07
Unit 07 · Non-Attendance
PractiSpace
PractiSpace
Working with ACC · Unit 07

Non-Attendance (DNA)

How to handle a no-show

ACC pays a set non-attendance fee — a DNA, for did not attend — when a client does not attend a scheduled appointment. The current rate is $77.49 excluding GST. To be able to request it, several conditions need to be met.

01

When can a DNA fee be claimed?

ACC sets two conditions:

The client had a scheduled appointment.
The client did not attend, or cancelled without providing at least two working days’ notice.

And one limit:

A maximum of two DNA fees can be claimed per claim.
Recommended by PractiSpace

Take reasonable steps to support the client’s attendance, and record the appointment and the non-attendance in the clinical record.

Neither is required by the contract. Both make the request straightforward, and both matter if it is ever questioned.

02

Appointment reminders

An appointment reminder is the simplest of those steps, and the one our DNA report asks about.

Where possible, please use your existing practice-management reminder system. If you do not have an automated reminder system, a scheduled email or text message can be used.

Please keep a record of when and how the reminder was sent.

Simple reminder template
Subject: Appointment Reminder
Hi [First name],
Just a reminder that your next appointment with me is scheduled for [day, date] at [time].
If you are unable to attend, please let me know as soon as possible.
Kind regards,
[Provider name]
03

If a client does not attend

Please notify PractiSpace on the same day, or no later than the next working day. Please provide:

Client name
Claim number
Date and time of the missed appointment
Date of the client’s last attendance
Whether this was a no-show or a late cancellation
If cancelled, when the cancellation was received
Reason for non-attendance, if known
Any contributing factors you are aware of
When and how the appointment reminder was sent
How many appointments this client has missed on this claim, including this one
Whether the client is continuing with the service

These are the fields of our DNA report, which we complete and send to ACC. Sending them all at once means we can lodge the request the same day.

If you are unsure whether a late cancellation meets the two-working-day requirement, simply send us the details and we will check.

04

How does it work?

You do not need to contact ACC or arrange the PSYDNA Purchase Order yourself.

Provider
Emails PractiSpace with DNA details
PractiSpace
Sends the request to ACC
ACC
Adds a PSYDNA to the PO
PractiSpace
Records the PO code in the billing system
Provider
Bills the DNA
Your part
Handled for you

PractiSpace will:

1
Complete the DNA report — our own form, which sets out the missed appointment and requests the fee.
2
Submit the report to ACC.
3
Request that PSYDNA is added to the client’s Purchase Order for the date of the missed appointment.
4
Update our billing system when the amended PO is received, making the PSYDNA item available for you to invoice.

I hope this makes the process easier to follow. Once you’ve started claiming DNAs, let me know if you think anything could work better.

A clinical note

When non-attendance is clinically meaningful

A DNA is not only an event to report and be paid for. Non-attendance can itself be clinically meaningful — it may point to difficulty engaging with treatment, or to something else that is holding the client back.

If you think a pattern of non-attendance points to something like this, please get in touch with me so we can think it through together. In these situations the DNA is a symptom of something else, and it matters that we address that rather than treat each missed appointment in isolation.

PractiSpace Limited — a contracted supplier to ACC under the Psychological Services (PSB) contract.

Ronit Adiv, Clinical Psychologist
Managing Director
Get in touch · www.practispace.co.nz