Brought to you by:

SIRA demands invoice data in workers’ comp compliance push

The NSW insurance regulator has told a medical imaging practice to provide invoices for all MRIs charged to the state workers’ compensation scheme over a 10-month period.

The State Insurance Regulatory Authority has also ordered six workplace rehabilitation providers (WRPs) to submit invoice data for services delivered.

The MRI direction handed to I-MED on September 1 remains in place until June 30 next year. SIRA says it will use the information to ensure I-MED complies with workers’ compensation scheme requirements.

“SIRA’s oversight of health and related service providers helps ensure services charged to the schemes are appropriate, transparent and compliant with scheme requirements,” the regulator said. “This protects scheme funds from inappropriate expenditure, supports value for money and helps maintain confidence in the integrity and sustainability of the schemes.”

The directions issued to the six WRPs follow investigations that identified non-compliance with invoicing requirements under the workers’ compensation scheme.

SIRA said: “Timely invoicing is important to support transparency and oversight of scheme expenditure and reduce the risk of delayed, duplicate or inappropriate payments, which can increase scheme costs and make it more difficult to identify potential fraud or other non-compliance.”

The six WRPs are: Actual Rehab; Ability Group (trading as Health Ability); Ipar Rehabilitation; Platinum Rehabilitation; Rehabilitation Services; and Workplace OH&S Solutions.