Commonwealth Consolidated Acts Commonwealth Consolidated Acts(1) A medicare benefit is not payable in respect of a professional service if:
(a) the medical expenses in respect of that service have been paid, or are payable, to a recognized hospital;
(b) the medical practitioner who rendered the service was acting on behalf of an organization that was, when the service was rendered, an organization prescribed for the purposes of this paragraph;
(c) any part of the service was rendered on the premises of an organization that was, when the service was rendered, an organization referred to in paragraph (b); or
(d) any amount has been paid, or is payable, in respect of the
service in accordance with a scheme to which section 42B applies.