Resources

The Minister for Health and Aged Care has requested an independent, high-level review of the Integrity of Medicare and the compliance mechanisms. The review will focus primarily on the Medical Benefits Scheme.

Advice for health providers and other users of the Medicare Benefits Schedule on the interpretation and application of MBS items, explanatory notes and associated legislation, to assist them in billing Medicare correctly.

Advice for health providers and other users of the Medicare Benefits Schedule on the interpretation and application of MBS items, explanatory notes and associated legislation, to assist them in billing Medicare correctly.

This Privacy Impact Assessment (PIA) executive summary serves as a baseline assessment of routine and ongoing data matching programs relating to Medicare compliance by health providers. It is intended to cover a range of compliance activities undertaken by the Department.

Social workers can provide focussed psychological strategies (FPS) under the Better Access Initiative (BAI), where their clients can
access up to 10 individual sessions per calendar year.

Advice for health providers and other users of the Medicare Benefits Schedule on the interpretation and application of MBS items, explanatory notes and associated legislation, to assist them in billing Medicare correctly.

This document details how eligible patients should be billed for MBS items 10950 to 10970, including referral requirements, resources and access.

The Pharmaceutical Services Federal Committee of Inquiry (the Committee) was established by the Minister to address concerns that some instances of claiming contravened the National Health Act 1953.

Information and advice for providers about Medicare compliance.

This improvement guide is meant to help healthcare practitioners improve the quality of their record keeping.

Use this form if you are a requester or provider of diagnostic imaging (DI) or pathology services and want to let us know about another person who has asked for or accepted or
offered or provided a prohibited benefit, or made a threat.

The following checklist can help you evaluate and review how your electronic administrative records are being managed and whether there are any areas for improvement. It may also assist if you need to participate in a compliance audit.

Under the Health Insurance Act 1973 (Health Insurance Act), a person (including a practitioner) engages in inappropriate practice if they knowingly, recklessly or negligently cause or permit a practitioner who they employ or otherwise engage to engage in inappropriate practice.

These FAQs answer commonly asked questions on public hospital funding for public patients, and appropriate Medicare billing for private patients in public hospitals.

AskMBS answers questions from health professionals about the Medicare Benefits Schedule

Use this form to provide details about any circumstances which prevent you from substantiating claimed Medicare or Child Dental Benefits Schedule (CDBS) services.

From 1 July 2022, dental hygienists, dental therapists, and oral health therapists can access Medicare provider numbers to directly claim for services under the Child Dental Benefits Schedule (CDBS).

This is an update report to Nudge vs Superbugs: A behavioural economics trial to reduce the
overprescribing of antibiotics (Australian Government 2018).

This report contains the recommendations the Pain Management Clinical Committee made to the MBS Review Taskforce, after public consultation.

This guideline outlines what you can do to substantiate a service to be requested by another medical practitioner for Medicare Benefits Schedule (MBS) items 57521 and 65070.

This guideline outlines what you can do to substantiate Medicare Benefits Schedule (MBS) items 104, 105, 110, 116, 122, 132, 133, 135, 141, 143, 145 and 147 that require receipt of a valid referral before the service is provided.

A report into a behavioural economics trial to reduce the overprescribing of antibiotics.

The Administrative Record Keeping Guidelines provides useful information and tools that support good administrative record keeping within your practice.

This guideline outlines what you can do to substantiate valid general ears, nose and throat surgical services were provided such as Medicare Benefits Schedule (MBS) items 41846, 41764 and 30473.