[WWW - 2021.12.16]
Identifying and Definitional Attributes
Identifier
QH 040165
Version
2
Metadata Item Type
Data Element
Data Element Type
Data Element
Approval Status
Draft
12-Jun-2014  
Current
04-Aug-2014  
Approval Type
Standard
Approving Authority
-
Effective From
01-Jul-2014
Effective To
-
Definition
Identifies the billing classification of the patient, i.e. it determines the patient's daily bed charge.
Context
Admitted patient care
Short Name
Account class
Name in Other Contexts
-
Representational Attributes
Datatype
Character
Representation Class
Text
Format
X(3)[X(9)]
Minimum Character Length
3
Maximum Character Length
12
Permissible Values
Valid Account class code from Revenue Strategy and Support Unit, Finance Branch as listed in Appendix I of the current version of the QHAPDC manual.
Supplementary Values
-
Collection and Usage Attributes
Guide for Use
The most common codes used are as follows:
GPE General Public EligibleGRE General Private 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.
Verification Rules
Queensland Hospital Admitted Patient Data Collection (QHAPDC):
Transmit as left adjusted.
Collection Methods
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. Maximum of 1 variation in account class is allowed. 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.

This data element is mapped to the Episode of admitted patient care-same-day banded procedure classification data element as follows:
Code B1A is mapped to code 1A Band 1A.
Code B1B is mapped to code 1B Band 1B.
Code B2 is mapped to code 2 Band 2.
Code B3 is mapped to code 3 Band 3.
Code B4 is mapped to code 4 Band 4.

This data element is mapped to the Episode of admitted patient care-compensable patient status data element as follows:
Code DD is mapped to code 9 Department of Defence.
Code DVA is mapped to code 5 Department of Veterans' Affairs.
Code MVQ is mapped to code 6 Motor Vehicle (Queensland).
Code MVO is mapped to code 7 Motor Vehicle (Other).
Code TP is mapped to code 3 Compensable Third Party.
Code WC is mapped to code 1 Workers' Compensation (Queensland).
Code WCO is mapped to code 2 Workers' Compensation (Other).
Comment
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Relational Attributes
Related Metadata References
Is used in conjunction with Episode of care-date of change of account class QH 040168 Version 2
Is used in the derivation of Episode of admitted patient care-chargeable status QH 040050 Version 2
Is used in the derivation of Episode of admitted patient care-same-day banded procedure QH 040059 Version 2
Relates to Episode of admitted patient care QH 041604 Version 1
Supersedes Account class QH 040165 Version 1
Implementation in Metadata Sets

Otherrelational

  • 1 - 7
ViewMetadata Item TypeMetadata Set TypeNameAscendingIdentifier & VersionObligationEffective FromEffective To
Information AssetData CollectionQueensland Hospital Admitted Patient Data Collection (QHAPDC)QH 020001 Version 1Conditional01-Jul-201430-Jun-2019
Information AssetData CollectionQueensland Hospital Admitted Patient Data Collection (QHAPDC)QH 020001 Version 2Conditional01-Jul-2019
Data Supply RequirementHHS Service AgreementQueensland Hospital Admitted Patient Data Collection (QHAPDC) Public Hospital Services Data Supply Requirement (DSR) 2016-2017QH 020314 Version 1Conditional01-Jul-201630-Jun-2017
Data Supply RequirementHHS Service AgreementQueensland Hospital Admitted Patient Data Collection (QHAPDC) Public Hospital Services Data Supply Requirement (DSR) 2017-2018QH 020329 Version 1Conditional01-Jul-201730-Jun-2018
Data Supply RequirementHHS Service AgreementQueensland Hospital Admitted Patient Data Collection (QHAPDC) Public Hospital Services Data Supply Requirement (DSR) 2018-2019QH 020504 Version 1Conditional01-Jul-201830-Jun-2019
Data Supply RequirementHHS Service AgreementQueensland Hospital Admitted Patient Data Collection (QHAPDC) Public Hospital Services Data Supply Requirement (DSR) 2019-2020QH 020582 Version 1Conditional01-Jul-201930-Jun-2020
Data Supply RequirementHHS Service AgreementQueensland Hospital Admitted Patient Data Collection (QHAPDC) Public Hospital Services Data Supply Requirement (DSR) 2020-2021QH 020693 Version 1Conditional01-Jul-202030-Jun-2021
Data Quality Declaration
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Source and Reference Attributes
Source Organisation
-
Source Document
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Keywords

Account class