Medicare: what you need to know

Managing Medicare and practising within the guidelines is an essential aspect of delivering patient care for medical professionals. Here are some useful resources on Medicare best practice, that will help minimise the chances of being the subject of an audit.

Medicare card with calculator and cash
Title slide for video bulk billing and private billing issues

Evaluation of Avant’s 2022 Medicare education campaign

See how our Medicare education campaign helped our members improve understanding and confidence with Medicare rules.

Download
Resources

Medicare compliance

Explore our comprehensive collection of educational content focused on highlighting key risks and providing practical strategies to improve your compliance with Medicare requirements.

Factsheet: Medicare compliancePodcast: It happened to me - Medicare compliance letterArticle: Making sure your practice stands up to scrutinyArticle: Tips to avoid Medicare compliance issues

Medicare billing

Medicare billing can be confusing. We've created videos to help clarify the rules and provide practical tips for better compliance in your practice.

Video: Medicare billing without the patient presentVideo: Referrals and Medicare billingVideo: Co-billing Medicare item numbersVideo: Medicare billing in public hospitals

Medicare tips: time & chronic disease plans

Understanding time components in Medicare item numbers and managing chronic disease plans can be challenging. These videos break it down, offering clear guidance to support your practice.

Video: Chronic disease management plansVideo: Time components in Medicare item numbers

Medicare FAQs and insights

Explore this collection of content to answer your questions about Medicare and gain valuable insights into trends in claims and complaints.

Insight: Claims and medico-legal queriesFactsheet: Medicare FAQs

Understanding Medicare: provider handbook

Medicare can be complex, but the Understanding Medicare: provider handbook is here to help. This plain English guide breaks down the fundamental elements and principles of Medicare, giving you the core knowledge you need to navigate the system.

Click here

Webinar - Medicare compliance reducing your risk

In this eLearning course, we explore Medicare compliance activities, which can range from education to audits. Learn practical strategies to reduce your risk of compliance activity and maintain best practice. Topics include Medicare compliance and requirements, advice to minimise the risk of a Medicare audit, and essential documentation requirements for Medicare.

Watch now

What happens when you need our support?

If you require general medico-legal advice, members can contact our Medico-legal Advisory Service.

Medico-legal Advisory Service
External resources

Understanding Medicare: Provider handbook

Practitioner Review Program: Health professional guidelines

MBS Online

MBS and DVA billing

Education services for healthcare professionals

Professional Services Review

Topic
To Top

NSW State Office AddressLevel 6, Darling Park 3, 201 Sussex Street, Sydney NSW 2000
Telephone 02 9260 9000 | Facsimile 02 9261 2921

Mailing addressPO Box 746 Queen Victoria Building NSW 1230

Connect with Avant

facebookxlinkedininstagramyoutube

In the spirit of reconciliation, Avant acknowledges the Traditional Custodians of Country throughout Australia, and their connections to land, sea and community. As a national organisation, we pay our respects to Elders past and present, of the lands on which we gather and work, and extend that respect to all Aboriginal and Torres Strait Islander peoples.

IMPORTANT: Professional indemnity insurance and the Practice Medical Indemnity Policy available from Avant Mutual Group Limited ABN 58 123 154 898 (Avant Mutual) are issued by Avant Insurance Limited, ABN 82 003 707 471, AFSL 238 765 (Avant). Avant Cyber Insurance cover is available to eligible Avant Practice Medical Indemnity Policy holders up to the cessation of their policy and is provided under a Group Policy between Liberty Mutual Insurance Company ABN 61 086 083 605 (Liberty) and Avant. Private health insurance products are issued by The Doctors’ Health Fund Pty Limited, ABN 68 001 417 527, a member of the Avant Mutual Group. Avant arranges Avant Business Insurance as agent of the insurer Allianz Australia Insurance Limited ABN 15 000 122 850, AFSL 234 708 (Allianz) and may receive a commission on each policy arranged. Avant Travel Cover is available under a Group Policy between QBE Insurance (Australia) Limited, ABN 78 003 191 035, AFSL 239 545 (QBE) and Avant Mutual. Avant Travel Cover is underwritten by QBE and Avant may receive a benefit for arranging cover. Avant Finance is a registered business name of Avant Doctors’ Finance Pty Ltd (ACN 637 769 361) and licensed to Avant Doctors’ Finance Brokers Pty Ltd (ABN 75 640 406 784). Avant Doctors’ Finance Brokers Pty Ltd is a wholly owned subsidiary of Avant Doctors’ Finance Pty Ltd. Loan products may be provided by Avant Doctors’ Finance Pty Ltd or arranged by Avant Doctors’ Finance Brokers Pty Ltd. Credit services or assistance to which the National Credit Code applies are provided by Avant Doctors’ Finance Brokers Pty Ltd as authorised Credit Representative (Credit Representative Number 523242) for LMG Broker Services Pty Ltd ACN 632 405 504 Australian Credit Licence 517192. Legal services are provided by Avant Law Pty Ltd ABN 63 136 429 153 (Avant Law). Liability limited by a scheme approved under Professional Standards Legislation. Legal practitioners employed by Avant Law are members of the scheme.


The information provided on this website is general advice only and has been prepared without taking into account your objectives, financial situation and needs. You should consider these, having regard to the appropriateness of the advice before deciding to purchase or continue to hold these products. For full details including the terms, conditions, and exclusions that apply, please read and consider the relevant Product Disclosure Statement or policy wording and Target Market Determination (TMD) which are available on this website or by contacting us on 1800 128 268. Information on this site does not constitute legal or professional advice, and is current as at the date of initial publication.