“less scrupulous”medical practices misusing chronic disease management plans for personal financial gain:minister sussan ley The warning is a key theme highlighted in the Government’s independent Professional Services Review (PSR) Agency’s 2014-15 Annual Report on Medicare compliance activities against health practitioners – to be tabled today (Monday). The report raises concerns about exploitation of the […]
“less scrupulous”medical practices misusing chronic disease management plans for personal financial gain:minister sussan ley
The warning is a key theme highlighted in the Government’s independent Professional Services Review (PSR) Agency’s 2014-15 Annual Report on Medicare compliance activities against health practitioners – to be tabled today (Monday).
The report raises concerns about exploitation of the item numbers:
“The MBS Items and their associated rules are necessarily somewhat prescriptive. This provides scope for less scrupulous practitioners to populate the clinical record of an attendance with copious ‘generic’ computer template material; PSR committees often find that these are of little apparent relevance to the particular patient.
“PSR committees frequently find that some practitioners in large practices provide CDM services opportunistically despite the lack of clinical relevance. This is particularly evident in practices that do not take appointments,” the PSR Annual Report finds.
In a statement released today, Ms Ley said she was deeply concerned that “grey areas” and ambiguities in the rules made it harder to track and prove non-compliance by ‘less scrupulous’ practitioners and that these referrals to the PSR may be just the “tip of the iceberg”.
