Insights Categories: Medicare & Private Health Insurance Audits & Investigations

Oct 28, 2019

INSIGHT: Nurse slammed for profiting under patient’s will and pressuring peers

Meridian Lawyers recently published a Health Insights article discussing the risks involved when health care professionals receive and retain gifts from their patients. Since then, the Victorian Civil and Administrative Tribunal (VCAT) has issued a decision which serves to not only underscore that counsel, but also to highlight the severe reprimands which may follow findings […]

Oct 14, 2019

INSIGHT: You have received a notification – what now?

The practice of pharmacy is highly regulated and modern society is becoming increasingly litigious. With that in mind, pharmacists should anticipate that they may be contacted by a statutory authority or investigator at some stage during their careers. In 2017-18, 1.9% of pharmacists in Australia were the subject of notification to AHPRA[1]. Common statutory authorities […]

Sep 23, 2019

INSIGHT: Ask for help, and ask early – advice for surviving an AHPRA notification

Meridian Lawyers regularly assists health practitioners who have been the subject of notification to statutory health authorities such as AHPRA, HCCC and the OHO. Our role is to help these practitioners understand, respond to and navigate the complaints process.  Unfortunately, we regularly hear clients express distress that they are the subject of complaint. Many suffer […]

Jun 5, 2019

INSIGHT: Medicare Shared Debt Recovery Scheme to significantly affect recovery of incorrect Medicare billings from next month

From 1 July 2019, the Shared Debt Recovery Scheme will allow the Commonwealth Government to hold a practitioner (primary debtor) as well as another party such as medical and other health practices (secondary debtor) responsible for repayment of debts resulting from incorrectly claiming Medicare benefits. According to the recently enacted Health Insurance (Medicare Compliance Shared […]

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 […]

Nov 13, 2018

INSIGHT: No professional misconduct finding for General Practitioner’s ‘grave error of judgment’

An experienced and well-respected NSW General Practitioner with an otherwise unblemished record has faced disciplinary proceedings brought by the Health Care Complaints Commission (HCCC) before the Civil and Administrative Tribunal of New South Wales (the Tribunal).[1] While the Tribunal found that Dr Quan’s conduct was improper and unethical, the Tribunal did not uphold a finding […]

Sep 24, 2018

INSIGHT: Royal Commission into Aged Care Quality and Safety

On 16 September 2018 the Prime Minister, Scott Morrison, announced that he will ask the Governor General to establish a Royal Commission to examine the quality of care in residential and home care services provided to senior Australians and also younger persons with disabilities who are living in residential aged care. The Terms of Reference […]

Jun 8, 2018

INSIGHT: Missing faxed scan result triggers the Coroners Court to call for robust standards regarding the communication of radiology results

The Coroners Court of Victoria has called for the development of a set of standards specifically setting out systems for the communication of imaging results, and defining the roles and responsibilities of diagnostician and referring doctors with respect to the same. The recommendations were made following an inquest into the death of Mr Mettaloka Halwala, […]

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 […]

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