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Medicare Billing Compliance

  • : Online

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.

It is provided as a general reference on the understanding that the Department of Health is not providing endorsed material or professional advice.
Completing this module does not exempt a medical professional from Medicare billing compliance responsibilities and does not confer any privilege or exemption in the event of a breach of the Health Insurance Act 1973 or any other related legislation.

Type
3 hours Online Learning

Accreditation
ACRRM 3 hours  

Learning Outcomes

  • Implement Medicare compliance regulations and procedures
  • Conduct accurate Medicare billing for patient consultations
  • Manage appropriate Medicare record keeping
  • List and explain provider obligations to substantiate Medicare claims
  • Complete a Voluntary Acknowledgement form if an incorrect claim is made
  •  Topics

    • Module Overview
    • Introducing Medicare Billing
    • Understanding Compliance Regulations and Procedures
    • Billing and Record Keeping
    • Substantiating Claims
    • Voluntary Acknowledgement
    • Providing Feedback and Raising Concerns

    Focus
    Medicare Billing, regulations, standards, procedures, government, rebate, compliance, billing, Medicare, PBS, MBS, PRP, voluntary acknowledgement form, Health Insurance Act 1973, record keeping, substantiating claims, provider number, health programs, incorrect billing, incorrect payment, audi

    Provider name

    Department of Health

    Provider number

    621057

    Available until

    31 / 12 / 2022

    Type

    Online Education

    Duration

    3h : 0m

    CPD Points/Hours

    MBA: 3h : 0m
    ACRRM - Fellow: 3h : 0m
    ACRRM - Non Fellow: 3h : 0m

    Topic

    Health Services Administration

    Audience

    Medical Practitioner, Medical Student, Dentist, Doctor-in-Training, Health Administrator, Non-Vocationally Registered, Practice Manager, Retired, Specialist - Other, Specialist General Practitioner

    Delivery
    Title
    Medicare Billing Compliance
    Interest Areas / Topics Covered
    -- BUSINESS TOPICS --, Medicare Audits
    Location
    Provider Type
    Health District / Area Health Service
    Duration
    3 hours
    End Date
    31-Dec-2022
    Price
    Free
    Location
    Online
    Contact Phone
    Log in into view this field.
    Cover Picture 257_medicare_billing_compliance1601005534.jpeg
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