MBS item scrutiny profile
MBS Item 707 — PSR scrutiny profile
Appears in 6 published determinations since 2024, with related issues and repayments shown only where recorded.
Scrutiny profile
Co-occurring issue categories
- Inadequate documentation3
- Chronic disease management2
- Clinical appropriateness2
- Excessive billing1
- Excessive billing of MBS items1
- Excessive servicing1
- Mental health treatment plan1
- PBS prescribing1
Specialties involved
- General Practice3
- Unknown3
Repayment range
Calculated only across the 6 published cases where a repayment amount is recorded.
Published cases mentioning item 707
Section 92 agreement with General Practitioner for excessive MBS item billing and inappropriate practice
Practitioner agreed to repay $400,000, be reprimanded and counselled by Associate Director, and disqualified from providing MBS item 707 services for 24 months
$400,000
Section 92 agreement with General Practitioner over prescribed pattern of phone services and health assessments
Practitioner acknowledged inappropriate practice; agreed to repay $350,000; reprimanded; disqualified from certain MBS items for 6 to 12 months
$350,000
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
Agreement 7: General Practitioner (Residential Aged Care Services)
No further action
$190,000
Agreement 2: General Practitioner (High-Volume Services)
Section 92 agreement with repayment
$525,000
Final determination: General Practitioner - Health Assessments
Final determination with repayment and disqualification
$262,500
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.
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.
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.
Excessive billing
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.