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Managing the National Disability Insurance Scheme payment claims compliance
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The audit would assess the effectiveness of the National Disability Insurance Agency’s (NDIA’s) processes for detecting and correcting provider and participant non-compliant and fraudulent claims.
Service providers under the National Disability Insurance Scheme (NDIS) work with plan managers, support coordinators and local area coordinators to deliver services to NDIS participants. Providers delivering NDIS services must comply with: the National Disability Insurance Scheme Act 2013; other relevant Australian laws, rules and regulations; the NDIS Code of Conduct; NDIS Practice Standards; and NDIS Pricing Arrangements and Pricing Limits. Provider and participant non-compliance claims can be accidental or deliberate and range from a simple mistake to criminal activity such as fraud.
The NDIA undertakes a range of education and compliance activities to prevent and detect non-compliant claims for payment from providers or participants.