Medicare Billing Tips

February 2020

No-one wants to have Medicare undertake an audit of their practice’s billing processes. As demand on healthcare rises, Medicare compliance is a high priority for the Department of Health. It is essential that practices understand how to comply and to regularly review the systems in their practice.

Here are our top 10 tips to help reduce your risk:

  • Maintain patient privacy
  • Ensure patient assigns their agreement to be bulk billed
  • Ensure patient records contain adequate and contemporaneous notes
  • Know the rules
  • Raise correct item numbers
  • Consider ‘voluntary acknowledgement of debt’
  • Know and understand the 80/20 rule
  • Make sure your staff (admin / nursing / clinical) are appropriately trained
  • Undertake random internal audits
  • Make sure the whole team understands how the Shared Debt Recovery Scheme may affect them.

By following these tips, you will not only minimise your risk of a Medicare audit but also free up valuable time to spend on increasing practice productivity, improving practice processes and creating a positive patient experience.

If you think you may need some assistance to check your systems to ensure compliance please give our team a call to discuss how we can assist you.

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Topics: Accounting, medical accounting, Audit, Practice Management

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