PSR Director’s Update for September 2018
Due to the nature of negotiated agreements and secrecy limitations imposed by the legislative scheme, no practitioners who have entered into s 92 agreements with the Director are named. The Director has the power to disclose the names and addresses of practitioners who are found by a Committee to have engaged in inappropriate practice and who are subject to a final determination. Read the Director’s policy on the naming of practitioners in PSR's Policy on the Publication of Case Outcomes For media enquiries, please contact PSR at 02 6120 9100 or firstname.lastname@example.org.
In September 2018, two s 92 agreements entered into between the Director and persons under review came into effect.
A. Director’s Section 92 agreements effective in September 2018
The following agreements entered into by the Director and persons under review (in accordance with s 92 of the Act) came into effect:
- An agreement with a general practitioner. The Director reviewed this practitioner’s rendering of MBS items 36, 44, 721, 723, 732, 2713, 55068, 55715, 55723, 71085, 71165 and 71166. The practitioner acknowledged they engaged in inappropriate practice in connection with providing these items, except for MBS item 71166 in relation to which the Director had no concerns. The practitioner agreed to repay $123,000, to be disqualified from providing MBS items 732 and 2713 for 18 months, to be disqualified from providing MBS item 44 for 12 months, and will be reprimanded by the Director.
- An agreement with a nurse practitioner. The Director reviewed this practitioner’s rendering of Medicare Benefits Schedule (MBS) items 82210 and 82215. The practitioner acknowledged they engaged in inappropriate practice in connection with providing these items. The practitioner agreed to repay $30,000 and will be reprimanded by the Director.
B. PSR Committee final determinations
No final determinations came into effect in September 2018.
C. Federal Court
The decision in the judicial review application first mentioned in September 2017 remains reserved.
D. Referrals to the major non-compliance (fraud) division
Two matters were referred to the major non-compliance (fraud) division in September 2018.
E. Referrals to AHPRA
Two matters were referred to AHPRA in September 2018.