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.
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.