The objective of the audit is to assess the effectiveness of Medicare electronic claiming arrangements, including an assessment of the extent to which claiming and processing efficiencies for the Government, health professionals and Medicare customers have been achieved.

Audit criteria

To form a conclusion against the audit objective, the ANAO will adopt the following high-level audit criteria:

  1. Was effective planning undertaken for the implementation and ongoing delivery of Medicare electronic claiming channels?
  2. Has the implementation and ongoing delivery of Medicare electronic claiming channels been effective?
  3. Does Human Services monitor and evaluate the efficiency and effectiveness with which it delivers Medicare electronic claiming?