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:1/20/2017)... ... 2017 , ... “God's Miracle Man: Against All Odds”: an inspiring affirmation ... author, Keith C. A. Tucker, son of Minister Delores Pinnock and a Jamaican native ... Mark Hardy , “While sitting up in bed, I felt a pounding headache. It ...
(Date:1/19/2017)... ... 19, 2017 , ... Next week after January 20th, the fear for many ... that circumvent health needs of over 30 million. Many interviews with Dr. Carol Francis ... government public servants were suppose to prioritize. Interviews provided below. , Among ...
(Date:1/19/2017)... ... , ... This month, the CEO and Clinical Director of Sober Living Outpatient, ... in Delray Beach, Florida has been changed from Sober Living Outpatient to ‘SLO Recovery ... Hoffman and Chris Farley are dying from heroin overdoses, but thousands of unnamed kids ...
(Date:1/19/2017)... ... 19, 2017 , ... Remote Medical Technologies (RMT), the leader ... with their iMedHD2™ Portable Teleultrasound System. Compatible with any ultrasound ... HD, dynamic, streaming ultrasound images and video to one or more distant locations ...
(Date:1/19/2017)... ... 2017 , ... Catalent Pharma Solutions, the leading global provider ... products, today announced that it will be co-hosting a workshop entitled “Develop Better ... delivery solutions to health industries worldwide. The one day event is to be ...
Breaking Medicine News(10 mins):
(Date:1/19/2017)... 2017 Germany Cataract Surgery ... new report, "Germany Cataract Surgery Devices Market Outlook to ... Surgery Devices market. The report provides value, in millions ... (USD) within market segements - Phacoemulsification Equipment and Ophthalmic ... shares and distribution shares data for each of these ...
(Date:1/19/2017)... Conference Call and Webcast to Follow Vanda ... will release results for the fourth quarter of 2016 on Wednesday, ... ... at 4:30 PM ET on Wednesday, February 15, 2017, during which ... results and other corporate activities. To participate in the conference call, ...
(Date:1/19/2017)... 2017 Incretin Mimetics/GLP-1 Agonists, SNDRIs, Lipase Inhibitors, ... The global anti-obesity drugs market is expected to grow ... forecast period and CAGR of 38.7% in the second half of ... CAGR of 32.8% from 2016 to 2027. The market is estimated ... million in 2027. ...
Breaking Medicine Technology: