Health Insurance (Professional Services Review – Sampling Methodology) Determination 2017 (Cth)

Health Insurance (Professional Services Review — Sampling Methodology) Determination 2017 Health Insurance Act 1973

I, GREG HUNT, Minister for Health, make this Determination under subsection 106K (3) of the Health Insurance Act 1973.

Dated 15 March 2017

GREG HUNT Minister for Health

Contents

Part 1 Preliminary

1 Name of Determination

2 Commencement

3 Authority

4 Schedules

5 Definitions

Part 2 Sampling methodology

6 Purpose

7 Application of sampling methodology

8 Sample

9 Determining percentage of inappropriate practice in sample

10 Disregarding sample results less than 10%

Part 3 Transitional

11 Definitions

12 Continued operation of the previous determination to certain investigations

Schedule 1—Repeals

1 The whole of the Determination

Part 1 Preliminary

1 Name of Determination

This Determination is the Health Insurance (Professional Services Review – Sampling Methodology) Determination 2017.

2 Commencement

This Determination commences on the day after it is registered.

3 Authority

This Determination is made under section 106K of the Health Insurance Act 1973.

4 Schedules

Each instrument that is specified in a Schedule to this Determination is amended or repealed as set out in the applicable items in the Schedule concerned, and any other item in a Schedule to this instrument has effect according to its terms.

5 Definitions

In this Determination: Act means the Health Insurance Act 1973. final report means: (a) a final report prepared under section 106L of the Act; or (b) a draft report prepared under section 106KD of the Act that is, because of the operation of section 106KE of the Act, also a final report.

Note 1 The following terms that are used in this Determination are defined in subsection 3 (1) of the Act:  initiate  item.

Note 2 The following terms that are used in this Determination are defined in subsection 81 (1) of the Act:  class of services  Committee  inappropriate practice  person under review  referred services  service.