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Data Element Detail

Account class
Identifying and Definitional Attributes
QH 040165 v1
Data Element
Data Element
Current
15-Jan-1998		Superseded
03-Aug-2014
Standard
01-Jul-1987
30-Jun-2014
Identifies the billing classification of the patient, i.e. it determines the patient's daily bed charge.
Institutional health care
Account class
Account classification (HBCIS)
Representational Attributes
Character
Text
X(3)[X(9)]
3
12
Permissible Values

Permissible_values

Corporate reference file as listed in Appendix I of the current version of the QHAPDC manual.
Supplementary Values

Supplemenary_values

-
Collection and Usage Attributes
The account class identifies the billing classification of the patient, i.e. it determines the patient's daily bed charge. The most common codes used are as follows:
GPE General Public Eligible
GRE General Private (Single-Room) Eligible
GSE General Shared Eligible

Newborns
If a newborn changes status between unqualified and acute (also known as 'qualified'), then the account class must be changed. Hospitals should use xxQ for newborns with a qualification status of acute and xxUQ for newborns with a qualification status of unqualified when assigning an account class code.

Same day banded patient
Same day banded patients cannot have an account class change. If a patient is admitted as a same day banded patient, but remains in hospital overnight or longer (no longer a same day banded patient), then the admission account class must be updated. This can be done by recording an account class variation and selecting a 'Y' (yes) to the prompt to update the admission account class or by deleting and re-entering the admission with the appropriate account class applicable. Generally, only staff in the Accounts/Patient Billing area can carry out account variations.

Ineligible persons
Ineligible patients admitted to Intensive Care Unit and/or Coronary Care Units are admitted to these units using the appropriate account class code. This eliminates the need for journal adjustments to correct the daily fee.

Prisoners
Prisoners have their own admission account class code. Ensure this code is used together with the admission and discharge source codes indicating 'Correctional Facility'. The Medicare suffix must be P-N and the Funding source is 01 Health service budget (not covered elsewhere). Correctional facilities do not pay Queensland Health for the treatment of prisoners.
Queensland Hospital Admitted Patient Data Collection (QHAPDC):
Transmit as left adjusted.
Queensland Hospital Admitted Patient Data Collection (QHAPDC):
The account class changes forwarded to the SSB are to reflect the last account class for that day. The account class is used to derive the compensable status, same day band and chargeable status of the patient. This data element is only supplied by hospitals using the HBCIS application.

Hospital Based Corporate Information System (HBCIS):
If a patient is admitted as a same day banded patient, but remains in hospital overnight or longer, then the admission account class must be updated. This can be done by recording an account class variation and selecting a 'Y' (yes) to the prompt to update the admission account class or by deleting and re-entering the admission with the appropriate account class applicable. Generally, only staff in the Accounts/Patient Billing area can carry out account variations.
Relational Attributes
Related Metadata References

Related Metadata References_IR

  • 1 - 6
ViewRelationshipMetadata Item TypeMetadata Item SubtypeNameIdentifier & VersionApproval Status
Has been superseded byData ElementData ElementEpisode of admitted patient care-account classQH 040165 Version 2Current
Is mappable toData ElementData ElementEpisode of admitted patient care-compensable patient statusQH 041740 Version 1Superseded
Is used in conjunction withData ElementData ElementDate of change of account classQH 040168 Version 1Superseded
Is used in the derivation ofData ElementData ElementBandQH 040059 Version 1Superseded
Is used in the derivation ofData ElementDerived Data ElementChargeable status (QHAPDC)QH 040050 Version 1Superseded
Is used in the derivation ofData ElementDerived Data ElementCompensable status (ODC)QH 042642 Version 1Superseded
Implementation in Metadata Sets

Implemented

  • 1 - 1
ViewMetadata Item TypeMetadata Item SubtypeNameIdentifer & VersionObligationApproval StatusEffective FromEffective To
Information AssetData CollectionQueensland Hospital Admitted Patient Data Collection (QHAPDC)QH 020001 Version 1ConditionalSuperseded01-Jul-198730-Jun-2014
Source and Reference Attributes
Account class;