Insights Categories: Medicare & Private Health Insurance Audits & Investigations

Apr 12, 2019

INSIGHT: Police in Victoria and Western Australia, to share information with AHPRA

In July 2018 the Australian Health Practitioner Regulation Agency (AHPRA) and Victoria Police announced a Memorandum of Understanding (MOU) regarding information sharing. Under the Victorian agreement, AHPRA can disclose information to Victoria Police where there are allegations or evidence of criminal offending including physical harm, sexual offending, production of exploitative material, or drug offences. The […]

Apr 12, 2019

INSIGHT: Professional Performance under the Spotlight | Inquiry into the actions of the regulator and local health district

From 1999 onwards, Dr Emil Gayed worked in public and private hospitals across NSW. During that time, complaints and concerns were raised regarding Dr Gayed’s professional practice and performance. Dr Gayed was disqualified from practice following a Tribunal finding that Dr Gayed had engaged in numerous incidences of unsatisfactory professional conduct, and that together they […]

Mar 21, 2019

INSIGHT: New powers used by Health Complaints Commissioner to stop unregistered service providers making false claims

The Victorian Health Complaints Commissioner (the Commissioner) can now issue general health warnings and ban unregistered service providers from treating patients, even before a complaint investigation is completed, if the Commissioner believes a health provider poses a serious danger to the public.  A breach of the new General Code of Conduct[1] (the Code) for providers […]

Feb 3, 2014

INSIGHT: AHPRA audits: tips for registered health professionals

As a registered health professional applying for or renewing your registration, in accordance with your Board’s registration standards, you are required to declare that you have (or have not): met the recency of practice requirements; completed the required amount of continuing professional development (CPD); held appropriate professional indemnity insurance; and disclosed to AHPRA any criminal […]

Dec 3, 2013

INSIGHT: Joint statement on dental audits: ADA, Guild Insurance and Meridian Lawyers

Finally, some good news on the Medicare dental audits. In recent developments, several ADA branch members received letters from the Department of Human Services (DHS) announcing full waivers of alleged debts arising from claims under the Medicare Chronic Disease Dental Scheme (CDDS) before 1 April 2010. This follows the announcement by former Minister Kerr on […]