Team Care Arrangements and Allied Health Medicare Referrals — Surviving a Medicare Audit (M)

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Presenter: Allan Donnelly

Do you see patients under the Allied Health Medicare Referral process but do not understand how they work? Are you confused about when referrals expire or what your responsibilities are under the legislation? Do you find it challenging to get a clear answer from Medicare to your questions? Are you confident you will be fully compliant in the event of a Medicare audit?

If you want to be in the most powerful position in the event of a Medicare audit, this webinar is for you.

Learning objectives

  • Understand the purpose of the Allied Health Referral in relation to the Team Care Arrangement / CDM.
  • Recognise the legal obligations under the scheme such as practitioner responsibility and accuracy of paperwork.
  • Understand how long a referral is valid for and who is responsible for each section of the process.
  • Develop a strategy to manage referrals in group practice.

About Allan:

After a long career as a teacher in the NSW Undergraduate Podiatry program, Allan returned to clinical practice in 2007. In 2012 he was audited by Medicare and found to be non-compliant in several areas relating to Allied Health Medicare Referrals. Like many other practitioners, his working knowledge of the system was gained from advice by colleagues which, for the most part, turned out to be incorrect and as a result of the audit, costly.

Frustrated by a lack of educational material from Medicare but supported by the Medicare compliance officer who had conducted the audit, Allan set about using his teaching background to develop a thorough understanding of how to correctly use Allied Health Medicare Referrals and their relationship to GPMPs and TCAs. He then wrote and produced educational resources so that other practitioners could also understand and use the referrals correctly. He now customises his materials and presents them in a workshop to various health professions.

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