thread: Can doctors make claims without my knowledge?

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  1. #1
    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.

  2. #2
    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.

  3. #3
    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.

  4. #4
    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!

  5. #5
    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.

  6. #6
    Registered User

    Jan 2009
    5,235

    Oh right, still not sure how it would qualify as level B when it's not a long consultation at all.....anyway I can see where some certainly could take advantage.

  7. #7
    Registered User

    May 2007
    3,341

    yeah not sure about that ausgirl.
    i know my dr says to be "im going to charge this as a long consult if that is ok?"
    and i dont mind - as it is over 15 mins