Private Outpatient Billing

30 Minutes, self-paced


Private Outpatient Billing

What is this about?

It is more important that you know how to bill, rather than just what to bill. We strongly encourage you to spend the time learning how to bill correctly before launching into this course, some of which may not make complete sense without the background learning.

This course is designed to follow on from the courses in the medical billing essentials pack, and we suggest you undertake those courses before this one.

Upon completion of this course you will be able to bill with more confidence in the outpatient setting including understanding the legal requirements for what must be included on your medical bills and gaining insights into the intricacies of who can legally bill patients presenting to public hospital outpatient departments.

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


What the course covers

Would you like to improve your knowledge of Medicare billing in the outpatient context, then this course is just perfect for you! Some of the important topics that we will cover during this short course are:

What is an outpatient?

Who pays for outpatients?

Applicable law

Public hospital outpatient departments

Bulk billing

Private billing

Workers Comp, Third Party and Other Payers

Practical matters and electronic claiming

Take home messages

Our aim is to fill you with a deep understanding of the billing rules and requirements, so you can continue doing your job with confidence

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.


There is a short 10 question assessment at the end of the course.


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