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HEALTH INSURANCE ACT 1973 - SECT 106K

Committee may have regard to samples of services

  (1)   The Committee may, in investigating the provision of services included in a particular class of the referred services, have regard only to a sample of the services included in the class.

  (2)   If the Committee finds that a person has engaged in inappropriate practice in providing all, or a proportion, of the services included in the sample, then, the person under review is taken, for the purposes of this Part, to have engaged in inappropriate practice in the provision of all, or that proportion, as the case may be, of the services included in the class from which the sample is chosen.

  (3)   The Minister may, by legislative instrument, make determinations specifying the content and form of sampling methodologies that may be used by Committees for the purposes of subsection   (1).

  (4)   The Committee may use a sampling methodology that is not specified in such a determination if, and only if, the Committee has been advised by a statistician accredited by the Statistical Society of Australia Inc that the sampling methodology is statistically valid.



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