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Law in Context

Abstract from Volume 23 No 2 (2006) Regulating Health Practitioners

Medicare Regulation through Professional Services Review-Lessons Learned

Robin Bell was Special Counsel with Professional Services Review from 1999 to 2005 on secondment from Minter Ellison lawyers.

The Professional Services Review Scheme, established in 1994 under Part VAA of the Health Insurance Act 1973 (Cth), is a unique appli­cation of peer standards to review of Medicare services.[i] This article discusses lessons emerging from legal experience in imple­menting the Scheme. It is concluded that, following extensive litigation and ensuing amendments, the Scheme is working but further refine­ments are desirable.

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