Document ID: chunk:federal_register_of_legislation:C2025A00008:clause:1_19ah:p2
Version: federal_register_of_legislation:C2025A00008
Segment Type: clause
Provision Reference: sch 1 cl 19AH (pt 2/2)
Character Range: 63520–65274

Executive Medicare that the reason that the evidence produced does not properly substantiate that the relevant amount is payable in accordance with section 19AD is due to circumstances beyond the service provider's control.
 (8) If:
 (a) a person (the notice recipient) other than the service provider is required, by a notice given under subsection 19AF(3), to produce evidence in relation to the professional service; and
 (b) the notice recipient complies with the requirement within the period set out in the notice; and
 (c) the evidence produced does not properly substantiate (wholly or partly) that the relevant amount is payable in accordance with section 19AD;
then, to the extent that the relevant amount is not properly substantiated, that amount is recoverable as a debt due to the Commonwealth from the service provider or from the estate of the service provider.
 (9) Subsection (8) does not apply if the service provider satisfies the Chief Executive Medicare that the reason that the evidence produced does not properly substantiate that the relevant amount is payable in accordance with section 19AD is due to circumstances beyond the control of the service provider and the notice recipient.

General
 (10) To avoid doubt, for the purposes of this section and sections 129AAH and 129AAJ, the relevant amount is payable in accordance with section 19AD if section 19AD does not prevent payment of medicare benefit in respect of the professional service.
 (11) To avoid doubt, an amount paid purportedly by way of benefit or payment under this Act is recoverable under this section once only.
 (12) This section does not limit, and is not limited by, any other provision of this Act that relates to payment of amounts to the Commonwealth.