Health Provider Compliance

Information, assistance and education information on the appropriate use of the Medicare Benefits Schedule, the Pharmaceutical Benefits Schedule and other health programmes.

Page last updated: 09 November 2015

This website has extensive health compliance information relating to:

  • Medicare Benefits Schedule (MBS);
  • Pharmaceutical Benefits Scheme (PBS);
  • Allied Health and other Incentive payments; and
  • Dental schemes.
The Health Provider Compliance Division is focused on early intervention and prevention to help health professionals get their correct entitlements, and assist you to meet your obligations and responsibilities. We also work with you to resolve any issues made because of genuine mistakes. Where there is deliberate fraud, the matter may be referred for a criminal investigation. Where incorrectly claimed benefits are identified, we work to recover the money.

We continually assess and monitor the compliance risks for health programmes using the best available evidence, including information from data analysis, reviews and audits.