Medicare Billing Services for Specialists
DEVZ Solutions manages Medicare billing administration for Australian specialists using practitioner-supplied or authorised billing information, secure claiming systems and active claim follow-up.
We bill in our software, not yours
DEVZ Solutions uses its own secure, Medicare- and ECLIPSE-compliant billing software to process Medicare and private health insurance claims. You securely send us your inpatient lists and the relevant patient, service and billing details using the transfer method agreed during onboarding.
We do not remotely log in to, or perform billing within, your practice's billing or patient-management software. Medicare and health fund payments go directly to your nominated bank account. DEVZ does not receive, hold or pool your medical income.
How Medicare billing works in Australia
Medicare claims use Medicare Benefits Schedule (MBS) items applicable to the professional services provided. Each MBS item has a description and requirements that need to be considered when billing. A claim is lodged through an applicable claiming channel and Medicare assesses the claim and benefit according to the circumstances. For a fuller explanation, see our guide to Medicare billing.
The MBS contains detailed item descriptors, explanatory notes and billing rules. The practitioner remains responsible for services billed under their provider number or name, including where another person records or submits billing information on their behalf.
What our Medicare billing service covers
- Billing information processing. We process MBS item and service information supplied or authorised by the practitioner and help identify information that may require clarification before submission. Learn more about MBS item numbers.
- Secure electronic lodgement. Eligible claims are submitted through applicable Medicare-compliant claiming systems.
- Tracking and follow-up. Submitted claims are monitored so outstanding or rejected items can be identified.
- Rejection recovery. Where a claim is rejected, we review the available administrative information and undertake appropriate follow-up or resubmission where applicable — see rejected claim recovery.
Medicare and health funds together
For privately insured admitted patients, the billing pathway may involve Medicare and a private health insurer. DEVZ Solutions supports applicable inpatient claiming workflows and reconciliation according to the relevant claiming arrangements. See private hospital billing and health fund registration for related information.
Compliance and accuracy
Medicare billing carries legal and administrative obligations. DEVZ Solutions provides billing administration based on the clinical and billing information supplied or authorised by the practitioner. We do not determine what clinical service was performed, and we do not change clinical information simply to make a claim payable. The practitioner remains responsible for the accuracy and appropriateness of services billed under their provider number or name.
Frequently asked questions
How does Medicare billing work?
A claim is lodged using the MBS item and billing information applicable to the service provided. Medicare then assesses the claim and applicable benefit according to the claiming pathway and relevant requirements.
What is the MBS?
The Medicare Benefits Schedule is the Australian Government's list of subsidised medical services. Items include descriptions and requirements that must be considered when billing.
Who is responsible for the MBS items billed?
The practitioner is responsible for services billed under their provider number or name, including where billing information is recorded or submitted on their behalf. DEVZ Solutions manages the administrative billing process using information supplied or authorised by the practitioner.
Specialist Medicare billing administration
Secure lodgement, claim monitoring and active administrative follow-up.
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