thread: Can doctors make claims without my knowledge?

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  1. #1
    Registered User

    Jan 2009
    5,235

    Can doctors make claims without my knowledge?

    I was just looking at my online medicare statement for the last 12 months. In August last year I went and got a tetanus injection after I stood on a nail at the local hospital. It was a Saturday afternoon. The hospital rang the doctor to look up my records to see when I had last had one before they told me to come in. When I went in, a nurse gave the injection.

    Anyway, on my statement, I've been bulk billed for an after hour consultation in consulting rooms. I never saw the doctor and the injection was at the hospital not his offices.

    So, I guess I see why he bills for things like this, but surely I should have to sign off on it or something? Otherwise what stops doctors making random claims for people all over the place when they've not done anything?

    Thoughts?

  2. #2
    Registered User

    Jan 2009
    In my own little fantasy world
    2,946

    I'm not sure. But I only ever have to sign if I have to pay. Seems odd & I've often thought the same thing.

  3. #3
    Registered User

    May 2011
    Adelaide
    747

    Pretty sure they can, but if they get caught out, medicarewon't just issue them the payment. They will send you something to sign and send back stating that you agree to have the payment issued to them. A GP I was seeing awhile back had this happen as it looks like his partner was doing the dodge and claiming for consults he wasn't doing.

  4. #4
    Registered User

    Dec 2008
    8,986

    I would ring Medicare and explain the situation to see if it's legal. If it's not, it's something they (medicare) need to be aware of.

  5. #5
    Registered User

    Jan 2009
    5,235

    It's happened once before, I may have even posted about it back then, probably 18 mths ago or more. Same practice, but I had a blood test just with the practice nurse. Didn't sign anything other than the S&N blood thingo and then discovered, about 6 months later that it was charged as a level B consult with the doctor. I should have checked into it then.

    If you made only 10 extra claims a week for patients you didn't actually see, that's a pretty fair cash earner!

  6. #6
    Registered User

    May 2007
    3,341

    You will find the dr will have to sign the forms for authorisation even if he hasnt seen you, and therefore could charge.

  7. #7
    Registered User

    Oct 2008
    Newport, VIC
    1,885

    I'd report it to Medicare. Doctors like that take so much money out of the health system that could be used much more effectively.


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