Understanding Medicare: Provider Handbook

This handbook is a plain English guide that details the fundamental elements and principles of Medicare. It provides core guidance for healthcare professionals and others navigating the Medicare system.

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Understanding Medicare: Provider Handbook

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Publication date:
Publication type:
Guideline
Audience:
Health sector
Language:
English
Description:

This handbook is designed to help healthcare professionals build a solid fundamental knowledge of Medicare functions and principles. We developed this guidance in collaboration with key stakeholders to cover:

  • Medicare fundamentals 
    • Medicare programs 
    • Medicare and hospitals 
    • Medicare Safety Nets
  • The Medicare Benefits Schedule (MBS)
    • Key components 
    • MBS rules and requirements
  • Medicare claiming 
    • Patient claiming 
    • Bulk billing 
    • Administrative requirements 
    • Submitting claims 
    • Incorrect payments 
  • Benefit claims 
  • MBS Online 
  • Where to get help and support.

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