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MBS item scrutiny profile

MBS Item 92029 — PSR scrutiny profile

Appears in 7 published determinations since 2026, with related issues and repayments shown only where recorded.

Scrutiny profile

Determinations
7
Date range
1 Mar 2026
Recorded repayment median
$288,492
Specialties involved
1

Co-occurring issue categories

  1. Excessive billing2
  2. Inadequate documentation2
  3. Inadequate clinical service delivery1
  4. Inadequate Documentation1
  5. Prescribed pattern of services1

Specialties involved

  1. Unknown7

Repayment range

Calculated only across the 7 published cases where a repayment amount is recorded.

Low
$178,000
Median
$288,492
High
$600,000

Published cases mentioning item 92029

Unknown23 Apr 2026

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

Unknown23 Apr 2026

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

Unknown23 Apr 2026

Section 92 Agreement with General Practitioner for Excessive and Inappropriate Billing and Prescribing

Practitioner acknowledged inappropriate practice; agreed to repay $600,000; reprimanded and counselled by Associate Director; disqualified from providing certain MBS items for 12 to 24 months

$600,000

Unknown23 Apr 2026

Section 92 Agreement with General Practitioner for Excessive MBS Item Rendering

Practitioner agreed to repay $288,492, was reprimanded and counselled by the Associate Director, and disqualified from providing certain MBS services for 24 months

$288,492

Unknown23 Apr 2026

General practitioner Section 92 agreement for excessive MBS billing

Practitioner agreed to repay $290,000 to the Commonwealth and disqualified from providing MBS items 965, 967, 92029, 92030 for 6 months

$290,000

Unknown23 Apr 2026

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

Unknown23 Apr 2026

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.

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.

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.

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