MBS item scrutiny profile
MBS Item 92030 — PSR scrutiny profile
Appears in 7 published determinations since 2026, with related issues and repayments shown only where recorded.
Scrutiny profile
Co-occurring issue categories
- Excessive billing2
- Inadequate documentation2
- Inadequate clinical service delivery1
- Inadequate Documentation1
- Prescribed pattern of services1
Specialties involved
- Unknown7
Repayment range
Calculated only across the 7 published cases where a repayment amount is recorded.
Published cases mentioning item 92030
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
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
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
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
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
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
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.