PSR Annual Report 2005-2006
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Glossary
- AASB
- Australian Accounting Standards Board
- AEIFRS
- Australian Equivalents to International Financial Reporting Standards
- AGAAP
- Australian Generally Accepted Accounting Principles
- Act
- Health Insurance Act 1973, as amended by the Health Legislation (Professional Services Review) Amendment Act 1994 and subsequent amendments
- adjudicative referral
- A case prepared by the Director, instituting a referral to a PSR committee, after an investigation of the concerns contained in an investigative referral. (From 1 January 2003 the Director makes a referral to a PSR committee to investigate concerns.)
- AMA
- Australian Medical Association
- committee
- A Professional Services Review committee established by the Director in accordance with section 93 of the Act to examine a case of apparent 'inappropriate practice' referred by Medicare Australia
- COX-2
- a selective inhibitor-the newest of the nonsteroidal anti-inflammatory drugs
- Determining Authority
- A three-person panel responsible for determining the sanction following an adverse PSR committee finding
- Determining Officer
- An officer appointed by the Minister to determine an appropriate sanction to apply where a PSR committee finds a person under review has engaged in inappropriate practice, as defined in the Act
- Director
- The Director of Professional Services Review is an independent statutory officer appointed by the Minister-the occupant must be a medical practitioner and the AMA must agree to the appointment
- disqualification
- Exclusion (partial or complete) from eligibility for the practitioner's services to attract Medicare benefits
- FMO
- Finance Minister's Orders
- inappropriate practice
- Professional conduct in relation to Medicare which a committee of peers would reasonably consider would be unacceptable to the general body of the peer group (section 82)
- investigative referral
- A case prepared by Medicare Australia and referred to the Director, containing Medicare Australia's concerns and the reasons it considers
a practitioner or other person may have engaged in inappropriate practice in the terms of section 82 of the Act. (From 1 January 2003,
the Commission asks the Director to review the provision of services
by a practitioner.)
- MBS
- Medicare Benefits Schedule
- Minister
- Minister for Health and Ageing
- MPRC
- Medicare Participation Review Committee
- OH&S
- occupational health and safety
- Panel
- PSR Panel consisting of medical practitioners, dentists, optometrists, osteopaths, chiropractors, physiotherapists and podiatrists nominated by the relevant professional organisations and who have been appointed
by the Minister
- PBS
- Pharmaceutical Benefits Scheme
- PSR
- Professional Services Review
- referral
- A case prepared by the Director and referred to a PSR committee for investigation, detailing the concerns and the reasons a practitioner or other person may have engaged in 'inappropriate practice' in the terms of section 82 of the Act
- request for review
- A case prepared by Medicare Australia asking the Director to review the provision of services and containing Medicare Australia's concerns and the reasons it considers a practitioner or other person may have engaged in inappropriate practice in the terms of section 82 of the Act (applies from 1 January 2003)
- 80/20 rule
- A prescribed pattern of services applying to practitioners providing 80 or more professional attendances on 20 or more days in a 12-month period
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