Practice Incentives Program guidelines

Rights of review

The Practice Incentives Program has a review of decision process. This is separate from reviews relating to program audits.

We base our decisions made under the program on the published guidelines as at the date of the event.

To request a review of a decision, the authorised contact person or the owners of the practice must write to us using the Practice Incentives review of decision form.

You must do this within 28 days of receiving the decision you want reviewed.

We’ll review our decision against the PIP eligibility criteria, the payment formula, or both. We’ll write to your practice to let you know the outcome of the review.

If you aren’t satisfied with the review decision, you can ask our Formal Review Committee to reconsider it. The Formal Review Committee is the last avenue of appeal and its decision is final.

Contact us to find out more about the formal review process.

This information was printed Monday 20 May 2019 from https://www.humanservices.gov.au/organisations/health-professionals/services/medicare/practice-incentives-program-guidelines/managing/rights-review 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