MBS item scrutiny profile
MBS Item 2717 — PSR scrutiny profile
Appears in 7 published determinations since 2021, with related issues and repayments shown only where recorded.
Scrutiny profile
Co-occurring issue categories
- Inadequate documentation6
- Mental health treatment plan5
- MBS requirement breach4
- Chronic disease management3
- Clinical appropriateness3
- PBS prescribing3
- After-hours billing2
- Excessive servicing2
Specialties involved
- General Practice5
- Unknown2
Repayment range
Calculated only across the 7 published cases where a repayment amount is recorded.
Published cases mentioning item 2717
Section 92 agreement with General Practitioner over templated records and mental health plan claims
Practitioner acknowledged inappropriate practice; agreed to repay $700,000; reprimanded and counselled by Associate Director; disqualified from providing certain MBS items for 6 to 12 months
$700,000
Section 92 agreement with General Practitioner for inappropriate MBS item claims
Practitioner agreed to repay $340,000 to the Commonwealth, be counselled by the Associate Director, and be disqualified from providing MBS items 967, 965, 92029 and 92030 for 3 months.
$340,000
Agreement 4: General Practitioner (Multiple Services and High-Prescriber)
Section 92 agreement with repayment
$400,000
Agreement 7: General Practitioner (Mental Health and Diagnostic Services)
Section 92 agreement with repayment
$611,000
Agreement 2: General Practitioner
Section 92 agreement with repayment
$75,000
Final determination: General Practitioner 1
Final determination with repayment and disqualification
$610,000
Final determination: General Practitioner - Brief Consultations
Final determination with repayment
$15,000
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.
Mental health treatment plan
Keep the source record clear enough for an external peer to connect the patient need, the service provided, and the item claimed.
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.
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.
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.