Unit of competency details

BSBMED302 - Prepare and process medical accounts (Release 1)

Summary

Releases:
ReleaseStatusRelease date
1 1 (this release)Current 25/Mar/2015

Usage recommendation:
Current
Mapping:
MappingNotesDate
Supersedes and is equivalent to BSBMED302B - Prepare and process medical accountsUpdated to meet Standards for Training Packages 24/Mar/2015


Training packages that include this unit

Classifications

SchemeCodeClassification value
ASCED Module/Unit of Competency Field of Education Identifier 080313 Public And Health Care Administration  

Classification history

SchemeCodeClassification valueStart dateEnd date
ASCED Module/Unit of Competency Field of Education Identifier 080313 Public And Health Care Administration  30/Jul/2015 
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Unit Of competency

Modification History

Release 

Comments 

Release 1

This version first released with BSB Business Services Training Package Version 1.0.

Application

This unit describes the skills and knowledge required to provide advice to patients regarding fee structures and process referrals, as well as prepare and process medical accounts for a range of patients.

This unit applies to individuals who apply a broad range of competencies in various medical administration contexts. They may exercise discretion and judgement using appropriate knowledge to provide technical advice and support to a team.

No licensing, legislative, regulatory or certification requirements apply to this unit at the time of publication.

Unit Sector

Administration – Medical Services Administration

Elements and Performance Criteria

ELEMENT 

PERFORMANCE CRITERIA 

Elements describe the essential outcomes.

Performance criteria describe the performance needed to demonstrate achievement of the element.

1. Provide advice to patients about fee structure

1.1 Identify and advise patients of fee schedule for different services

1.2 Advise patients regarding entitlements and rebates

1.3 Schedule medical appointments using appropriate booking and account systems

2. Process referrals to specialist practitioners

2.1 Check referrals to ensure validity

2.2 Follow correct procedures for referral

2.3 File referral letters according to legislation and workplace policies and procedures

3. Prepare medical accounts for bulk billed and private patients

3.1 Accurately follow procedures for billing based on account type

3.2 Identify and cost procedures which are not eligible for Medicate rebate

3.3 Select and complete appropriate account and billing documentation according to workplace and legislative requirements

3.4 Follow procedures for preparing Veterans’ Affairs, workers’ compensation and motor vehicle third party accounts accurately

3.5 Forward medical account to designated person or organisation according to legislation and account processing procedures

4. Process accounts

4.1 Receive and document payments

4.2 Prepare and issue receipts to person or authority according to legislation and workplace policies and procedures

4.3 Reconcile Medicare payments with claims made by the medical practice

4.4 Follow up overdue accounts

4.5 Provide and store financial records and data in accordance with policies and procedures of the workplace

Foundation Skills

This section describes language, literacy, numeracy and employment skills incorporated in the performance criteria that are required for competent performance.

Skill 

Performance Criteria 

Description 

Reading

1.1, 1.3, 2.1, 2.2, 2.3, 3.1-3.5, 4.1-4.5

  • Recognises text within job specifications and work processes related to the processing and preparation of medical accounts

Writing

1.3, 2.2, 2.3, 3.1-3.5, 4.1-4.5

  • Records and uses appropriate written communication when preparing medical accounts and in various other medical administration contexts

Oral Communication

1.1, 1.2, 4.4

  • Uses everyday language with patients to provide advice relating to the fee structure for different services as well as following up overdue accounts

Numeracy

1.1, 3.2, 3.3, 3.4, 4.1, 4.2, 4.3, 4.4

  • Uses basic mathematical calculations and arranges sequential numerical information when dealing with fees and processing medical accounts

Navigate the world of work

2.2, 2.3, 3.1, 3.3, 3.4, 3.5, 4.2, 4.5

  • Recognises and responds to organisational and legislative requirements for tasks

Get the work done

1.1, 1.3, 2.1, 2.3, 3.1, 3.3, 3.5, 4.1-4.5

  • Plans and organises workload and commitments to ensure work is completed in a timely manner
  • Uses digitally based systems and technologies to access, organise and present information

Unit Mapping Information

Code and title 

current version 

Code and title 

previous version 

Comments 

Equivalence status 

BSBMED302 Prepare and process medical accounts

BSBMED302B Prepare and process medical accounts

Updated to meet Standards for Training Packages

Equivalent unit

Links

Companion Volume implementation guides are found in VETNet - https://vetnet.education.gov.au/Pages/TrainingDocs.aspx?q=11ef6853-ceed-4ba7-9d87-4da407e23c10

 

Assessment requirements

Modification History

Release 

Comments 

Release 1

This version first released with BSB Business Services Training Package Version 1.0.

Performance Evidence

Evidence of the ability to:

  • provide accurate and clear advice to patients about a range of entitlements and benefits
  • use an appointment system to schedule medical appointments
  • process referrals according to legislative and organisational requirements
  • prepare, process and store medical accounts and payment records according to legislative and organisational requirements
  • follow up unpaid accounts.

Note: if a specific volume or frequency is not stated, then evidence must be provided at least once.

Knowledge Evidence

To complete the unit requirements safely and effectively, the individual must:

  • outline Medicare entitlements
  • outline public and private health insurance systems
  • discuss key aspects of relevant legislation, regulations, standards and codes of practice that affect workplace operations
  • describe the differences between workers’ compensation, TAC and Veterans’ Affairs claims
  • explain procedures for patients without a Medicare card or number.

Assessment Conditions

Assessment must be conducted in a safe environment where evidence gathered demonstrates consistent performance of typical activities experienced in the medical services administration field of work and include access to:

  • office equipment and resources
  • examples of documentation
  • case studies and, where possible, real situations.

Assessors must satisfy NVR/AQTF assessor requirements.

Links

Companion Volume implementation guides are found in VETNet - https://vetnet.education.gov.au/Pages/TrainingDocs.aspx?q=11ef6853-ceed-4ba7-9d87-4da407e23c10

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