Medicare compliance
We have a strong program that protects Australia’s health payments system from incorrect claiming, inappropriate practice and fraud.
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About Medicare compliance
Discover what Medicare compliance is, why it is important and how it applies to you. -
How we ensure Medicare compliance
Discover how we escalate activities when confronted with a non-compliant healthcare practitioner. -
How to comply with Medicare obligations
Discover what you can do to ensure you're meeting your compliance requirements. -
Compliance debts and penalties
Discover how your actions can decrease or increase your debts and penalties.
Medicare tip-offs
Anyone can submit a tip-off about the actions of a healthcare provider. If you suspect fraud or are concerned about the billing or claiming of a healthcare practitioner, their practice or their employee, notify us.
Find out more about reporting suspected fraud and incorrect billing or claiming.
Health Provider Compliance Strategy 2021–22
The Health Provider Compliance Strategy aims to help health providers understand their responsibilities in relation to compliance. It outlines the Department's compliance priorities for the 2021–22 financial year and describes the tools and methods used to identify and treat non-compliance.
