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PSR Risk Self-Assessment

A short educational check for recurring PSR case themes. It does not assess your actual billing data and is not legal or billing advice.

Question 1

80/20 and prescribed-pattern awareness

How actively do you monitor high-volume attendance patterns that could attract prescribed-pattern scrutiny?

Question 2

Documentation adequacy

For higher-complexity attendance items, how often would the clinical note stand alone for an external reviewer?

Question 3

Care-plan review cadence

How consistently do you check that care-plan, team-care, or chronic disease claims match a current patient need and review cycle?

Question 4

Item-frequency self-awareness

Do practitioners know which MBS items they claim more frequently than their peers or practice colleagues?

Question 5

Telehealth established-relationship rule

Before telehealth claims, how reliably is the patient relationship and item eligibility checked?

Question 6

After-hours item use

How well do notes and rosters support after-hours item use when it occurs?

Question 7

Co-claiming checks

When multiple items are claimed on the same day, how are compatibility and clinical separation checked?

Question 8

Record-keeping under audit

If ten files were requested tomorrow, how quickly could you produce complete, contemporaneous records?

Question 9

Response-to-PSR-contact readiness

Does the practice have a clear first-week response plan if PSR contact is received?

Question 10

Billing-delegation oversight

When billing is delegated, how is clinician oversight maintained?

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.