NDIS Fraud Fusion Task Force: New Payment Checks Explained

As of 1 March 2024, the NDIS Fraud Fusion Task Force has introduced new payment checks to enhance the integrity of the National Disability Insurance Scheme (NDIS). These changes aim to protect participants' plans but may lead to delays in payments for providers. Here, we’ll explore what these changes mean for providers, along with tips to ensure your claims are processed smoothly.

What is the NDIS Fraud Fusion Task Force?

The NDIS Fraud Fusion Task Force has been established to tackle fraudulent claims within the NDIS. By thoroughly reviewing claims, they aim to ensure that funds are used appropriately for participant needs. This includes requesting additional information and evidence when necessary, leading to stricter scrutiny of invoices and payment processes.

New Payment Check Requirements

To comply with these changes, providers must adhere to specific guidelines when submitting invoices. Failure to meet these requirements may lead to significant payment delays or outright rejection of claims, potentially disrupting service delivery and cash flow.

Key Invoice Submission Rules:

Therapy-Specific Invoices:

Providers offering therapy supports must include their name and registration number with their governing body, such as:

GST and NDIS Pricing Information

Most services delivered under the NDIS are GST-free. For clarification, refer to the Australian Taxation Office (ATO) website. Additionally, providers must charge within the NDIS price guide limits. Claims exceeding these rates will not be processed.

Compliance and Provider Responsibilities

Providers must ensure they meet all compliance obligations, including:

Posity Online offers services to help providers stay compliant with these requirements. From tailored NDIS policy templates to internal audits, we ensure that your operations align with NDIS standards, reducing the risk of payment delays and rejected claims.

Tips to Avoid Payment Delays

1. Double-Check Invoice Details:
   Verify that all required fields are completed accurately.
2. Use Approved Formats:
   Submit invoices as PDFs, JPGs, or PNGs to avoid rejection.
3. Stay Within NDIS Price Limits:
   Ensure charges align with the current NDIS price guide.
4. Stay Compliant:
   Regularly review your compliance with registration, screening, and vaccination requirements.

Conclusion

While the enhanced payment checks by the NDIS Fraud Fusion Task Force may pose challenges, following the updated requirements can help minimise disruptions. By submitting accurate and compliant invoices, providers can ensure prompt processing and continue delivering essential services to NDIS participants.

If you need assistance with NDIS compliance, invoicing, or audit preparation, Posity Online is here to help. Contact us today to learn more about our support services tailored for NDIS providers.