Navigation Links
Rorting Health Practioners Busted

After a major crackdown on them, erring doctors and other health specialists have been ordered to repay $4.3 million for rorting the federal health system, since 1999.

Members of the Professional Service Review, (PSR) which investigates and punishes health practitioners who claim Medicare Benefits or prescribe Pharmaceutical Benefits Scheme (PBS) drugs inappropriately, carried out the search.

The search is peer-reviewed and designed to protect patients as well as government coffers from doctors, dentists, physiotherapists, chiropractors and other specialists who over-prescribe, over-refer or claim for too many consultations.

Doctors can be referred to the PSR if their practice or test ordering patterns seems unusually high. This might be due to legitimate reasons, or a genuine misunderstanding of the requirements.

The PSR has almost ground to a halt since 2004, partly due to a plethora of lawsuits from targeted doctors, and a reduced number of doctors being referred by Medicare for investigation.

In 2005-06, Medicare cost the Government $10.8 billion, while the PBS was estimated to have used $6.2 billion in the same financial year. The reviewers considered 313 cases of possible inappropriate practice, based on Medicare and PBS data, between 1999-2000 and 2005-06.

Sanctions were imposed on 111 practitioners, including 84 who were ordered to pay back an average $49,270, the report made known. Dozens of other practitioners were disqualified from making any Medicare claims for a set period, and seven were suspended from prescribing PBS drugs.

"This resulted in savings to Medicare of $4.3 million in benefits repaid and an estimated $12.9 million in benefits not paid due to partial or full disqualification from Medicare eligibility," Health Minister Tony Abbott was quoted.

At the same time, the review also questioned whether the sanctions were enough to deter doctors, particu larly from inappropriate PBS prescriptions. It recommended that the government consider tougher rules.

The report also warned that the movement of corporations into general practice was creating new problems. There was potential for "negative corporate influence" to encourage GPs to make unnecessary referrals to their other services by giving performance pay and bonuses, the report said and recommended their conduct be monitored and the government introduce legislation that would allow them to be punished.

A GP is deemed to have practiced inappropriately if they make 80 or more Medicare Benefit claims on each of 20 days in a 12-month period, unless exceptional circumstances apply.

There are moves to widen the PSR to cover health workers other than doctors who qualify for Medicare or Pharmaceutical Benefits Scheme subsidies. Also, new penalties will punish medical corporations found to be working the system for financial advantage. The recommendations cited in the report have won cautious approval from the Australian Medical Association.


'"/>




Related medicine news :

1. Startling Expose – Physicians Often Have No Regular Source Of Health Car
2. Want a Healthy brew? Have some Tea!
3. Healthcare sector is now a multi billion-dollar industry in India
4. Exclusive breast-feeding advised for six months in infants recommends World Health Organization
5. Health at heights
6. Health Officials Recommend Flu Vaccine
7. Slightly High BP Poses Health Risk
8. Unsatisfactory Grade On Womens Health Issues
9. Iodex goes to SmithKline Beecham consumer Healthcare
10. Healthy Medicine Or Harmful Intoxicant?
11. Healthy snacks improve nutrition of kids
Post Your Comments:
*Name:
*Comment:
*Email:


(Date:5/27/2017)... ... May 27, 2017 , ... Most us are familiar with the sound of ... from the Osteoarthritis Initiative shows that certain people who experience consistent joint popping, ... may give doctors the opportunity to treat patients before the problem becomes pronounced, potentially ...
(Date:5/26/2017)... ... May 26, 2017 , ... The American Parkinson Disease ... than eighty-nine grant submissions all vying for nearly $1,000,000 in funding that will ... , The American Parkinson Disease Association (APDA) is focused on advancing scientific research ...
(Date:5/26/2017)... ... May 26, 2017 , ... The ... seminar to focus on current legislative activity and the latest regulatory concerns impacting ... p.m. Sunday, Sept. 10, and will continue through Monday, Sept. 11, at the ...
(Date:5/26/2017)... Santa Clara, Calif. (PRWEB) , ... May 26, ... ... technology, announces the integration of the CareFusion NOX-T3 portable sleep monitor with its ... that provides a consistent, browser-based interface for diagnostic device operations. With this platform, ...
(Date:5/26/2017)... ... May 26, 2017 , ... Boar’s ... sharing bold recipes for Memorial Day entertaining that are sure to satisfy your ... Head fresh sliced meats and cheeses featured in these refreshingly balanced recipes are ...
Breaking Medicine News(10 mins):
(Date:5/10/2017)... Global Health Intelligence (GHI), the leading healthcare data analytics ... 2017 ranking of the Best-Equipped Hospitals in Latin America ... GHI,s hospitals database for Latin America , which is ... database covers 86% of the hospitals in Latin ... each institution in key areas such as beds, medical specialties, ...
(Date:5/9/2017)... , May 9, 2017  Demonstrating its ... board of directors for the Pharmaceutical Research and ... for membership. Biopharmaceutical companies will now have to ... order to be eligible to join PhRMA. ... the board is sending a clear message that ...
(Date:5/6/2017)... IRVING, Texas , May 5, 2017   Provista ... 1994 with more than 200,000 customers, today announced Jim ... brings a wealth of executive and business experience to Provista, ... a compounding pharmacy in California . He ... "Jim is a great fit for Provista," says ...
Breaking Medicine Technology: