Prior to 1 July 2019, health professionals and
corporate health service providers will need to review their
Medicare billing practices and procedures to ensure that they are
ready to comply with changes to the Health Insurance Act
1973 (Cth)(HIA).
What's it about?
With the objective of strengthening compliance, protecting the
integrity of Medicare claims made under the HIA and of course,
saving money, on 1 July 2018, the Government introduced the
Health Legislation Amendment (Improved Medicare Compliance and
Other Measures) Act 2018 (Cth) (New
Legislation).
One of the main issues that the New Legislation seeks to tackle
is incorrect (and sometimes fraudulent) Medicare billing practices
engaged in by health professionals, and in particular, the
incorrect billing practices of some corporate health service
providers that provide Medicare billing services on behalf of
health professionals working in their organisations
(secondary debtors).
