Medical Billing in Public Hospitals


I’ve heard that bulk billing outpatients in a public hospitals is illegal. Is that true? No, it’s not! We’ll walk you through the law of public hospital billing and bust a few more common myths along the way.

2 hours, self-paced


Medical Billing in Public Hospitals

What is this about?

How often have you read that bulk billing outpatients in public hospitals is illegal? Well, you may be surprised (and relieved) to learn that it’s not! Nor is informing privately insured patients about their options to use their private health insurance while admitted in a public facility. We’ll settle these issues once and for all by taking you for a walk through the relevant law. We’ll also look at specific case studies demonstrating the grey areas, where something may not be illegal but may raise ethical issues.

Who wrote this course?

Margaret Faux

Margaret Faux is a Lawyer who specialises in Medicare and Health Insurance Law. She is also a Registered Nurse and has been involved in medical billing for over 30 years. Margaret is the Founder and CEO of an international medical administration company, Synapse Medical Services, which operates one of the largest medical billing services in Australia. She is a published PhD researcher on the topic of Medicare claiming and compliance and is completing her doctorate at the University of Technology. Margaret’s company works in multiple health systems around the world including having been appointed by a Government body in India to advise on a project mapping the legal framework of India’s health system. Margaret is a regular presenter on the topic of Medicare claiming and compliance and the operation of health financing systems, has made numerous appearances on radio to discuss Medicare issues, and is regularly asked to comment in relation to Australian health sector reform. She also contributes regularly to medical media including contributing to Australian Doctor and Medical Observer as well as being a regular contributor to the Croakey Health Blog. Margaret is also a guest lecturer at the University of Technology, Sydney, in the Faculty of Health and her publications are available at this link


This course is included in Medical Billing Essentials pack.

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What the course covers

This is one of the most emotive areas of medical billing and one where misinformation is rife. We want you to have correct information and the confidence to carry out your work within the constraints of the law and calm in the knowledge you are doing the right thing. This short course will leave you with an in-depth understanding of a complicated topic and free you from the stress of misinformation. We will give you a detailed understanding of the legal framework, the application of the business rules in the National Health Reform Agreement, dealing with private health insurers and ever changing patient statuses, and much more. We have done the hard work so that you can sit back, learn and relax, and then get on with treating your patients.

How the course is conducted

This course has been designed to be completely independent and self-paced meaning there is no need for intervention from a trainer.


Short Q&A and MCQ.

You are allowed to go back and forth in the courses and re-do quizzes multiple times


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