How we ensure Medicare compliance
When compliance isn’t met, we escalate activities accordingly, however, our focus is primarily on early intervention and prevention.
- Education and support
Browse our range of education resources that support best practice in billing. - Targeted letter campaigns
Learn how our targeted letters help you self-review your claims, find potential errors, and voluntarily repay any accrued debt. - Practitioner reviews
Discover how we find and look at variations which may indicate possible inappropriate practice. - Audits
Learn how we audit healthcare providers to ensure that all Medicare benefits paid to them comply with the requirements needed to receive them. - Fraud investigations
Learn when and how we perform fraud investigations regarding Medicare compliance by healthcare providers. - Behavioural insights and interventions
We use interventions informed by behavioural theories to encourage health providers to reflect on their billing practices and to improve compliance. - Data matching
We data match to improve the detection of incorrect claiming, possible inappropriate practice and fraud.
Last updated:
26 July 2021
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