Department of Health- upcoming review of Skin Excision Items
College has been advised today that the Department of Health’s Provider Benefits Integrity Division (PBID) will be undertaking a voluntary claims review of Skin Excision Medicare Benefits Schedule (MBS) Items in July 2019.
These reviews aim to allow the Department to design comprehensive compliance approaches ranging from light touch interventions such as provider education and targeted letters, through to audits and investigations in the small number of cases where providers are intentionally non-compliant.
The PBID is initiating a targeted letter activity specifically relating to claiming of MBS Items 31356 to 31376. In the week commencing 8 July 2019, the Department intends to write to 101 general practitioners, dermatologists, general surgeons and plastic surgeons asking them to review their claims. A period of 31 days from the date of the letter will be provided for responses.
Although this is a voluntary review, Fellows are strongly advised to assess a representative sample of claims, and if satisfied that these are compliant, to advise the Department accordingly and of the percentage of claims reviewed.
We also encourage Fellows who receive a letter to contact Haley Bennett at College. It is important that we are aware of how many Fellows are affected, so that we can provide individual advice and representation to the Department if required.