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MBS item scrutiny profile

MBS Item 91890 — PSR scrutiny profile

Appears in 1 published determination since 2023. No percentages are shown on a single-case denominator.

Scrutiny profile

Determinations
1
Date range
15 Sept 2023
Recorded repayment median
$9,500
Specialties involved
1

Co-occurring issue categories

  1. Clinical appropriateness1
  2. Excessive servicing1
  3. Inadequate documentation1
  4. Incorrect item use1
  5. Mental health treatment plan1
  6. Telehealth compliance1
  7. Time based billing1

Specialties involved

  1. General Practice1

Repayment range

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

Low
$9,500
Median
$9,500
High
$9,500

Published cases mentioning item 91890

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.

Excessive servicing

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

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.

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.

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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