Voluntary acknowledgement of incorrect payments

We conduct health compliance audits and reviews in accordance with our Compliance Program and legislation in order to protect public funds and ensure benefits are correctly paid.

Page last updated: 15 December 2016

On this page:

If you think you've incorrectly claimed a Medicare Benefits Schedule (MBS) or dental benefit or received a MBS or Child Dental Benefits Schedule (CDBS) payment from Medicare that you shouldn't have, it's important you let us know as soon as possible.

A voluntary acknowledgement is when you tell us about an incorrectly claimed MBS or dental benefit or a MBS or CDBS payment that you shouldn't have received.

When you tell us about an incorrectly claimed benefit or payment, any amounts owing will need to be repaid by you.
To do this you must fill out the Voluntary acknowledgement of incorrect payments form. This form can be used at any stage you become aware of receiving an incorrect MBS or dental benefit payment.

When you are voluntarily acknowledging incorrect payments, do not send clinical notes or money with the form. We will contact you to confirm the amount owing.

How voluntary acknowledgement affect an administrative penalty

If you’ve incorrectly claimed a MBS benefit or received an incorrect payment, you may have to also pay an administrative penalty for MBS compliance audits only. The penalty is a percentage of the amount owed to us for each incorrect payment. The base penalty is 20% of the total amount owed. However, if you voluntarily acknowledge an incorrectly claimed benefit or payment, the administrative penalty may be reduced.
This is not applicable to CDBS compliance audits.

Information required when submitting a Voluntary acknowledgement of incorrect payment form

Any information or documentation you think will help us identify the incorrectly claimed benefits or incorrect MBS or CDBS payments can be submitted with the Voluntary acknowledgement of incorrect payments form.
Do not send money or cheques.

Submitting completed form
Voluntary Compliance Team
Health Provider Compliance Division
GPO Box 9848
Canberra ACT 2601

or scan the completed form and email: Voluntary Compliance Team.

Where you become aware of incorrect payments you may have received from private health insurers or in relation to a patient who received cover or medical treatment under a compensation scheme after the consultation occurred, contact either:
    • the Department of Veterans' Affairs claims via the Department of Human Services Veterans' Affairs Processing enquiry line on 1300 550 017 and select Option 1
    • the private health insurer directly
If an incorrect payment relates to a patient who received cover or medical treatment under a compensation scheme after the consultation occurred, contact:
    • the Medicare Provider enquiry line 132 150 and select Option 1
If an incorrect Medicare payment relates to a patient who received cover or medical treatment under a compensation scheme after the consultation occurred, contact 

Contact 

Email: Voluntary Compliance Team.

In this section