MBS item scrutiny profile
MBS Item 57341 — PSR scrutiny profile
Appears in 3 published determinations since 2024, with related issues and repayments shown only where recorded.
Scrutiny profile
Co-occurring issue categories
- Clinical appropriateness2
- Inadequate documentation2
- MBS requirement breach2
- Chronic disease management1
- Duplicate billing1
- Excessive servicing1
- Incorrect item use1
- Procedural consent1
Specialties involved
- diagnostic radiology1
- General Practice1
- Radiology1
Repayment range
Calculated only across the 3 published cases where a repayment amount is recorded.
Published cases mentioning item 57341
Section 92 Agreement with Radiologist (diagnostic radiology)
Practitioner acknowledged inappropriate practice; agreed to repay $3,600,000; reprimanded and counselled by Director; disqualified from providing certain MBS items for 12 months
$3,600,000
Agreement 2: Radiologist (Imaging and Procedural Services)
Section 92 agreement with repayment
$309,000
Agreement 16: General Practitioner (Diagnostic Ordering)
Section 92 agreement with repayment
$210,000
What survives review
Show the clinical input
For higher-value or repeated services, the record should make the practitioner contribution visible rather than just recording an administrative event.
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.
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.