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Website Update - Medicare Billing in Public Hospitals

Posted: 1st of April, 2021

The Department of Health has updated its webpage, Medicare Billing in Public Hospitals.

The department has concerns around duplicate payments, where MBS payments are made for services already funded under the National Health Reform Agreement. Improving online guidance material to strengthen provider education on appropriate Medicare billing in public hospitals is a key part of addressing these concerns.

The Department of Health have considered the feedback of multiple peak bodies and clinicians to inform changes to the case studies on our webpage, which now clarify appropriate referrals following episodes of hospital care, and the hospital’s responsibility to undertake any testing required for public patients. The feedback has also informed a new set of Frequently Asked Questions, which provide additional clarity on key points raised in the case studies.

The Department of Health would like to thank the peak bodies and clinicians involved in this revision process. Please contact the department at hospital.compliance@health.gov.au if you would like to provide further comments or feedback.

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