Financial & CommercialAN-ACC

Funding & Claims

Classify accurately. Claim correctly. Reconcile monthly.

Accurate AN-ACC classification and claims management is essential to your financial sustainability. Statura Care's Funding module tracks every resident's classification, manages subsidy rates, reconciles monthly claims against expected funding, and monitors supplements — ensuring you claim everything you're entitled to and nothing you're not.

The Challenge

Incorrect funding claims can result in debt recovery and compliance action. With 13 AN-ACC classes, multiple supplement types, and monthly claims reconciliation, the complexity is significant. Under-claiming costs you money. Over-claiming costs you your reputation. You need a system that gets it right.

Key Capabilities

What the Funding & Claims module does.

01

Resident Funding Register

Track every resident's AN-ACC classification across 13 classes, assessment date, reassessment due date, and daily subsidy rate. Maintain a complete classification history with change reasons.

02

Subsidy Rate Management

Maintain current AN-ACC rates for each class with effective date ranges. Update rates when the government adjusts them (typically July 1 annually). The system calculates expected daily funding automatically.

03

Monthly Claims Reconciliation

Compare expected funding (classifications × days × rates) against actual funding received from Services Australia. Identify and investigate variances before they compound.

04

Supplement Tracking

Track eligibility and claims for all supplement types: accommodation, homeless, veterans, oxygen, enteral feeding, hardship, and viability supplements.

05

Reclassification Alerts

When a resident's care needs change significantly — post-incident or clinical deterioration — the system prompts a reclassification review to ensure funding matches actual care requirements.

06

Funding Analytics

Average funding per resident per day, case-mix profile (AN-ACC class distribution), revenue forecasting, and rate change impact modelling for financial planning.

Regulatory Requirements

What the law requires.

The Aged Care Act 2024 (AN-ACC) sets specific obligations that this module helps you meet systematically.

Accurate Claims

Funding claims to Services Australia must accurately reflect each resident's classification and care.

Reassessment Obligation

Reclassification required when care needs change significantly (typically 12-monthly minimum).

Debt Recovery Risk

Incorrect claims can result in debt recovery and compliance action.

Reconciliation

Monthly reconciliation of expected vs actual funding to identify discrepancies.

See Funding & Claims in action.

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