Commonwealth Consolidated Acts

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HEALTH INSURANCE ACT 1973 - SECT 20AC

Revoking approvals of billing agents

  (1)   The Chief Executive Medicare may revoke the approval of an approved billing agent if the Chief Executive Medicare is satisfied that:

  (a)   if the Chief Executive Medicare were considering whether to approve the billing agent under section   20AB, the guidelines under subsection   20AB(6) would prevent the approval; or

  (b)   the billing agent has contravened the conditions to which the approval is subject under subsection   20AB(5).

  (2)   Before deciding to revoke the approval, the Chief Executive Medicare must notify the billing agent that revocation is being considered. The notice must be in writing and must:

  (a)   include the Chief Executive Medicare's reasons for considering the revocation; and

  (b)   invite the billing agent to make written submissions to the Chief Executive Medicare within the period of 28 days (the submission period ) after being given the notice.

  (3)   In deciding whether to revoke the approval, the Chief Executive Medicare must consider any submissions made to the Chief Executive Medicare within the submission period.

  (4)   The Chief Executive Medicare must give to the billing agent written notice of the decision.

Note:   Section   27A of the Administrative Appeals Tribunal Act 1975 requires the person to be notified of the person's review rights.

  (5)   If the Chief Executive Medicare does not give to the billing agent written notice of the decision within the period of 60 days after the end of the submission period, the Chief Executive Medicare is taken to have decided not to revoke the approval.


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