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MBS item scrutiny profile

MBS Item 92116 — PSR scrutiny profile

Appears in 1 published determination since 2026. No percentages are shown on a single-case denominator.

Scrutiny profile

Determinations
1
Date range
1 Mar 2026
Recorded repayment median
$340,000
Specialties involved
1

Co-occurring issue categories

  1. Inappropriate billing and documentation1

Specialties involved

  1. Unknown1

Repayment range

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

Low
$340,000
Median
$340,000
High
$340,000

Published cases mentioning item 92116

Unknown23 Apr 2026

Section 92 agreement with General Practitioner for inappropriate MBS item claims

Practitioner agreed to repay $340,000 to the Commonwealth, be counselled by the Associate Director, and be disqualified from providing MBS items 967, 965, 92029 and 92030 for 3 months.

$340,000

What survives review

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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