Medicare Billing Services for Specialists

Medicare billing looks simple until a claim is rejected. DEVZ Solutions lodges Medicare claims for Australian specialists using the correct MBS item numbers and secure, compliant systems — and actively recovers anything that comes back rejected, so you are paid the full scheduled benefit without the administrative drag.

How Medicare billing works in Australia

Every service a practitioner provides is matched to a Medicare Benefits Schedule (MBS) item number. That number carries a description and a scheduled fee, which determines the benefit Medicare pays. A claim is lodged electronically, Medicare assesses it, and the benefit is paid — to the practitioner where the service is bulk-billed or billed directly, or reimbursed to the patient where they have paid up front. For a fuller explanation, see our guide to Medicare billing.

The complexity lies in choosing the right item number, especially for procedures that attract several items, and in meeting lodgement rules and time limits. Small mistakes lead to rejections, and rejections that are never resubmitted become lost revenue.

What our Medicare billing service covers

• Item number selection. Correct MBS coding for each service, including multi-item procedures. Learn more about MBS item numbers.
• Secure electronic lodgement. Claims submitted through Medicare-compliant systems, not general invoicing tools.
• Tracking and follow-up. Every claim monitored to payment.
• Rejection recovery. Rejected claims corrected and resubmitted — see rejected claim recovery.

Medicare and health funds together

For admitted patients, Medicare rarely acts alone. Most inpatient episodes involve both Medicare and a private health fund, which is why we lodge with both simultaneously and reconcile the gap. See private hospital billing for how the two payers interact, and health fund registration if you are not yet set up to accept fund claims.

Compliance and accuracy

Medicare billing carries compliance obligations, and correct item selection is central to meeting them. Our process is built to bill accurately for the work actually performed — reducing both rejections and compliance risk. This is the discipline that keeps specialist billing clean over time.