care Classification Version 1.0, explains the data elements and collection protocols, reporting requirements, and how the data is grouped.

Tier 2 Non-Admitted Services 2023–24
The key publications that support the Tier 2 Non-Admitted Services Classification (Tier 2) are the Tier 2 Non-Admitted Services Definition Manual and the Tier 2 Non-Admitted Services Compendium.

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...

Governance Framework for the Development of the Admitted Care Classifications
The Governance Framework for the Development of the Admitted Care Classifications outlines the classification development and approval process, the guiding principles and classification products that are the result of the classification development cycle.

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.

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...

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...