5a. Navigating Medicare compliance: your guide to the PSR review process
Tracks
Stream 1
| Sunday, May 24, 2026 |
| 10:30 - 11:15 |
Details
The Professional Services Review (PSR) is a vital component of the Commonwealth healthcare regulation system, aimed at protecting the integrity of the Medicare system. PSR is a peer review system ensuring that appropriate Medicare billing occurs for the benefit of everyone.
In this session PSR will outline its review process, explain how medical practitioners are central to the PSR system and provide an opportunity for attendees to have direct access to the PSR Director via a Q and A session. We will also touch on the stress referrals may cause and the importance of supporting colleagues during the review process.
To explain their role, PSR will provide feedback on the most frequently reviewed general practice MBS items in recent years, including outlining common areas that give rise to concern. There are several emerging themes that PSR has seen in recent referrals which include:
- An increase in automatic referrals following a breach of the prescribed pattern of services rules (80/20 and 30/20).
- An increase in the review of telehealth services. PSR has identified telehealth services being provided without an attendance on the patient.
- An increase in review of services provided in residential aged care facilities. PSR will discuss the real-world difficulties experienced in record-keeping and how practice owners can support their staff.
- A continuing high number of reviews of therapeutic procedures (skin excision items) and an ongoing lack of awareness about the requirements when co-billing an attendance alongside a procedural item.
Speaker
A/Prof Antonio Di Dio
Director
Professional Services Review (PSR)
Navigating Medicare compliance: your guide to the PSR review process
10:30 - 11:15Biography
Associate Professor Antonio Di Dio grew up in rural Italy and Australia and has been a GP for over 30 years. He practises part-time in Canberra and is the full-time Director of the Professional Services Review. Antonio has been deeply involved in practitioner wellbeing for more than three decades and continues to support doctors through state and national Drs4Drs bodies.
He sits on the Boards of the Medical Benevolent Association and Drs Health Services and is Executive Chair of the National Leadership Alliance on Practitioner Wellbeing. He was awarded the AMA Presidential Medal in 2020 for services to doctors’ health and refugees.
Associate Professor Di Dio chairs the Australian Health Regulators Network, working to improve patient safety and regulatory experience. A former AMA ACT President, he has served on AMA Federal Council and Board and presents nationally on workplace culture, psychosocial safety and burnout prevention.
