This series was short-lived, lasting only thirteen installments.
A valid referral must be: It is unlawful to back-date a referral, so referring practitioners should not be asked to do so.
The audits emphasise the importance to specialists of ensuring correct administrative practices with respect to referrals.
Generally a valid referral is required before a referred specialist consultation can be itemised.
Medicare is conducting compliance audits of specialists’ billing; particularly where more than one initial consultation is rendered in respect of a single referral.
The consequences of incorrect itemisation or rendering services without a valid referral can be expensive - repayment to Medicare of 100% of the benefits paid for the service and significant additional administrative penalties.