Pro Rata Billing is Contrary to Price Guide Rules

We thought this was important for people to be aware of when receiving accounts from providers. This relates to Pro Rata billing.

‍The NDIS Price Guide clearly articulates the following for provider compliance:

• Providers can only make a claim for payment for a support once that support has been delivered or provided;
• Providers are responsible for ensuring that the claims for payment that they made accurately reflect the supports delivered;
• Claims need to be made against the specific support item that aligns with the service delivered; and
• Falsifying claims for payment is a serious compliance issue and may result in action against the provider. Providers are required to keep accurate records of claims, which are subject to audit.

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Click here to read more

https://www.intermediaries.org.au/news/pro-rata-billing-is-contrary-to-price-guide-rules/

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