Enhancements to Direct Bulk Payment Requests (BPRs)
The major focus of SupportAbility's development roadmap for 2020 and beyond is developing enhancements to Bulk Payment Requests (BPRs) for Direct Services.
Our conversations with providers over the last twelve months have highlighted the difficulties being experienced when claims are rejected by the portal.
The goal of this development project is to deliver the ability for providers to:
- automatically identify the Claim Status of each Allocation i.e. Accepted (successful) or Rejected (error) by providing the facility to import the results file provided by the myplace provider portal following submission of a Bulk Payment Request (BPR)
- choose a corrective course of action for any rejected claim items e.g. Retry, Amend, or Cancel
- only include Accepted Allocations in Invoice Batches to ensure that accounts receivable aligns perfectly with the expected payment amount
These changes are being made to improve the quality & accuracy of the data included in and produced by SupportAbility. This project will ensure that Client Funding Statements & Utilisation data for Agency Managed Supports reflect the correct amounts.
Audience: Authorised Representatives, Executive Management and Finance Team
The following list summarises the content within this article. Click on the links below to take you to the relevant sections:
- Release plan to date
- BPR Rejection Action - Amend
- How can our organisation manage amendments currently?
Release plan to date
Due to the extent of this development project, a phased approach is being taken in order to reduce the impact on providers and to assist with change management.
1. The upgrade to SupportAbility v6.14 (January 28th, 2020), saw the release of the first phase of this development project, whereby the workflow for generating NDIS BPRs was separated for Direct and Plan Management Services.
2. The upgrade to SupportAbility v6.16 (March 19th, 2020), saw the release of the second phase of this development project and involved several key changes including:
- A new Finance menu is available from the Dashboard for Staff with the required privileges including all finance-related functions i.e. Bulk Payment Requests, Invoice Batches and Time Sheet Batches
- The workflow for generating NDIS Direct Bulk Payment Requests (BPRs) was changed as a first step towards the ability to identify and process rejected claims:
- Direct BPRs are now generated prior to Invoice Batches (for the NDIA)
- Direct BPRs now include NDIS Support Allocations from Signed Off Activities, rather than NDIA Invoices
- Invoice Batches for the NDIA can then be generated following the creation of a BPR from the ‘View Direct BPR’ page (as required).
N.B. The process for generating Invoice Batches for Self Managed and Plan Managed Clients remains the same.
3. The upgrade to SupportAbility v7 (October 8th, 2020) includes a number of changes designed to ensure greater accuracy between systems. We are also pleased to introduce a powerful new Allocations Report which has been designed and prioritised based on provider feedback. This new report provides much-needed visibility across NDIS service data, which can be queried in many different ways.
- automatically in bulk, with the click of a button to align both systems by Uploading the Bulk Payment Results File (BPRF) downloaded from the myplace provider portal (highly recommended as this feature has been developed to simplify reconciliation):
- manually by selecting a Manual Claim Status of either Accepted (successful) or Rejected (error), only if required.
Any Rejected Allocations can be processed by choosing to either Retry or Cancel these.
New videos are available in the linked articles above and will also be available in the Learning Centre following this upgrade, from the new 'NDIS Direct Bulk Payment Request' section of the Finance tab.
BPR Rejection Action - Amend
The Amend action will essentially cancel the original Allocation and allow you to reallocate one or more replacement Supports to correct this within the confines of the Client’s NDIS Direct Funding record.
When ready, you will be able to process this action which will make the amended Allocation/s available for inclusion again in a subsequent BPR (similar to Retry).
Please note that this will not allow the Client's Funding Source or any other element of the Activity to be amended as part of this process. More information regarding the details of this will be provided in the SupportAbility Roadmap article closer to this time.
If your organisation encounters any errors that need to be addressed by amending the Allocation, a different strategy may be required based on whether or not that Allocation/s are part of a 1:1 Activity or a Group Activity.
Once the BPRF has been uploaded if any Allocations have resulted in an error that needs to be Amended e.g:
The BPR could be 'Reset' to remove the BPRF:
Which will allow you to remove the required Allocation/s from the BPR by selecting them and navigating to the 'Bulk Actions' menu and selecting 'Remove from BPR:
Once the Allocation/s have been removed, the Activity Sign Off can be removed, so that the required change can be made in the Activity. When this has been manually corrected, the Activity Sign Off can be performed again and the Allocation/s included in a new BPR for the correct reduced amount (for example).
Once the required Allocation/s have been removed, we recommend uploading the BPRF again so that the remainder of the Allocations can be updated based on these results accordingly, noting that an amber validation message will appear stating that there is a result/s included in the BPRF that can't be located in the BPR e.g:
However, this can be disregarded given that these results contain the Allocation/s that are set to be fixed manually and included in a subsequent BPR.
If the Rejected Allocation has been included in a Group Activity, however, the Activity Sign Off is unable to be removed if any of the other Allocations have been included in a BPR or Direct Invoice Batch.
In this scenario, the only option available to correct this is to Cancel the claim and create a new Activity for the correct amount. We do appreciate that this will cause extra administration, however, it is the only available option to correct this for Group Activities when the BPRF is uploaded.
For more information regarding this, the BPR Rejected Claim Action - Cancel article may assist, linked below for reference, which also includes a video regarding this new functionality.