Details

Creator
Australia. Parliament. Joint Committee of Public Accounts
Title
Medical fraud and overservicing : progress report / Joint Committee of Public Accounts report 203
Call Number
Nq 328.94 AUS
Created/Published
Canberra : Government Printer, 1983
Pages
272
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Contents

JOINT COMMITTEE OF PUBLIC ACCOUNTS 1
JOINT COMMITTEE OF PUBLIC ACCOUNTS 5
CONTENTS 13
LIST OF TABLES 15
LIST OF DIAGRAMS 16
LIST OF APPENDICIES 17
CHAPTER 1 INTRODUCTION 19
CHAPTER 2 MAJOR CONCLUSIONS AND RECOMMENDATIONS 21
CHAPTER 3 EXTENT OF FRAUD AND OVERSERVICING 35
CHAPTER 4 THE HEALTH INSURANCE SYSTEM 49
CHAPTER 5 ADMINISTRATION 55
CHAPTER 6 DETECTION OF FRAUD AND OVERSERVICING 88
CHAPTER 7 INVESTIGATION OF FRAUD 102
CHAPTER 8 PROSECUTION OF FRAUD 118
CHAPTER 9 RESPONSE TO OVERSERVICING 138
APPENDICES INQUIRY INTO PAYMENTS UNDER THE MEDICAL BENEFITS SCHEDULE ADVISORS (PART-TIME) 157
APPENDIX B PUBLIC ACCOUNTS COMMITTEE LIST OE SUBMISSIONS RECEIVED IN THE INQUIRY INTO PAYMENTS UNDER THE MEDICAL BENEFITS SCHEDULE* 160
APPENDIX C PUBLIC ACCOUNTS COMMITTEE LIST OF PUBLIC HEARINGS HELD IN RELATION TO THE INQUIRY INTO PAYMENTS UNDER THE MEDICAL BENEFITS SCHEDULE* 161
APPENDIX D EXTRACTS FROM HEALTH INSURANCE ACT RELATING TO DEFINITIONS OF FRAUD AND OVERSERVICING 162
APPENDIX E DETAILS OF DEPARTMENT OF HEALTH'S CALCULATION OF $100m EXCESS* 166
APPENDIX F COPY OF DETAILED STAFFING PROPOSAL PREPARED IN NOVEMBER 1980 168
APPENDIX G Guidelines for the servicing of Medical Counsellors and Medical Services Committees of Inquiry 182
APPENDIX H PROCEDURES EOR DEALING WITH ALL BREACHES OF THE MEDICAL BENEFITS LEGISLATION BY PROVIDERS AS DISTRIBUTED TO ALL STATE OFFICERS ON 9 JUNE 1982 200
APPENDIX I CORRESPONDENCE DATED JANUARY/FEBRUARY 1980 REGARDING A DCS ADVISING THAT WHERE WRONG ITEM NUMBERS ARE USED, OR WHERE SERVICES WERE NOT PROVIDED, CASES SHOULD BE REFERRED FOR PROSECUTION 211
APPENDIX J EXTRACT FROM PUBLIC SERVICE ACT 1922 REGARDING DISCIPLINARY ACTION (Sections 61 & 62) 216
APPENDIX K COMPLETE TEXT OF DIRECTOR-GENERAL'S STATEMENT TO THE COMMITTEE ON 26 OCTOBER 1982 220
APPENDIX M COPY OF BLANK MONTHLY REPORT SHEET USED BY STATE OFFICES TO REPORT TO CANBERRA 223
APPENDIX N COPY OF BRIEF TO MINISTER OF 25 MAY 1981 IN RESPONSE TO AN ARTICLE IN THE NATIONAL TIMES OF MAY 17-23 1981 (SHOWING PORTIONS DELETED BY THE DEPARTMENT OF HEALTH FROM THE DRAFT) 229
APPENDIX O 244
APPENDIX P 246
APPENDIX Q 247
APPENDIX R 249
APPENDIX S 250
APPENDIX T AFP MEDIFRAUD STATISTICS AS AT 30.9.82 251
APPENDIX U DEPARTMENT OF HEALTH CENTRAL INVESTIGATION TASK FORCE 252
APPENDIX V DISCUSSION PAPER LEGAL PROBLEMS AND POSSIBLE SOLUTIONS ASSOCIATED WITH PROSECUTIONS RELATED TO THE HEALTH INSURANCE ACT 254

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http://nla.gov.au/nla.obj-1826856443

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Australia. Parliament. Joint Committee of Public Accounts & Australia. Parliament. (1983). Medical fraud and overservicing : progress report Retrieved May 9, 2021, from http://nla.gov.au/nla.obj-1826856443

MLA citation

Australia. Parliament. Joint Committee of Public Accounts and Australia. Parliament. Medical fraud and overservicing : progress report Canberra: Government Printer, 1983. Web. 9 May 2021 <http://nla.gov.au/nla.obj-1826856443>

Harvard/Australian citation

Australia. Parliament. Joint Committee of Public Accounts & Australia. Parliament. 1983, Medical fraud and overservicing : progress report Government Printer, Canberra viewed 9 May 2021 http://nla.gov.au/nla.obj-1826856443

Wikipedia citation

{{Citation
  | author1=Australia. Parliament. Joint Committee of Public Accounts.
  | author2=Australia. Parliament.
  | title=Medical fraud and overservicing : progress report
  | year=1983
  | section=xiv, 254 pages ; 25 cm.
  | isbn=064402528X
  | series=Parliamentary paper (Australia. Parliament) ;
  | issue=PP no. 445 of 1982, Report no. 203
  | location=Canberra
  | publisher=Government Printer
  | url=http://nla.gov.au/nla.obj-1826856443
  | id=nla.obj-1826856443
  | access-date=9 May 2021
  | via=Trove
}}

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