Guide to General Practitioners. This post is not legal advice but rather a recollection of Medicare audits encountered by the author. My name is Paul Soloviev. I have had 20 years of consulting career in General Practice. Why GPs need to improve Medicare compliance and minimise the risk of Medicare audit?
General Practitioners are normally subcontractors or tenants for the practices they work with. They receive a percentage of their billings, leaving some money for the practices to run the business. This may be a 30/70% split or a 35/65% split. GPs take the larger portion home. It is understandable that doctors and practices are interested in higher Medicare billings. It is not uncommon that people break Medicare billings rules in pursuit of higher profits.
For many years I have been next to doctors who were subject to the Medicare audit. As a part of my consulting service, I helped these doctors to draft letters, discuss strategies, prepare the materials and was present with them during hearings at Professional Services Review and AHPRA. I have witnessed what profound psychological impact the audit had on most of the doctors.
Objectives of this free presentation are: to help GPs minimise the audit risk, improve Medicare compliance, prepare for the Medicare audit, and improve chances for the desirable outcome. There are some other free resources related to Medicare billing on this site.
You can watch this presentation on YouTube.
There are 30 slides in this presentation. Please, use the “NEXT” and “BACK” navigation buttons to proceed to the next slide and go back if needed.
Please, always check the Medicare items descriptors using MBS Online.