Read the letter carefully and determine what the letter is asking you to do.
Once you have done this, you should complete an incident notification form, which can be found on the Avant website under the tab ‘Tell us about an incident’. You should email the completed form with all the correspondence you received from Medicare/Department of Health to firstname.lastname@example.org. We can then assist you to understand what the next steps will be.
Letters from Medicare/Department of Health come in different formats requesting a variety of responses.
If the letter notifies you that your practice with a particular item number is different to that of your peers (for example, you may use it more often), you do not necessarily need to do anything other than be aware and think about what you do and why. You should have clinical reasons and medical records to substantiate every item number that you bill.
Some letters do require you to “review and act now”. It may identify that you have been billing outside the norm and ask you for an explanation. The letter may come with a schedule (list) of your billings that you are required to review. You might then consider making a ‘voluntary acknowledgment of incorrect payments’ if any claims do not meet the criteria in the checklist.
Alternatively you may receive a letter informing you that you need to attend an interview as part of the Practitioner Review Program. This letter will inform of you of the time, date and venue of your interview and will identify the concerns that you will be required address in the interview.
You should contact Avant if you are asked to “review and act now” or attend an interview.