PSR sanctions GP treating 500 patients in a day
The case was highlighted in the PSR Annual Report 2012–13 as an “extreme example” of doctors flaunting Medicare’s 80/20 rule.
Under the rule, doctors cannot claim for 80 or more attendances in one day on 20 or more days in a 12-month period.
According to the report, the GP worked for a company offering workplace health and safety services, including vaccinations, and most of the claimed services were MBS Level A attendances.
“The practitioner assured PSR that each of these patients had been 'eyeballed'," the report stated.
Over the year, 26 doctors were required to repay a total of more than $1.5 million and 11 were suspended from Medicare.
Director Dr Bill Coote said some of the GPs referred to the PSR because of very high levels of patient attendances, often around 20,000 per annum, were associated with large, extended-hours clinics. The practitioners argued they were simply meeting