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.

This information was printed Saturday 25 May 2019 from https://www.humanservices.gov.au/organisations/health-professionals/services/medicare/practice-incentives-program-guidelines/managing/audits It may not include all of the relevant information on this topic. Please consider any relevant site notices at https://www.humanservices.gov.au/individuals/site-notices when using this material.

Page last updated: 22 February 2019