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 HCP 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 and Aged Care (DoHAC).
As private health insurers are required to submit HCP data to the Department with an error rate of 2% or less, AHSA collects, validates and reports hospital HCP for it's member funds to ensure they comply with Department data specification, reporting requirements and data rules. If any anomalies are found, AHSA sends a Validation Report via SDX to the HCP contact (designated by the hospital) for completion.
Hospitals are expected to provide the relevant corrections to their HCP/AN-SNAP errors within 7 working days.