Recommendations
Recommendation 1
2.17 The
committee emphasises the importance of communicating the methodology utilised
by Medicare Australia to the wider medical community. The committee recommends
that Medicare Australia publish its current auditing methodology and any
subsequent improvements to the methodology as they come on stream.
Recommendation 2
3.53 The
committee recommends that agencies involved in health policy and regulation review
their online information policies and procedures to ensure that changes in
important information, regulations and policies affecting stakeholders are
regularly updated on agency web pages.
Recommendation 3
3.54 The
committee recommends that there be a simplification of the ways in which
official lists of professions, specialties and sub-specialties are
constructed. It recommends that, at a minimum, all bodies that use lists with
a statutory basis be required to publish only the current version of such a
list.
Recommendation 4
4.22 The
committee recommends that the March 2011 changes be reviewed one year after
their implementation and this should be carried out in consultation with all
relevant medical professional bodies, and other key stakeholders such as the
MDOs and consumer representative organisations. The findings of the review
should be publicly available.
Recommendation 5
4.31 The
Committee recommends that the government liaise further with stakeholders to
ascertain the desirability for a legally qualified person to be involved in the
PSR process.
Recommendation 6
4.46 The
Committee recommends that the Commonwealth government review the legislation to
allow the Determining Authority greater flexibility in its sanctions with
regard to PBS items.
Recommendation 7
4.51 The
committee recommends that the Commonwealth government review the PSR's enabling
legislation, to ensure that the PSR can effectively pursue abuse of the MBS or
PBS systems, regardless of the structure of employment of the person under
review.
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