Become a Medical Inspector

Medical Inspectors are physicians who can be called upon to support peer audits relevant to their specialty. Appointed by the Audit and Inspection Committee (AIC) under the Medicare Protection Act, medical inspectors will:

• Be part of an audit team that reviews the medical records of the auditee to assess the physician’s Medical Services Plan (MSP) billings for the audit period.
• Inspect medical records and determine whether the auditee’s billing complies with the Medical Services Commission (MSC) Payment Schedules, the Act, and the Regulations
• Conduct audits on peers with the same and/or similar speciality that is most familiar with billing procedures.

Time commitment

• Approved medical inspectors are on a call list. If there is an audit relevant to their specialty, then they may be called and asked if they are available to conduct the audit.
• There is no set number of audits assigned per year. Typically, our medical inspectors conduct up to three audits per year.
• Medical inspectors must be available for three to five days during the on-site portion of each audit. Finding time for this can be difficult due to clinical duties, so we give our medical inspectors advance notice of upcoming audits. As a result, the timeline for each audit is mainly based on their availability.
• The time commitment of each audit can vary from a low of 40 hours to a high of 110 hours. In most cases, medical inspectors can expect to spend 60 to 70 hours (excluding travel) for each audit.
• Medical inspectors can work remotely or in our offices in Victoria to complete the audits, depending on their preference and how much work is left after the on-site visit. The time spent after the on-site visit is based entirely on the medical inspector's availability. They could schedule a few additional days of audit work up to one to two months after the on-site visit, or they may choose to work on the file gradually a few hours a week.