How to comply with your Medicare obligations

Meeting compliance requirements is the responsibility of the practitioner. Most non-compliance is inadvertent, and we will work with you to resolve any issues.

Understand your responsibilities 

We provide a range of educational resources to help you meet your legal obligations and reduce the risk of incorrect billing under Medicare. We do this by targeting our compliance activities to the type of non-compliance identified. 

Don’t wait to be contacted 

Let us know as soon as you discover that you have made an incorrect claim. While you must repay the incorrect payment, early notification can have a significant impact on the size of the additional penalty

Tell us if you suspect inappropriate billing or fraud 

It is important that you tell us if you have concerns about the billing by a health provider. 

Any information you can give assists us to ensure the integrity of health programs. It doesn’t matter how much information you have, and you can remain anonymous. 

Get help to comply

We offer different kinds of support to help you comply with Medicare billing requirements.

Strategies to minimise risk   

There are 10 strategies you should adopt to identify, manage and prevent the risk of incorrect billing under Medicare. 

The Medicare Billing Assurance Toolkit   

The toolkit encourages a continuous improvement cycle for your Medicare billing assurance approach. 

AskMBS email advice service   

The AskMBS email advice service helps you to understand, and comply with, the claiming requirements of the Medicare Benefits Scheme (MBS).  

Record-keeping guidelines  

We have developed guidelines to make it easier for you to maintain good record keeping standards within your practice.  

Education and support 

You can access a range of educational resources to help you meet your legal obligations when billing under Medicare and reduce the risk of incorrect billing. 

Last updated: 
10 June 2021

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