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 AN-ACC daily 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.
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.
AN-ACC Rate Management
Maintain current AN-ACC daily rates for each class with effective date ranges. Update rates when the government adjusts them (typically 1 July annually). The system calculates expected daily funding automatically.
Monthly Claims Reconciliation
Compare expected funding (classifications × days × rates) against actual funding received from Services Australia. Identify and investigate variances before they compound.
Supplement Tracking
Track eligibility and claims for all supplement types: accommodation, homeless, veterans, oxygen, enteral feeding, hardship, and viability supplements.
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.
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.
Reclassification Obligation
AN-ACC reclassification is needs-triggered, not calendar-triggered. Providers must request reclassification when a resident’s care needs change significantly.
Debt Recovery Risk
Incorrect claims can result in debt recovery and compliance action.
Reconciliation
Monthly reconciliation of expected vs actual funding to identify discrepancies.
Works With
Better together.
When modules work together, intelligence compounds. Funding & Claims integrates with these modules for a complete compliance picture.
SIRS & Incidents
Incidents causing care level changes prompt reclassification review alerts.
Prudential Compliance
Funding data feeds into financial position and liquidity planning.
Billing & Finance
Subsidy income flows into billing and financial reconciliation.
Quality Standards
Funding governance feeds into Quality Standard 2 (The Organisation) evidence.
FAQ
Frequently asked questions
What is AN-ACC and how many classes are there?
The Australian National Aged Care Classification (AN-ACC) is the funding model for residential aged care. It has 13 classes based on assessed care needs, each with a different daily subsidy rate. Rates are typically updated on 1 July each year.
When should we request an AN-ACC reclassification?
AN-ACC reclassification is needs-triggered, not calendar-triggered. You should request reclassification when a resident's care needs change significantly — for example, after a serious incident or clinical deterioration. The module prompts a reclassification review when it detects these changes.
How does monthly claims reconciliation work?
The module compares expected funding (classifications multiplied by days multiplied by rates) against actual funding received from Services Australia. Variances are identified and flagged for investigation before they compound over multiple months.
See Funding & Claims in action.
Request a personalised demo of the Funding & Claims module tailored to your organisation.
Free trial includes Compliance Essentials tier (11 modules). No credit card required.
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