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Submission to Review of Medicare Integrity and Compliance

Last updated 3 February 2023

Date: 13 January 2023

The RACGP has provided feedback to Dr Pradeep Philip, Chair of the Review of Medicare Integrity and Compliance commissioned by the Minister for Health.

Our submission provides some examples of and commentary on recent Medicare compliance campaigns undertaken by the Department of Health and Aged Care and the complexity of the Medicare Benefits Schedule (MBS), which often gives rise to compliance concerns. It also includes data from surveys undertaken by the RACGP, which highlight the extent of the regulatory burden currently facing the general practice profession, and the need for more education on Medicare and compliance to alleviate this.

On 1 February 2023, the RACGP sent a follow-up letter to Dr Philip to draw his attention to a webinar run by the RACGP on improving your understanding of the MBS, held on 29 September 2022. The RACGP prepared a summary of links to information about the MBS and Medicare compliance for webinar attendees (Appendix A), as well as written responses to questions that our presenters were unable to answer during the webinar due to time constraints (Appendix B). These documents highlight the complexity of the MBS and the volume of materials GPs must search through to find an answer to questions about Medicare.

Read the submission

Submission to Review of Medicare Integrity and Compliance - Letter to Pradeep Philip (PDF 180KB)

Appendix A - Feedback on compliance activities and MBS complexity (PDF 330KB)

Follow-up letter to Dr Pradeep Philip - 1 February 2023 (PDF 323KB)

Appendix A - MBS and compliance - Summary of useful links (PDF 242KB)

Appendix B - Q&A - Improving your understanding of the MBS (PDF 346KB)