Provider Number Law and Practice



One of the most basic elements of medical billing – provider numbers – is so complex. And there’s so much conflicting information out there.

1 hour


What is this about?

Fear not medical specialists! Let us walk you through the laws relating to your provider number/s and demonstrate some of the practical challenges in using them in a compliant fashion. What do you do when you need to bill outpatients on one provider number and inpatients on another, but you only have one and Medicare refuses to issue you another? It’s common and there’s a solution.

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

Time Commitment:

1 hour, self-paced



Mode of Delivery:



This course is included in Medical Billing Essentials pack.

Essentials Pack Special Offer

Buy all 9 Essential Pack courses for $249.

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What the course covers

Having trouble understanding the provider number law and practice? You are not alone! One of the most basic elements of medical billing is also one of the most complex. Luckily for you we have created one of the most in-depth short courses that will give you an expert understanding of the laws relating to your provider numbers and will demonstrate some of the practical challenges that you will likely face while using your provider number on a daily basis. Once you have a comprehensive understanding of the content within this course you will be able to practice stress free with the knowledge that you are adhering to every letter of the law and concentrate your energies once more on providing patients with the highest quality of service.

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.


Quizzes with short Q&A and MCQ.

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