Practice Incentives Program audits

The Department of Health conducts program audits to check practices are complying with the PIP eligibility requirements for payments including the Procedural GP Payment.

This may include practice visits or a review of practice documents.

If your practice is unable to provide information to substantiate your eligibility and claims for incentives, Health may recover past PIP payments for up to 6 years.

Evidence of eligibility may include:

  • copies of public liability insurance including amount covered
  • copies of a practitioner’s professional indemnity insurance that shows cover to perform procedural services
  • confirmation of details contained in the annual confirmation statements
  • documents showing the GP’s procedural activity and volume has met the requirements of the relevant payment tier, and
  • evidence of the GP’s after hours commitments

Copies of the evidence should be kept on practice files.

If a practitioner leaves a practice and an audit is conducted for the time the practitioner was there, a practice will still need to provide evidence that the professional indemnity insurance was maintained during their employment.

Page last updated: 6 February 2018