MBS item scrutiny profile
MBS Item 197 — PSR scrutiny profile
Appears in 2 published determinations since 2026, with related issues and repayments shown only where recorded.
Scrutiny profile
Co-occurring issue categories
- Inadequate documentation1
- Inappropriate service volume and pattern1
Specialties involved
- Unknown2
Repayment range
Calculated only across the 2 published cases where a repayment amount is recorded.
Published cases mentioning item 197
General practitioner Section 92 agreement for MBS items 44, 197, 91891 and prescribed pattern of services
Practitioner acknowledged inappropriate practice, agreed to repay $120,000 and be counselled by the Director
$120,000
Section 92 Agreement with General Practitioner for Excessive MBS Item Rendering
Practitioner agreed to repay $288,492, was reprimanded and counselled by the Associate Director, and disqualified from providing certain MBS services for 24 months
$288,492
What survives review
Documentation has to stand alone
The note should show the presenting problem, assessment, clinical reasoning, time or complexity when relevant, and the plan without relying on memory.
Monitor repeated patterns early
High-volume or repeated item use should be reviewed before it becomes a referral theme, with clear explanations for outlier sessions or clusters.
Educational disclaimer
This educational module is based on publicly available PSR case-outcome material. It is general educational information only and does not constitute legal advice, billing advice, or a substitute for reviewing the MBS, PSR material, or obtaining professional advice.