The Department of Veterans’ Affairs (DVA) recently completed a compliance review of claims made for services delivered between 1 July 2014 and 30 June 2017.
While the review found the majority of dental providers are claiming correctly, billing by a small number of dentists and dental specialists was identified as non-compliant, mostly relating to the following concerns:
– Incorrect claiming of the kilometre allowance;-
– Exceeding client service limits on ‘Other preventative services’;
– Exceeding client service limits on certain periodontal items.
DVA is contacting these providers in 2019 to provide education and/or seek financial recoveries.
Dental providers are required to adhere to the Notes for Allied Health Providers – Schedule One – General and the Fee Schedule of Dental Services for Dentist and Dental Specialists when providing and claiming services for DVA clients. Both of these documents can be at
INCORRECT CLAIMING OF KILOMETRE ALLOWANCE
In certain circumstances, DVA provides eligible health providers with a kilometre allowance for travelling to treat a DVA client in their home, a residential aged care facility or a hospital.
If you are registered as a mobile provider, that is you have no fixed practice location, then you are unable to claim allowance for any travel undertaken to see a DVA client. A postal address is not
accepted as a registered place of business.
