Health compliance audits and reviews
It is important to understand your legal obligations when billing under Medicare for services provided to private patients in public hospitals.
As a result of government changes, the health provider compliance function has moved to the Department of Health.
Visit the Health Provider Compliance section on the Department of Health website for all matters relating to health provider compliance.
There are health professional guidelines on the Department of Health website to help you understand what documents you can use to substantiate services if you’re asked to participate in a Medicare compliance audit or review.