Terms of Reference

Review of the Professional Services Review (PSR) Scheme

Terms of Reference

A review of the Professional Services Review (PSR) Scheme provided for under the Health Insurance Act 1973 (the Act) which is responsible for reviewing and  investigating the provision of Medicare or Pharmaceutical Benefits Scheme services by health professionals, with particular reference to:

(a) the structure and composition of the PSR, including:
         (i)    criteria for selection of the executive and constituent members encompassing
                      their experience in administrative review proceedings,
         (ii)   the role of specialist health professionals in assisting in cases where
                      members lack  relevant specialist expertise, and
         (iii) accountability of all parties under the Act;
(b) current operating procedures and processes used to guide committees in
          reviewing cases;
(c) procedures for investigating alleged breaches under the Act;
(d) pathways available to practitioners or health professionals under review to
          respond to any alleged breach;
(e) the appropriateness of the appeals process; and
(f) any other related matter.

For further information, contact:

Committee Secretary
Senate Standing Committees on Community Affairs
PO Box 6100
Parliament House
Canberra ACT 2600
Australia

Phone:+61 2 6277 3515
Fax:+61 2 6277 5829
Email:community.affairs.sen@aph.gov.au

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