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MBS item scrutiny profile

MBS Item 55068 — PSR scrutiny profile

Appears in 1 published determination since 2024. No percentages are shown on a single-case denominator.

Scrutiny profile

Determinations
1
Date range
27 Sept 2024
Recorded repayment median
$80,000
Specialties involved
1

Co-occurring issue categories

  1. Excessive servicing1
  2. Incorrect item use1
  3. MBS requirement breach1

Specialties involved

  1. Obstetrics and Gynaecology1

Repayment range

Calculated only across the 1 published case where a repayment amount is recorded.

Low
$80,000
Median
$80,000
High
$80,000

Published cases mentioning item 55068

What survives review

Excessive servicing

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

Tie the note back to the descriptor

The record should show the facts that made the item available, including patient status, service content, timing and any required review cycle.

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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