Insights Categories: Medicare & Private Health Insurance Audits & Investigations

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 […]

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 […]

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