PSR Director's Update for July 2018

8 August 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 feedback@psr.gov.au.

 
In July 2018, eleven s 92 agreements entered into between the Director and persons under review came into effect.

A. Director’s Section 92 agreements effective in July 2018

The following agreements entered into by the Director and persons under review (in accordance with s 92 of the Act) were ratified:

  • An agreement with a general practitioner. The Director reviewed this practitioner’s rendering of Medicare Benefits Schedule (MBS) items 23, 36, 43, 597, 599, 5020, 5040 and 5043 and Pharmaceutical Benefits Scheme (PBS) item 2622B. The practitioner acknowledged they engaged in inappropriate practice in connection with providing these items, except for PBS item 2622B in relation to which the Director had no concerns. The practitioner agreed to repay $380,000, to be disqualified from providing MBS items 597 and 599 for 12 months, and will be reprimanded by the Director.
  • An agreement with a general practitioner. The Director reviewed this practitioner’s rendering of MBS items 23, 36, 721, 723, 732, 2525, 2526, 5020, 5040 and 66833. The practitioner acknowledged they engaged in inappropriate practice in connection with providing these items. The practitioner agreed to repay $310,000, to be disqualified from providing MBS items 721, 723, 732, 2525 and 2526 for 12 months, and will be reprimanded by the Director.
  • An agreement with a general practitioner. The Director reviewed this practitioner’s rendering of MBS items 23, 36, 721, 723, 732 and 2712. The practitioner acknowledged they engaged in inappropriate practice in connection with providing these items. The practitioner agreed to repay $100,000 and will be reprimanded by the Director.
  • An agreement with a general practitioner. The Director reviewed this practitioner’s rendering of MBS items 23, 36, 721, 723, 732, 2521, 73805, 31210, 31215, 31260, 31270, 31275, 31285, 31290 and 31363. The practitioner acknowledged they engaged in inappropriate practice in connection with providing these items. The practitioner agreed to repay $340,000, to be disqualified from providing MBS items 2521, 73805, 31210, 31215, 31260, 31270, 31275, 31285 and 31290 for 12 months, to be disqualified from providing MBS items 721, 723 and 732 for 6 months and will be reprimanded by the Director.
  • An agreement with a general practitioner. The Director reviewed this practitioner’s rendering of MBS items 23, 36, 44, 707, 721, 723, 732, 2713, 5020, 5040 and 5060. The practitioner acknowledged they engaged in inappropriate practice in connection with providing these items. The practitioner agreed to repay $220,000, to be disqualified from providing MBS items 44, 707, 2713 and 5060 for 12 months and will be reprimanded by the Director.
  • An agreement with a general practitioner. The Director reviewed this practitioner’s rendering of MBS items 23, 36, 705, 721, 732, 2521 and 73805. The practitioner acknowledged they engaged in inappropriate practice in connection with providing these items. The practitioner agreed to repay $370,000, to be disqualified from providing MBS items 705, 2521 and 73805 for 24 months, to be disqualified from providing MBS items 721 and 732 for 6 months and will be reprimanded by the Director.
  • An agreement with a general practitioner. The Director reviewed this practitioner’s rendering of MBS items 23, 36, 721, 723 and 2701. The practitioner acknowledged they engaged in inappropriate practice in connection with providing these items. The practitioner agreed to repay $200,000 and will be reprimanded by the Director.
  • An agreement with a medical practitioner. The Director reviewed this practitioner’s rendering of MBS items 53, 54, 721, 723, 5020, 5040, 66596, 66833, 66839, 69303, 69495, 71079 and 16500, and PBS item 5470X. The practitioner acknowledged they engaged in inappropriate practice in connection with providing these items. The practitioner agreed to repay $80,000, to be disqualified from providing MBS items 721, 723 and 66833 for 12 months, and will be reprimanded by the Director.
  • An agreement with a general practitioner. The Director reviewed this practitioner’s rendering of MBS items 36, 44 and 900. The practitioner acknowledged they engaged in inappropriate practice in connection with providing these items. The practitioner agreed to repay $190,000 and will be reprimanded by the Director.
  • An agreement with a general practitioner. The Director reviewed this practitioner’s rendering of MBS items 23, 36, 721, 723, 732, 2713, 2715 and 5020 and PBS item 8254K. The practitioner acknowledged they engaged in inappropriate practice in connection with providing these items. The practitioner agreed to repay $270,000, to be disqualified from providing MBS item 2713 for 12 months, and will be reprimanded by the Director.
  • An agreement with a general practitioner. The Director reviewed this practitioner’s rendering of MBS items 23, 24, 35, 701, 732, 2517 and 5020. The practitioner acknowledged they engaged in inappropriate practice in connection with providing these items. The practitioner agreed to repay $220,000 and will be reprimanded by the Director.

B. PSR Committees' final determinations effective in July 2018

No final determinations came into effect in July 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

No matters were referred to the major non-compliance (fraud) division in July 2018.

E. Referrals to AHPRA

No matters were referred to AHPRA in July 2018.