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1.4 Navigating Medicare Compliance in Rural Practice

Tracks
Crown Ballroom 3C
Thursday, October 23, 2025
10:30 AM - 11:00 AM
Crown Ballroom 3C

Details

Format: Academic or scientific verbal presentation (30-minute)


Speaker

Agenda Item Image
David Nott
Department of Health and Aged Care

Navigating Medicare Compliance in Rural Practice

10:30 AM - 11:00 AM

Abstract Overview

Rural and remote general practitioners face unique administrative and compliance challenges within the Medicare system. The Department of Health and Aged Care’s Benefits Integrity Division (BID) recognises these challenges and is committed to supporting rural doctors through transparent engagement and education. Our presentation for RMA25 will provide an overview of Medicare compliance tailored to the realities of rural practice, with insights into the 2025–30 Health Provider Compliance Strategy, priority focus areas, and common billing errors.

BID aims to demystify Medicare compliance, shift perceptions from punitive to supportive, and strengthen mutual trust. Attendees will leave with a clearer understanding of their obligations, tools to navigate billing with confidence, and an opportunity to contribute to ongoing improvements in compliance education.

Biography

David has worked for the Department of Health and Aged Care in a variety of roles for over 20 years, with a strong focus on Medicare programs. He has played leading roles in multiple reviews of the MBS and PBS, negotiated strategic agreements with key stakeholders and built a strong knowledge base in service delivery, funding and compliance. He has developed, reviewed and rolled out many MBS items and changes, including for GP, primary care, specialist and consultant physician services. In 2019, David accepted the challenge of building the department's first dedicated hospital compliance team, delivering on a commitment in the National Health Reform Agreement to detect and prevent duplicate payments. David has recently transitioned to developing and leading a Medicare corporate compliance team, which will have a strong focus on provider engagement and education to support compliant billing.
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