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.