Fraud Tip-offs

Question

Senator BELL: I want to move back to where we were before. I hope there are people who can still assist. Under those topics I was covering earlier, we looked at a few instances of operators allegedly billing for phantom care and banned operators reopening. Can the agency explain to Australians and taxpayers why, on the agency's own figures, fewer than 0.1 per cent of fraud tip-offs ever actually reached prosecution? Mr Dardo: It is really important to understand the spectrum of interventions and behaviours that we need to deal with but also to understand the nature of tip-offs and how those tip-offs may trail into particular interventions... Senator BELL: What percentage of tip-offs would you say is substantive? Mr Dardo: The difficulty with describing that is that they get triaged for particular treatments and they get clustered up. As that happens, some of them may result in education interventions, some of them may result in a request for information to a provider or to a participant, some of them may result in a referral to another agency or to the commission and then some of them may result in criminal prosecutions. Senator BELL: Is that something you can take on notice-what percentage of those clusters then proceed to further actions? You've just listed a number of actions there. If you could take that on notice-of those tip-offs, how many proceed through to those actions and any other additional actions? Is that something you can provide? Mr Dardo: We can do that.

Answer

Please see attached answer.

Documents

• Question with answer (PDF) (opens in a new tab)
• NDIA SQ26-000147.pdf (opens in a new tab)