MBS item scrutiny profile
MBS Item 699 — PSR scrutiny profile
Appears in 3 published determinations since 2026, with related issues and repayments shown only where recorded.
Scrutiny profile
Co-occurring issue categories
- Excessive billing1
- Inadequate clinical service delivery1
- Inadequate documentation1
Specialties involved
- Unknown3
Repayment range
Calculated only across the 3 published cases where a repayment amount is recorded.
Published cases mentioning item 699
Section 92 Agreement with General Practitioner for Excessive and Inappropriate MBS Item Use
Practitioner agreed to repay $240,000 to the Commonwealth; disqualified from providing MBS items 699, 705, 965, 967, 92029, 92030 for 12 months; disqualified from providing MBS item 30192 for 6 months
$240,000
Section 92 Agreement with General Practitioner for Inappropriate MBS Item Rendering
Practitioner acknowledged inappropriate practice; agreed to repay $212,000; reprimanded by Associate Director; disqualified from providing certain MBS items for 12 months
$212,000
Section 92 agreement with General Practitioner for MBS item concerns
Practitioner acknowledged inappropriate practice; agreed to repay $178,000; counselled by Director; disqualified from providing MBS items 965, 967, 92029, 92030 for 9 months
$178,000
What survives review
Excessive billing
Keep the source record clear enough for an external peer to connect the patient need, the service provided, and the item claimed.
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.
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.