MBS item scrutiny profile
MBS Item 91910 — PSR scrutiny profile
Appears in 2 published determinations since 2024, with related issues and repayments shown only where recorded.
Scrutiny profile
Co-occurring issue categories
- Clinical appropriateness1
- Excessive servicing1
- Inadequate documentation1
- Incorrect item use1
- MBS requirement breach1
- Prescribed pattern of services1
- Time based billing1
Specialties involved
- General Practice1
- Unknown1
Repayment range
Calculated only across the 2 published cases where a repayment amount is recorded.
Published cases mentioning item 91910
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
Agreement 14: General Practitioner (High-Frequency Services)
Section 92 agreement with repayment
$270,000
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.
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.