Overview of Contracted Primary Healthcare Providers Enrolment Audits
Theresa Mclean made this Official Information request to Ministry of Health
This request has an unknown status. We're waiting for Theresa Mclean to read recent responses and update the status.
From: Theresa Mclean
Dear Ministry of Health,
I understand the MoH randomly audits the eligibility and validity of enrolments with contracted primary care providers. It is difficult to find up to date information about this process. Could you please provide answers to the following questions, and if possible, direct me to recent resources around preparing for enrolment audits.
1. How many random enrolment audits have been carried out over the past 5 years?
2. What is the largest ($NZD) financial clawback a DHB has claimed back following an enrolment audit?
3. What is the usual sample size of enrolled patients, which is then extrapolated across the practice? Is there a method for determining this sample size?
4. Are the findings of an enrolment audit at a single practice sometimes extrapolated to all practices within that PHO?
5. Are practices given time to remedy the random audit findings?
6. How much notice are practices given before an random audit of enrolments?
7. If possible, can you provide a summary of the most common reasons for enrolments being assessed as non-compliant?
Yours faithfully,
Theresa McLean
From: OIA Requests
Kia ora
Thank you for your request for official information received 23 February
2021 for:
"I understand the MoH randomly audits the eligibility and validity of
enrolments with contracted primary care providers. It is difficult to find
up to date information about this process. Could you please provide
answers to the following questions, and if possible, direct me to recent
resources around preparing for enrolment audits.
1. How many random enrolment audits have been carried out over the past 5
years?
2. What is the largest ($NZD) financial clawback a DHB has claimed back
following an enrolment audit?
3. What is the usual sample size of enrolled patients, which is then
extrapolated across the practice? Is there a method for determining this
sample size?
4. Are the findings of an enrolment audit at a single practice sometimes
extrapolated to all practices within that PHO?
5. Are practices given time to remedy the random audit findings?
6. How much notice are practices given before an random audit of
enrolments?
7. If possible, can you provide a summary of the most common reasons for
enrolments being assessed as non-compliant?"
The Ministry's reference number for your request is: H202101850.
As required under the Official Information Act 1982 we will endeavour to
respond to your request no later than 23 March 2021, being 20 working days
after the day your request was received.
If we are unable to respond to your request within this time frame, we
will notify you of an extension of that time frame.
If you have any queries related to this request, please do not hesitate to
get in touch.
Ngā mihi
OIA Services
Government Services
Office of the Director-General
Ministry of Health
E: [email address]
show quoted sections
From: OIA Requests
Kia ora,
Please find attached a letter regarding your request for information.
Ngā mihi
OIA Services
Government Services
Office of the Director-General
Ministry of Health
E: [email address]
show quoted sections
Things to do with this request
- Add an annotation (to help the requester or others)
- Download a zip file of all correspondence
Offensive? Unsuitable?
Requests for personal information and vexatious requests are not considered valid requests for Official Information (read more).
If you believe this request is not suitable, you can report it for attention by the site administrators
Report this requestAct on what you've learnt
Similar requests
Informed consent - Medical Students present during consultation or surgery
To University of Auckland by Amy S Van Wey Lovatt (Account suspended)
