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A large multidisciplinary pain clinic engaged us to conduct a comprehensive review of its medical billing compliance across outpatient, inpatient, and compensation scheme services.
Scope:
We assessed Medicare billing practices, rejection patterns, clinical documentation, referr…
Our client, a bulk billing general practice serving a complex and vulnerable patient population, sought our help to ensure the long-term sustainability of the clinic. Their goals were to:
1. Understand current billing patterns and identify opportunities for improvement
2. R…
Our client, a leading private provider of fertility services in Australia, approached us for advice on a nuanced Medicare billing issue involving a returning doctor. The clinician in question was an Australian-trained medical graduate who had spent over a decade overseas completi…
An internationally renowned health service provider engaged us to assess the viability of establishing a network of nurse-led urgent care clinics, potentially supported by GPs and Fellows of the Australasian College for Emergency Medicine (FACEM). The vision was to deliver high-q…
A primary care provider delivering services through group appointments approached us for a full compliance review of their Medicare billing. While Medicare generally does not support billing for group consultations, this provider’s model was highly specialised and unlike anythi…
A medical specialist engaged us after discovering that fraudulent claims had been submitted in her name – over 1,100 services across a nine-month period. Despite acting quickly and in good faith, she received no support from her medical defence organisation or any other body.
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