Final versions of decisions made and assessment of compliance issues and decisions authored by or for operational or policy areas (including, for example, the Medical Benefits and Veterans Division) that address matters relating to MBS Items 721, 723, and 732; covers documents that are:
- Documents in the possession of the MBS Review Taskforce and the General Practice and Primary Care Clinical Committee.
- Discuss misuse, misapplication, or incorrect interpretation of these item numbers
- Highlight administrative, clinical, or technical challenges encountered by providers
- Record disputes or queries concerning General Practitioner Management Plans, Team Care Arrangements, or patient eligibility
- Contain recommendations for clarification of policy or guidance for providers
- Summarise complaints, emerging issues, or systemic trends about the use of these item numbers
Final decision documents from working groups, steering committees, or governance bodies that considered MBS Items 721, 723, or 732, limited to records addressing:
- Education or training requirements for providers
- Claim processing delays, backlogs, or error rates
- Proposals for clarification of policy or escalation of issues
- Stakeholder feedback or consultation on difficulties with CDM claiming
- Decisions relating to provider communication or compliance initiatives
Final or published factsheets, FAQs, compliance tip sheets and presentation slide decks or webinars in relation to the use of MBS Items 721, 723, and 732.
Finalised assessment of systemic compliance issues and decisions about how to respond to MBS Items 721, 723, and 732. This includes:
- Internal or external audits highlighting high-volume errors, inappropriate billing, or common provider mistakes
- Risk assessments that address misuse, vulnerabilities, or abuse of CDM arrangements
- Evaluations of compliance programs, provider education strategies, or corrective actions
- Reports or papers prepared for senior management on systemic compliance risks
Agree to excluding any documents that relate to individual practitioner compliance reviews and or audits. The request is seeking access to documents in the timeframe of May – August 2022.