On-demand webinar

Unpacking the Medicare compliance process

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Details

Type: On-demand
Recorded: 13 Nov 2023

Contact

For more information:
Email: RACGP Events

Price

RACGP Members: Free for Members

We appreciate your interest in the RACGP’s activities. This event is for members only.
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Unpacking the Medicare compliance process

On-demand recorded 13 Nov 2023

This webinar is a joint presentation between the Department of Health and Aged Care (DoHAC) and the Professional Services Review (PSR) on the Medicare compliance process. It will aim to alleviate some of the fear and misconceptions that exist around compliance.

Dr Sarah Mahoney from DoHAC will be presenting on the principles of how to claim Medicare items appropriately as well as how the Department’s compliance work relates to and differs from the work of PSR.

Dr Antonio Di Dio will provide an overview of the PSR process for GPs. He will cover how the PSR determines if a practitioner has engaged in inappropriate practice, including the following stages of the process:

Initial review of a case by the PSR Director
Referral to a peer review Committee
Role of the Determining Authority, including possible sanctions

The presenters will also take questions from attendees.

Learning outcomes

Outline the key stages of the Medicare compliance process
Identify MBS item numbers that are most commonly the subject of Department of Health and Aged Care (DoHAC)/ Professional Services Review (PSR) referrals and investigations
Identify resources to assist with MBS interpretation and Medicare compliance

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Facilitator

Dr Bruce Willett
RACGP Vice President and Chair, RACGP Queensland

Presenters

Dr Antonio Di Dio
Acting Director, Professional Services Review

Antonio grew up in rural Italy and NSW and attended Sydney University. He has been a general practitioner for almost 30 years and works as a practice principal in Canberra. His passions include practitioner wellbeing and representing the interests of patients and their doctors. He was AMA ACT President 2018-2021 and the Chair of the International Assessment Panel under Medevac Legislation for refugees in 2019. For 25 years he has served as a volunteer for distressed doctors and currently is the Deputy Chair of the National Drs4Drs Board. Antonio has been involved in regulation including AHPRA, Medical Council of NSW, Medicare, AMC, and PSR for almost 20 years, and is currently Acting Director of PSR as well as clinician, teacher, and advocate for community health. His passions are family, friends, literature, music, and he is a long-time supporter of many of Australia’s successful arts ventures and disastrous sporting teams.

Dr Sarah Mahoney
Senior Medical Adviser, Department of Health and Aged Care

Dr Sarah Mahoney is a Senior Medical Adviser with the Department of Health and Aged Care. Her career includes over 30 years clinical experience as a general practitioner in a variety of settings including rural and urban general practice, emergency medicine and early detection of breast cancer. She also has extensive experience in clinical education, with previous roles including coordinating clinical practice training at the University of Melbourne and Associate Professor and Academic Coordinator of the Onkaparinga Clinical Education Program in the Flinders University MD program.

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