Medicare billing, law and practice: Complex, incomprehensible and beginning to unravel

Faux, M; Wardle, J; Adams, J

Medicare billing, law and practice: Complex, incomprehensible and beginning to unravel

Faux, M Wardle, J

Adams, J

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Publication Type:: Journal Article
Citation:: Journal of Law and Medicine, 2019, 27 (1), pp. 66 - 93
Issue Date:: 2019-01-01

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Field	Value	Language
dc.contributor.author	Faux, M	en_US
dc.contributor.author	Wardle, J https://orcid.org/0000-0001-8813-3542	en_US
dc.contributor.author	Adams, J https://orcid.org/0000-0002-9901-5717	en_US
dc.date.issued	2019-01-01	en_US
dc.identifier.citation	Journal of Law and Medicine, 2019, 27 (1), pp. 66 - 93	en_US
dc.identifier.issn	1320-159X	en_US
dc.identifier.uri	http://hdl.handle.net/10453/136958
dc.description.abstract	© 2019 Thomson Head Office. All rights reserved. Australia's Medicare is still widely considered one of the world's best health systems. However, continual political tinkering for 40 years has led to a medical billing and payment system that has become labyrinthine in its complexity and is more vulnerable to abuse now, from all stakeholders, than when first introduced. Continuing to make alterations to Medicare without addressing underlying structural issues, may compound Australia's health reform challenges, increase the incidence of non-compliance and expenditure and thwart necessary reforms to develop a modern, data-driven, digitally informed health system. For the medical practitioners who are required to navigate the increasing complexity and relentless change, they will remain at high risk of investigation and prosecution in what has become an anarchic operating environment that they cannot avoid, but do not understand.	en_US
dc.relation.ispartof	Journal of Law and Medicine	en_US
dc.rights	info:eu-repo/semantics/openAccess
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Fraud	en_US
dc.subject.mesh	Health Care Reform	en_US
dc.subject.mesh	Aged	en_US
dc.subject.mesh	Medicare	en_US
dc.subject.mesh	United States	en_US
dc.subject.mesh	Australia	en_US
dc.title	Medicare billing, law and practice: Complex, incomprehensible and beginning to unravel	en_US
dc.type	Journal Article
utslib.citation.volume	1	en_US
utslib.citation.volume	27	en_US
utslib.for	1801 Law	en_US
utslib.for	1117 Public Health and Health Services	en_US
utslib.for	11 Medical and Health Sciences	en_US
utslib.for	18 Law and Legal Studies	en_US
utslib.for	22 Philosophy and Religious Studies	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Public Health
pubs.organisational-group	/University of Technology Sydney/Strength - CHSP - Health Services and Practice
pubs.organisational-group	/University of Technology Sydney/Students
utslib.copyright.status	open_access	*
pubs.issue	1	en_US
pubs.publication-status	Published	en_US
pubs.volume	27	en_US

Abstract:

© 2019 Thomson Head Office. All rights reserved. Australia's Medicare is still widely considered one of the world's best health systems. However, continual political tinkering for 40 years has led to a medical billing and payment system that has become labyrinthine in its complexity and is more vulnerable to abuse now, from all stakeholders, than when first introduced. Continuing to make alterations to Medicare without addressing underlying structural issues, may compound Australia's health reform challenges, increase the incidence of non-compliance and expenditure and thwart necessary reforms to develop a modern, data-driven, digitally informed health system. For the medical practitioners who are required to navigate the increasing complexity and relentless change, they will remain at high risk of investigation and prosecution in what has become an anarchic operating environment that they cannot avoid, but do not understand.

Please use this identifier to cite or link to this item:

http://hdl.handle.net/10453/136958