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Submitted by Richard_Li on Wed, 09/14/2022 - 21:16
Aliases
Professional Services Review

Lead Body
No
Employment Arrangements
Enabling legislation

Section 35 of the PGPA Act applies
Yes
Section 35(3) of the PGPA Act applies
Yes

Outcome #1: A reduction of the risks to patients and costs to the Australian Government of inappropriate practice, including through investigating health services claimed under the Medicare and Pharmaceutical benefits schemes.
# Program Body Contribution
4.1 Medical Benefits Department of Health and Aged Care

The Department of Health and Aged Care has policy responsibility for Medicare and the Pharmaceutical Benefits Scheme (PBS). Under the Health Provider Compliance program, the Chief Executive Medicare refers suspected cases of inappropriate practice by health care service providers to the PSR for investigation.

4.6 Dental Services Department of Health and Aged Care

The Department of Health and Aged Care has policy responsibility for Medicare and the Pharmaceutical Benefits Scheme (PBS). Under the Health Provider Compliance program, the Chief Executive Medicare refers suspected cases of inappropriate practice by health care service providers to the PSR for investigation.

4.7 Health Benefit Compliance Department of Health and Aged Care

The Department of Health and Aged Care has policy responsibility for Medicare and the Pharmaceutical Benefits Scheme (PBS). Under the Health Provider Compliance program, the Chief Executive Medicare refers suspected cases of inappropriate practice by health care service providers to the PSR for investigation.

1.2 Program 1.2 - Services to the Community - Health Services Australia

Services Australia administers the PBS, Repatriation PBS, access to PBS for Aboriginal and Torres Strait Islander people, and Medicare services and benefit payments.