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...

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.

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 (the Framework) outlines the classification development and approval process, the guiding principles and classification products that are the result of the classification development cycle...

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...

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...

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...

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 ...

Data compliance reports

The Independent Health and Aged Pricing Authority (IHACPA) publishes Data Compliance Reports including a Quarterly Report, as required by the National Health Reform Agreement (B 102). It reports on compliance by jurisdictions with data requirement and dat...

New Health Technology Policy

The Independent Health and Aged Care Pricing Authority (IHACPA) recognises the need for the pricing of public hospital services to respond in a timely manner to the introduction of new health technologies and innovations in models of care.

ICD-10-AM and ACHI mapping tables