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Hospital HCP Data

The Hospital Casemix Protocol (HCP) data collection is a legislated data collection. It stipulates the reporting requirements and content related to admitted episodes of Hospital Treatment. If the service is provided by a hospital (Hospital Treatment) and a patient is admitted, the episode should be reported in HCP data. This data includes clinical, demographic and financial information for privately insured admitted patient services.

For a copy of the current HCP Specifications go to Hospital HCP data format specifications.

HCP is a monthly dataset based on separation date and should be submitted within 42 days from the end of the month of discharge. A schedule of Due Dates is provided to assist hospitals in meeting this deadline.

It is a legislated requirement for all declared hospitals to provide HCP data to registered private health insurers who in turn report the information to the Commonwealth Department of Health (DoH).

As insurers are required to submit HCP data to the Department of Health (DoH) with an error rate of 2% or less, AHSA validates hospital HCP data to ensure it complies with DoH HCP format specifications, reporting requirements and edits. If any anomalies are found, AHSA emails the HCP contact (designated by the hospital) a HCP error report to complete.

HCP/ANSNAP Validation Reports

Hospitals are expected to provide the relevant corrections to their HCP/ANSNAP errors within 7 working days.

We have a revamped Validation Report transmitted through the SDX.

AHSA Hospital HCP Validation Report Example

Highlights of the Validation Report:

Summary page: overview of the number of records and an error count breakdown.
HCP and ANSNAP validations are incorporated into the one file, each has their own tab. If you do not supply ANSNAP data, please ignore the ANSNAP tab.
“Confirmed Correct” and “ Delete Episode” options.
You have the option to provide free text comments or select comments via the “Comments” drop down list to provide further detail on any episode.
If you click on Fields that can be updated by Hospital cells, further information is displayed relating to the data element.
To assist with your corrections, explanatory notes for HCP/ANSNAP Fields and the AHSA Validations are located within the “Definitions” tabs on the Validation Report.

We have reviewed all our data validations and ‘fixes’

Some have been deleted, some have been re-worked, some are new. You may see a reduction in your usual error counts, but you may also see some new rules that have been triggered.

There is a data resubmission option

Using the Validation Report as a ‘work sheet’, you can update/amend your Patient Administration System (PAS) data so that a data resubmission effectively corrects the data in error.

You do not need to manually input all the new values into the Validation Report.

All transactions are now via the SDX

Validation reports and data resubmissions are only to be transmitted through the SDX.

If you have errors that need investigation you will be sent the Validation Report via the SDX. You will receive one SDX request to facilitate the secure upload of the Validation Report.

If you are a Day facility or Acute hospital (without Rehab) contact, you will also receive one SDX request to facilitate the secure upload of a Data Resubmission.

If you are a Rehab facility contact, you may receive one SDX request for HCP data resubmission &/or one SDX request for ANSNAP data resubmission, depending on the errors on the Validation report.

Only “decline” the SDX request for a data resubmission if you opt to not provide a data resubmission. However, we strongly encourage you to upload a data resubmission file.

This may include additional episodes as well as amended information, making your monthly submission more complete.

We are only accepting the return of one data resubmission and one Validation Report per facility. Therefore, ensure you have a process for this being actioned by one user if you have multiple staff/departments responsible for differing aspects of the request.

We have a new email address for all correspondence relating to data resubmission and validation report queries

If you need assistance, please email us and we will get in touch with you as soon as we can - hcpresubmissions@ahsa.com.au

AHSA SDX Hospital Validation Report and Resubmission Upload Instructions