Compliance education for health professionals

Compliance education resources to help understand your obligations when claiming health program payments.

Page last updated: 21 December 2018

Administrative record keeping guidelines for health professionals
These guidelines will make it easier for you to maintain good record keeping standards within your practice.

Billing accurately under Medicare
Information to help you understand your legal obligations when billing under the Medicare Benefits Schedule (MBS).

Medicare Billing Assurance Toolkit
A toolkit of checklists, templates and suggestions to make it easier for you to manage risks that inadvertently cause incorrect billing under Medicare.

My Medicare billing
For further information concerning your billing under Medicare please contact:

For health professionals in NT, Qld, SA, Tas and WA

For health professionals in ACT, NSW and Vic

eLearning Programs

Department of Health – Introduction to compliance within Medicare
Provides an awareness of the Department’s health provider compliance activities that are used to protect payments made under Medicare and the Pharmaceutical Benefits Scheme (PBS). It also shows what you can do to meet your obligations under those programs.

Doctor Portal Learning – Medicare Billing Compliance
This introductory module provides medical professionals with information on:
  • the role of compliance in the Medicare system
  • relevant regulations and legislation
  • obligations with regards to claiming under Medicare
  • processes and procedures should an incorrect claim be identified.
Department of Health – Billing Medicare in public hospitals
Provides information on the correct billing and claiming requirements for services provided to patients in public hospitals. Topics include:
  • consultation services in public hospitals
  • exercising rights of private practice; and
  • services provided under rights of private practice at outpatient departments.