GP banned from claiming care plans after 80/20 rule breach
The doctor agreed to repay $370k in rebates
A GP has been handed a six-month ban on billing Medicare for care plans after they admitted to breaching the 80/20 rule by claiming more than 80 items on 36 days in a year.
The GP agreed to repay $370,000 in rebates last month after being investigated by the Professional Services Review (PSR) for inappropriately claiming attendance, chronic disease management and pathology items.