IF the patient is bulk billed, and there is indeed no referral then the
specialist is defrauding.
IF the patient is billed, pays the account, then goes to claim back is
the specialist an accomplice (if they enter a false referral).
I could save medicare many millions of dollars very quickly by shutting
down a few enterprises offering "free" services here in Sydney, it would
save them running around quibbling over "scanned" referrals
Duncan
David Guest wrote:
Duncan Guy wrote:
A colleague had a referral questioned, he was able to provide a
scanned copy. The HIC snoops said that wasnt enough, he argued, it
went back and forth with no ruling. In the end he rang the GP
concerned and asked if a duplicate referral could be issued, this was
done and HIC was happy
But a duplicate is not the original. How does the HIC know that Duncan's
mate didn't whip it up on his computer?
The only rational way to proceed would be for the HIC to contact the GP
directly for confirmation (after reading him the various unpleasantries
that follow from defrauding the Commonwealth government through
contravention of the Medicare Act).
David
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