Understanding Medicare: Provider Handbook

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.