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The Guardian - AU
The Guardian - AU
National
Melissa Davey Medical Editor

Medicare fraud by providers is rampant and government bulk-billing figures are a ‘lie’, review finds

A comprehensive review of Medicare claiming has found a primary cause of illegal billing is ignorance by health care providers.
A comprehensive review of Medicare claiming has found a primary cause of illegal billing is ignorance by health care providers. Photograph: Dave Hunt/AAP

Illegal billing by doctors and other health providers is rampant, with as few as three-in-10 patients being properly bulk-billed despite federal government claims that rates are close to 90%, the first comprehensive review of Medicare claiming and compliance has found.

The review, authored by Dr Margaret Faux, found a primary cause of Medicare fraud was ignorance by healthcare providers, who do not comprehend the complex billing system and often have no idea they are not complying with regulations.

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