Medicare Billing for Private Outpatients Guideline

Version 1.0 Approved 6 October 2022

The Medicare Billing for Private Outpatients Guideline (PDF 383KB) outlines the SA Health best practice guideline when complying with the Commonwealth requirements regarding Rights of Private Practice billing of outpatient services under the Medical Benefits Scheme.

The Medicare Billing of Private Outpatient Policy (PDF 550KB) is the parent policy to this Medicare Billing of Private Outpatient Guideline.

Applicability

This guideline applies to all employees and contractors of SA Health; that is all employees and contractors of the Department for Health and Wellbeing, Local Health Networks (including state-wide services aligned with those Networks) and SA Ambulance Service.