1g. Medicare Compliance and Education
Track 7
| Thursday, November 21, 2024 |
| 10:30 AM - 11:30 AM |
| River View Room 5 (Level 2) |
Details
60min presentation | This session will be delivered by Dr Kris Kandasamy who is a Senior Medical Adviser in the Benefits Integrity Division of the Department of Health and Aged Care (the department). This presentation will highlight the important role that Medicare compliance plays in helping to maintain the sustainability and integrity of Australia’s health benefits system through responding to concerns such as potential incorrect claiming under the Medicare Benefits Schedule (MBS), inappropriate practice and fraud.
The presentation will highlight the compliance obligations of health practitioners and practices when claiming under the MBS and will provide an overview of the compliance approaches that are used by the department to address compliance concerns.
Common and emerging integrity risks will be discussed and current education resources, that can assist providers and administrative staff to practice correct Medicare claiming practices and ensure compliance, will be shared. An update on new initiatives that the department is exploring in response to recommendations from the Independent Review of Medicare Integrity and Compliance will also be provided. This will include an update on the development of the ‘Understanding Medicare: Provider Handbook’ which is being designed to provide an improved understanding of the fundamental principles of Medicare through simplifying the complexities of the system into plain language.
The presentation will highlight the compliance obligations of health practitioners and practices when claiming under the MBS and will provide an overview of the compliance approaches that are used by the department to address compliance concerns.
Common and emerging integrity risks will be discussed and current education resources, that can assist providers and administrative staff to practice correct Medicare claiming practices and ensure compliance, will be shared. An update on new initiatives that the department is exploring in response to recommendations from the Independent Review of Medicare Integrity and Compliance will also be provided. This will include an update on the development of the ‘Understanding Medicare: Provider Handbook’ which is being designed to provide an improved understanding of the fundamental principles of Medicare through simplifying the complexities of the system into plain language.
Speaker
Mr Kon Kakris
Acting Head of Member Experience
RACGP
Session chair
Biography
Dr Kris Kandasamy
Department of Health and Aged Care
Medicare Compliance and Education
Biography
Dr Kandasamy graduated from the University of Glasgow in 1991, completed his general practice training and anaesthetic training in the UK prior to arriving in Australia to work in mental health and then obstetrics in 1996 . He was a GP anaesthetist and GP obstetrician in Western Victoria and then a GP in ACT and NSW.
Dr Kandasamy worked in Aboriginal Health Services in Northern Territory and set up a Aboriginal Health Service in Northern NSW in conjunction with local Division of General Practice. He was awarded the Department of Health’s NAIDOC award in 2016 for his contribution to Indigenous Health.
Dr Kandasamy started as a Medical Adviser at Medicare in 2007, and has worked in and has experience in various areas of Medicare compliance.
