🇦🇺Australia

Non-compliance fines for care plans

2 verified sources

Definition

Failure to properly develop and document plans of care and physician orders in the Support at Home program results in regulatory breaches, as providers must comply with specific requirements for service agreements and care plans under the new rules effective 1 November 2025.

Key Findings

  • Financial Impact: AUD 15,000 - 250,000 per serious non-compliance breach (typical Aged Care Quality and Safety Commission penalties); 20-40 hours/month manual documentation per provider.
  • Frequency: Ongoing for registered providers in Category 4/5 delivering home support.
  • Root Cause: Manual processes in plan development fail to meet tightened requirements for care management and physician oversight.

Why This Matters

The Pitch: Home Health Care providers in Australia 🇦🇺 risk AUD 50,000+ fines per breach on plan development. Automation of care planning and order verification eliminates this risk.

Affected Stakeholders

Care managers, Physicians, Provider compliance officers

Deep Analysis (Premium)

Financial Impact

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Current Workarounds

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Methodology & Sources

Data collected via OSINT from regulatory filings, industry audits, and verified case studies.

Evidence Sources:

Related Business Risks

Delayed billing from incomplete plans

1-3% revenue leakage (AUD 10,000+ per month for mid-size provider); 15-30 days added to DSO.

WHS Risk from Inadequate Aide Competency

AUD 10,000 - 50,000 per WorkCover claim for aide-related incidents

Provider Supervision Non-Compliance Fines

AUD 10,000 - 100,000+ per incident in fines and enforcement costs

Supervision Time Overruns

AUD 2,000 - 5,000/month per team in supervisor overtime at AUD 100/hour

Umsatzverlust durch nicht anerkannte Pflegeeinsätze

Geschätzt: 2–5 % des Jahresumsatzes mit Hausbesuchen; typischerweise AUD 60.000–150.000 p.a. Umsatzverlust je AUD 3 Mio. Visit-Umsatz durch abgelehnte/gekürzte Ansprüche wegen fehlender Besuchsnachweise

Verzögerter Zahlungseingang durch manuelle Besuchsverifizierung

Geschätzt: 7,5–15 zusätzliche DSO-Tage; bei AUD 1 Mio. Monatsumsatz entspricht dies ca. AUD 250.000–500.000 dauerhaft gebundenem Working Capital bzw. 5–10 % Zins- und Liquiditätskosten p.a. auf diesen Betrag

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