I don’t have access to my practice’s software and my practice manager is only giving me a printout of weekly billings totals. I am concerned about the accuracy of my billings but my practice manager has told me not to worry because they will sort out any problems. Is this reasonable? Can I request to see all my Medicare Billings and how frequently can I do this?
The NTCER outlines your minimum employment terms and conditions
Still have questions?
It is critically important that you have visibility over all Medicare item numbers that are billed to your provider number. As you are partly liable for any errors/incorrect claims, you must be able to see what has been billed in your name.
Also, billings totals may well be different to your Medicare item number records, depending on how your practice bills.
See clauses 14.7 and 15.3 of the NTCER.
In the case where Medicare rejects an item number, and the practice manager makes an adjustment on your behalf, you must have provision to check and correct the item numbers.
Failing to do so puts you at risk of Medicare Audit and Professional Services Review, and if incorrect item numbers have been submitted, you are liable to pay a portion of them back.
Generating daily reports on billings is possible for practices, and your practice needs to show how it works out how they calculate your billings for reconciliation. We recommend that you ask your practice manager or your training provider to make available more frequent information on billings and receipts.