Your NDIS Invoicing Guide
Have you ever sent an invoice? Did it get delayed, rejected, or returned for changes?

A support coordinator once said, “The hardest part of my job isn’t working with participants. It’s fixing NDIS invoice errors.” And the problem most of the time was not a big one. Common problems were small coding mistakes. There were also wrong funding categories, and people often confused which line item and unit price needed to be used.

When submitting an NDIS Plan Managed invoice, every detail matters. Small errors can delay payments. This effects the Disability Support worker and NDIS Providers, as they will not have an income until the error is amended. It also causes providers and the NDIS Plan Manager to go back and forth.

This article helps you understand how to follow NDIS billing best practices. It shows you how to avoid common invoicing problems. You’ll also learn to make your NDIS invoicing process smoother which will keep NDIS plan budgets on track and workers getting paid on time.

Common NDIS Billing Mistakes (and How to Fix Them)

NDIS Plan Managers cannot process your invoices unless all the correct information is given at the time of submitting your invoice. These include, your name, business name, ABN, date, unit, unit price, date of service, line item, participant NDIS number, participant name.

Let us examine the common errors in NDIS invoicing one by one.

Incorrect use of NDIS Line Items

Every provider in the NDIS must use a specific NDIS line item number when making a claim for payment. One of the major causes of delayed payment is the misuse of NDIS line items. The most common errors include:

  • The use of general Core line items instead of the right Home and Living line items.
  • Charging the wrong hourly rate.
  • Failure to charge in line with NDIS pricing agreements.
  • Failure to charge the right ratio of NDIS funds.

 

For proper compliance with NDIS billing requirements, the NDIS Pricing Guide is available for use on the NDIS website. This price guide is a national wide price guide for all states and territories in Australia. The NDIS price guide is also an effective tool to encourage marketplace competition, as participants and providers have a clear understanding of the maximum billing rate. The price guide provides information for categories such as, group supports, billing changes, transportation for participants and providers, programs of support, services eligible for non-face to face delivery.

Key Line Items in NDIS – SIL and STA

Key Line Items in NDIS – SIL and STA

It is essential to understand the difference between SIL and STA. This is especially important for NDIS invoicing.

SIL (Supported Independent Living)

The NDIS Plan includes SIL as part of Home and Living. This support helps clients in their daily lives. The support can be in a shared home or in the client’s home. When the NDIS Plan Manager processes an invoice for the NDIS participant, they should think about these points:

  • The right support item is used
  • The ratios of the support provided need to be clearly stated
  • The support provided is overnight inactive or active.
  • All rates are strictly aligned with the current NDIS Pricing Arrangements and Price Limits.
  • Service dates are clear and within the current NDIS plan dates. (Recommended to make all claims within 90 days of service)

STA (Short-Term Accommodation/Respite)

STA consists of short-term stays, with the provision of accommodation, personal care, and community access.

If you are sending an invoice for STA, here are some invoicing tips:

  1. Ensure the use of the right “Short-Term Accommodation” line item.
  2. Charge daily, not by the hour, unless instructed otherwise.
  3. Ensure it is consistent with the quote.
  4. Ensure core funding is in place.
  5. Ensure the documentation is clearly sent to the NDIS Plan Manager. This will help the NDIS Plan Manager process the invoice faster.

The Difference Between Core and Capital Funding

One of the biggest errors in NDIS billing is the failure to use the right funding type in the billing process. Core funding entails support that helps with everyday life. This includes assistance with daily needs such as yard maintenance and household cleaning. It also comprises consumables, which are daily items that one can use, such as low-budget technology and equipment to enhance independence and mobility. Core funding can also be used for assistance with social and community participation and transport.

Capital funding, on the other hand, is used for the purchase of higher-cost assistive technology, equipment, and home or vehicle modifications. It is also used for one-off purchases that you may need, such as the Specialist Disability Accommodation. It is essential to note that the Capital Supports budget only caters for specific purpose and cannot be used for anything else.

In the NDIS billing process, core funding supports important SIL and STA services. Without the core funding, the operation of the services is in jeopardy. We must know the difference between core and capital funding. This is important for NDIS billing best practices and helps us avoid rejected claims.

A Checklist for Submitting Error-Free Invoices

Before you send off your next NDIS Plan Manager Invoice, here is a checklist to help you avoid any holdups:

  1. Check provider details, ensuring the invoice displays the provider’s business name exactly as registered, their ABN, and bank or contact details for payment. Also, ensure the invoice contains the participant’s address, including postcode, if it is for specialist disability accommodation.
  2. A unique invoice number since using the same invoice number can result to rejection from the NDIS system.
  3. Check the client’s full name. This must be the participant who has the plan with NDIS. It must not be the caregiver or guardian number. Even when the participant is below 18 years, the invoice must include their full name.
  4. Ensure to include the participant’s NDIS number. This assists in identification and speeding the process.
  5. Check service details. This includes a clear description of the support and support item number from the latest NDIS support catalogue. Ensure the exact service dates the support was provided are included. Also, include the hourly rate, the amount and quantity claimed for each unit of the support provided, and the total amount due, with GST, if applicable.
  6. Invoices must only be for an individual participant, although they can contain multiple line items. Plan managers must include the ABN of the third-party provider.
Understanding NDIS Claims

Understanding the Process of NDIS Claims

As soon as you submit your invoice for the NDIS Plan Manager, the team will review it before payment. Usually this is an automated system, the computer and program is designed to scan over the invoice, check all requirements are present and process the payment.

The NDIS claims process includes:

  • Verifying that funds are available in the NDIS plan.
  • Verifying that the NDIS line items are accurate.
  • Verifying that the unit price of the NDIS service is within the NDIS price limits.
  • The team will then send the claim to the NDIA for payment.

Why NDIS Billing Best Practice Matters

NDIS billing best practices ensure that everyone is paid. This is because they reduce conflicts and ensure that all parties are happy. Accurate NDIS invoices ensure timely payments. This means that Providers and Individual disability support workers have regular income.

For support coordinators, this means that they have more time on their hands. In addition, NDIS billing best practices are not just about rules and regulations. It’s also important for an NDIS participant to review their invoice weekly to ensure their spending is within their budget plan.

Conclusion

By taking your time to ensure all key points are on your invoice, before submitting it to the NDIS plan manger or NDIA, is very important in ensuring that everything can be processed smoothly. Once we understand the NDIS price Guide, good NDIS billing habits are important in ensuring that we avoid mistakes and delays.

A good NDIS invoicing system is key in ensuring that everything runs smoothly. If you are looking for easy invoicing programs/softwares to use some options are;

  • Xero
  • QuickBooks
  • MYOB
  • Zoho Invoice

It’s important to adhere to NDIS invoicing best practices to ensure the NDIS participants’ budgets are as accurate as possible. This ensures individuals living with disabilities are able to receive all the assistance and support they need.

Everyone is responsible for ensuring accuracy when claiming Invoices, by using this guide you can improve your invoicing standards and practices.