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MBS item scrutiny profile

MBS Item 2712 — PSR scrutiny profile

Appears in 2 published determinations since 2021, with related issues and repayments shown only where recorded.

Scrutiny profile

Determinations
2
Date range
16 Sept 2021 - 15 Sept 2023
Recorded repayment median
$343,000
Specialties involved
1

Co-occurring issue categories

  1. Chronic disease management2
  2. Excessive servicing2
  3. Inadequate documentation2
  4. MBS requirement breach2
  5. Mental health treatment plan2
  6. PBS prescribing2
  7. After-hours billing1
  8. Clinical appropriateness1

Specialties involved

  1. General Practice2

Repayment range

Calculated only across the 2 published cases where a repayment amount is recorded.

Low
$75,000
Median
$343,000
High
$611,000

Published cases mentioning item 2712

What survives review

Chronic disease management

Keep the source record clear enough for an external peer to connect the patient need, the service provided, and the item claimed.

Excessive servicing

Keep the source record clear enough for an external peer to connect the patient need, the service provided, and the item claimed.

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.

MBS requirement breach

Keep the source record clear enough for an external peer to connect the patient need, the service provided, and the item claimed.

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.

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