Commonwealth. Federal Court 13 January 2017 – Selia v Commonwealth of Australia [2017] FCA 7 – ADMINISTRATIVE LAW – Judicial Review – Professional Services Review Scheme under Part VAA of the Health Insurance Act 1973 – where Professional Services Review Committee found applicant dentist engaged in ‘inappropriate practice’ as defined in s 82 – meaning of ‘initiating’ in s 82 – where applicant billed Medicare for dental services in advance of rendering – where dental services provided by dentists employed by applicant were billed using applicant’s medicare provider number – where Determining Authority directed applicant should be reprimanded, counselled and required to repay amount to first respondent – whether pre-billing can constitute ‘inappropriate practice’ – whether conduct of applicant in billing services provided by employees under his medicare number can constitute ‘inappropriate … (more)
Category: Medicare
Health Alert (Australia) January 23, 2017
Commonwealth. Federal Court 13 January 2017 – Selia v Commonwealth of Australia [2017] FCA 7 – ADMINISTRATIVE LAW – Judicial Review – Professional Services Review Scheme under Part VAA of the Health Insurance Act 1973 – where Professional Services Review Committee found applicant dentist engaged in ‘inappropriate practice’ as defined in s 82 – meaning of ‘initiating’ in s 82 – where applicant billed Medicare for dental services in advance of rendering – where dental services provided by dentists employed by applicant were billed using applicant’s medicare provider number – where Determining Authority directed applicant should be reprimanded, counselled and required to repay amount to first respondent – whether pre-billing can constitute ‘inappropriate practice’ – whether conduct of applicant in billing services provided by employees under his medicare number can constitute ‘inappropriate … (more)