The Department of Health (Health) conducts program audits to check practices are complying with the PIP eligibility requirements for payments.
This may include practice visits or a review of practice documents.
If your practice can’t 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 professional indemnity insurance for all general practitioners and nurse practitioners
- confirmation of details contained in the annual confirmation statements
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.