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MBS item scrutiny profile

MBS Item 91890 — PSR scrutiny profile

Appears in 2 published determinations since 2023, with related issues and repayments shown only where recorded.

Scrutiny profile

Determinations
2
Date range
15 Sept 2023 - 27 Sept 2024
Recorded repayment median
$9,500
Specialties involved
1

Co-occurring issue categories

  1. Excessive servicing2
  2. Inadequate documentation2
  3. Telehealth compliance2
  4. Time based billing2
  5. Clinical appropriateness1
  6. Incorrect item use1
  7. MBS requirement breach1
  8. Mental health treatment plan1

Specialties involved

  1. General Practice2

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

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.

Telehealth compliance

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

Time based 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.

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