Dear Drs. Haikerwal, Preetham, Cain, Kate Carnell, Julia Nesbitt and Duncan Wood,

The Medicare Australia Web site

http://www.medicareaustralia.gov.au/providers/programs_services/medicare/electronic-claiming.shtml

tell us, in explaining the benefits of the new Electronic Medicare claiming system:

"Unpaid accounts

   1. The patient’s Medicare card is swiped through your EFTPOS terminal
2. some basic information is entered on the keypad. For most claims this will be around ten keystrokes, more for specialists * the claim is automatically encrypted and sent to Medicare, entitlements are verified and an approval message is sent back to the terminal 3. a cheque is sent from Medicare Australia to the patient who then brings it back to the practice."


Have the AMA, AGPN and RACGP pointed out to the Minister of Health the apparent absurdity of paying however much it has been to develop a new electronic claiming system that results in a cheque being posted not even to the doctor but to the patient, and that then has to be physically taken to a bank to be processed?

As I understand it, this means that the banks are going to be paid 23 cents per electronic transaction to send a claim that results in a cheque being printed and posted, that then has be taken to ... guess where? ... a bank, which then charges another fee to process the cheque that results from the transaction that it or another bank has already processed.

This sounds like almost a perfect money making scheme for the banks. The banks must be laughing up their sleeves at their good fortune resulting from the government's decision to spend our taxes in this way for their benefit. The banks must be hoping that the public doesn't become aware of how the government is supporting their industry with our taxes via Medicare. Similarly that threatened species the postman and postwoman will be so glad that the Minister of Health is helping to keep them in a job delivering Medicare cheques, as will the manufacturers of the motor vehicles that practice staff will be using to take the cheques to the bank. Petrol companies and other industries and companies whose products or services are inefficient or environmentally damaging compared to current technologies, but which are used in this process will also appreciate the benefits to them of the 'pay doctor' cheque scheme.


--
Oliver Frank, general practitioner
255 North East Road, Hampstead Gardens, South Australia 5086
Phone 08 8261 1355   Fax 08 8266 5149  Mobile 0407 181 683
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