National Compliance Program
National Compliance Program 2009–10
The National Compliance Program 2009–2010 focuses on Medicare Australia’s key stakeholder groups. It highlights areas of concern with compliance, outlines responses to these concerns and how Medicare Australia will support each group to voluntarily comply.
The 2009–2010 approach is to:
- enhance our relationships with stakeholders to enable us to better identify compliance risks and to co-design practical and appropriate mitigation strategies
- further refine our risk detection and assessment tools as part of a program integrity framework
- better target our education and support activities
- make sure our audit and investigation activities are understood, professional and well targeted.
By outlining our areas of focus for the next 12 months, we aim to alert key stakeholders to the risks up front and encourage use of the education and support available.
Download the National Compliance Program 2009–2010 [PDF, 782Kb]
Download the National Compliance Program 2009–2010 [RTF, 203Kb]
To obtain a hard copy of Medicare Australia’s National Compliance Program 2009–2010, email your postal address to compliance.feedback@medicareaustralia.gov.au
National Compliance Program 2008–09
To explain our compliance activities for the 2008-09 year the National Compliance Program 2008–09* [PDF, 1.2Mb] was developed.
In developing this year’s Program we have spoken with key stakeholders to better understand the issues and circumstances facing the health care sector. We will continue to stay in contact with providers and industry stakeholders and will publish updates on compliance outcomes and achievements.
The Program is intended to inform providers and industry stakeholders about what they can expect from us and where we will focus our compliance efforts. It details our compliance approach which includes an appropriate mix of education, support, deterrence and enforcement to encourage high levels of voluntary compliance.
Our commitment to building a compliance culture, our compliance philosophy and our major initiatives for the year ahead are also key aspects of the Program. The document explores our commitment to:
- making sure the right person receives the right payment at the right time—no more, no less
- creating a culture of voluntary compliance by providing high quality, accessible education and information products and services to support providers to ‘get it right’
- dealing with noncompliance appropriately and proportionately, with responses ranging from education and counselling through to recovery of payments, suspension and criminal prosecution
- pursuing all instances of fraud and deliberate noncompliance.
The Program sets out the strategic risks impacting on compliance behaviour that we need to understand and manage. The following five risks have been identified in consultation with industry stakeholders:
- Increasing complexity.
- Growth of services and provider groups.
- Changes in practice.
- eBusiness impacts.
- Community demand.
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Last updated: 18 September, 2009