Medicare Billing Assurance Toolkit - Resources

Page last updated: 18 January 2016

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Pre-participation questionnaire – Medicare Billing Assurance Toolkit

Helps you to identify your practice’s strengths and area for improvement in its Medicare assurance approach.
Complete the pre-participation questionnaire now

 

Practice self-assessment checklist - Billing Assurance Toolkit

Helps you to identify your practice’s strengths and areas for improvement in its Medicare assurance approach.
Complete the practice self-assessment checklist

Medicare billing assurance charter – Medicare Billing Assurance Toolkit

Sets out the principles that support your practice’s billing activities under Medicare.
Read the Medicare billing assurance charter

Medicare billing assurance template – Medicare Billing Assurance Toolkit

 Contains examples of policy statements and operational guidance which can create a Medicare billing assurance approach in the practice.
Complete the billing assurance template now

Post-participation questionnaire – Medicare Billing Assurance Toolkit

Allows you to get a snapshot of your practice after the changes resulting from your Medicare billing assurance review have been implemented.
Complete the post-participation questionnaire now

Health professional guidelines

We’ve been working with the Department of Health and health peak bodies to develop health professional guidelines to help you understand what documents you can use to substantiate services if you are asked to participate in a Medicare compliance audit.

Medicare compliance audits and review

On 9 April 2011, the Health Insurance Amendment (Compliance) Act 2011 (the Act) came into effect. This Act resulted in changes to obligations and procedures for Medicare compliance audits for incorrect payments and unsubstantiated services.

Health Professional Online Services

Health Professional Online Services (HPOS) offers health professionals access to online services through a single entry point, in real time. You can access information on Medicare eligibility and the processing and payment of claims.
We will continue to enhance HPOS to make it easier for health professionals to do business with us.

eLearning modules

eLearning modules are a flexible and easy learning option for busy health professionals.
There are introductory to advanced level modules on the MBS and the Pharmaceutical Benefits Scheme.

Related services

Related help subjects