Resources

This guideline outlines what you can do to substantiate the coordination of the development of Team Care Arrangements rendered by eligible medical practitioners for Medicare Benefits Schedule (MBS) item 723.

This fact sheet outlines support programs and resources available to aged care providers in regional, rural and remote settings.

This guideline outlines what you can do to substantiate diagnostic imaging and pathology services rendered to emergency department patients of public hospitals and claimed under Medicare.

This guideline relates to the MBS item numbers 80000 to 80170, rendered by allied health professionals under the Better Access program.

This guideline outlines what you can do to substantiate valid individual Allied Health services were provided for Medicare Benefits Schedule (MBS) items 10950 to 10970.

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.

This checklist covers digital readiness activities for providers in the lead up to the implementation of the new Act on 1 November 2025. The activities covered will help providers to achieve mission critical changes relating to digital readiness.

Information on the definition of inappropriate practice and how it applies to practitioners and corporate entities.

This guideline outlines how you can substantiate services provided under rights of private practice at public hospital outpatient departments.

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 that a specific treatment or action was performed as part of the requirements for Medicare Benefits Schedule (MBS) items e.g. 10960, 13757, 30189, 47600 and 85533.

This guideline outlines what you can do to substantiate that a patient attended a service and relates to Medicare Benefits Schedule (MBS) items such as 23, 36, 104, 5020, 10960 and 8553 that require the patient to be present.

Information about the Practitioner Review Program (PRP) where practitioners are referred to a delegate of the Chief Executive Medicare (delegate) after an interview without a six-month period of review.

This guideline outlines what you can do to substantiate histopathological proof of malignancy for Medicare Benefits Schedule (MBS) items 30196, 30197, 30202, 30203 and 30205.

Information about the Practitioner Review Program (PRP) and the review by a delegate of the Chief Executive Medicare (delegate).

Information about how a breach of the prescribed pattern of services (the 80/20 and 30/20 rules) is detected and the next steps when an 80/20 or 30/20 breach is found.

Information about inappropriate practice and prescribed pattern of services (the 80/20 and 30/20 rules) and which professional attendance services apply.

This fact sheet provides advice on preparing a submission.

Frequently asked questions about the Practitioner Review Program.

This guideline is particularly for diabetes educators, exercise physiologists or dietitians. It MBS items 81100 to 81125 and can help you substantiate that the requirements for an assessment service or group allied health service for a patient with type 2 diabetes have been met.

Information on the common compliance issues associated with inappropriate practice based on Professional Services Review outcomes.

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.

This guideline outlines what you can do to substantiate optometry services for Medicare Benefits Schedule (MBS) items 10912, 10913, 10914, 10915, 10942 and 10943.

Information about the Practitioner Review Program (PRP) 6-month period of review.

This guideline outlines what you can do to substantiate that you as a consultant physician or specialist personally performed a referred consultation service on a private patient in a public hospital claimed under the Medicare Benefits Schedule (MBS).