MEDICAL CONSULTANTS’ COMMITTEE

The Committee provides advice to the Minister based on the following duties and responsibilities: • Review of the patterns of practice and billing procedures of participating physicians and the utilization of services by beneficiaries. [...] P a g e 5 | 7 3.0 Report on Performance 2022-23 Annual Objective 2022-23 Over the course of the three-year period from the beginning of fiscal 2020-21 to the end of fiscal 2022-23, the Committee will meet at least once each year and review cases prepared by the Audit and Claims Integrity Division. [...] By March 31, 2023, the Committee will have reviewed the patterns of practice and billing procedures of participating physicians and the utilization of services by beneficiaries in cases prepared by the Audit and Claims Integrity Division of the Department of Health and Community Services. [...] For the annual reports produced from 2020 to 2023, the Committee’s indicators have been: • Number of cases forwarded by the Audit and Claims Integrity Division of the Department of Health and Community Services; ▪ Number of completed reviews of billing audits on fee-for-service physicians; ▪ The total dollar amount identified for recovery as a result of any completed reviews by the Committee; ▪ An. [...] P a g e 6 | 7 Indicators 2022-23 Actual Activity in 2022-23 Planned Activity Number of cases forwarded by the By the end of the 2022-23 fiscal year, the Committee Audit and Claims Integrity Division received seven new MCP billing audits on seven fee- of the Department of Health and for-service physicians from the Audit and Claims Community Services.