PSRPULSE

Specialty watchlists

Print-ready PSR watchlists by specialty.

Each specialty page turns the published determination spine into a one-page tea-room briefing for practice managers: items under scrutiny, recurring issue categories and a representative recent case.

10
Specialties with 2+ determinations
75
Determinations represented
A4
Print format
16 Sept 2021 - 11 Sept 2025

General Practice

A4 ready
Determinations
43
Repayment range
$9,500 - $760,000
Latest
11 Sept 2025
Top items
  • Item 721: 17
  • Item 723: 17
  • Item 36: 15
Top issues
  • Inadequate documentation: 38
  • Clinical appropriateness: 29
  • MBS requirement breach: 25
Open watchlist
29 Sept 2022 - 27 June 2025

Other

A4 ready
Determinations
7
Repayment range
$90,000 - $560,000
Latest
27 Sept 2024
Top items
  • Item 132: 1
  • Item 133: 1
  • Item 585: 1
Top issues
  • Inadequate documentation: 4
  • MBS requirement breach: 4
  • Clinical appropriateness: 3
Open watchlist
16 Sept 2021 - 11 Sept 2025

Radiology

A4 ready
Determinations
6
Repayment range
$93,000 - $800,000
Latest
11 Sept 2025
Top items
  • Item 104: 5
  • Item 105: 3
  • Item 18276: 1
Top issues
  • Inadequate documentation: 6
  • Referral / request requirement: 4
  • MBS requirement breach: 3
Open watchlist
16 Sept 2021 - 27 Sept 2024

Cardiology

A4 ready
Determinations
3
Repayment range
$50,000 - $330,000
Latest
27 Sept 2024
Top items
  • Item 132: 3
  • Item 133: 3
  • Item 38218: 1
Top issues
  • Inadequate documentation: 3
  • Excessive servicing: 2
  • MBS requirement breach: 2
Open watchlist
15 Sept 2023 - 7 Apr 2025

Chiropractic

A4 ready
Determinations
3
Repayment range
$25,000 - $340,000
Latest
15 Sept 2023
Top items
  • Item 10964: 3
  • Item 57712: 3
  • Item 57715: 3
Top issues
  • Delegation / supervision: 2
  • Incorrect item use: 1
  • Clinical appropriateness: 1
Open watchlist
15 Sept 2023 - 11 Sept 2025

Mental Health

A4 ready
Determinations
3
Repayment range
$166,000 - $246,000
Latest
11 Sept 2025
Top items
  • Item 36: 1
  • Item 44: 1
  • Item 297: 1
Top issues
  • Clinical appropriateness: 3
  • Inadequate documentation: 3
  • Time based billing: 3
Open watchlist
29 Sept 2022 - 27 Sept 2024

Neurology

A4 ready
Determinations
3
Repayment range
$40,000 - $1,500,000
Latest
27 Sept 2024
Top items
  • Item 110: 1
  • Item 132: 1
  • Item 133: 1
Top issues
  • Inadequate documentation: 3
  • MBS requirement breach: 2
  • Excessive servicing: 1
Open watchlist
10 Oct 2024 - 10 Apr 2025

Ophthalmology

A4 ready
Determinations
3
Repayment range
$265,000 - $360,000
Latest
Date not specified
Top items
  • Item 42702: 2
  • Item 42738: 2
  • Item 42788: 2
Top issues
  • Procedural consent: 2
  • Inadequate documentation: 2
  • Incorrect item use: 1
Open watchlist
20 Mar 2025

Dentistry

A4 ready
Determinations
2
Repayment range
$700,000
Latest
Date not specified
Top items
  • Item 88011: 1
  • Item 88114: 1
  • Item 88161: 1
Top issues
  • Inadequate documentation: 1
  • Clinical appropriateness: 1
Open watchlist
29 Sept 2022 - 27 Sept 2024

Nurse Practitioner

A4 ready
Determinations
2
Repayment range
$45,000 - $431,827
Latest
27 Sept 2024
Top items
  • Item 82215: 2
  • Item 91190: 2
  • Item 82115: 1
Top issues
  • Inadequate documentation: 2
  • MBS requirement breach: 2
  • Time based billing: 2
Open watchlist