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Specialty watchlist

PSR Watchlist - Other

A print-ready specialty snapshot for practice managers, built from published PSR determinations. Counts are shown as counts, with repayment figures only where recorded in the public spine.

7
Determinations
29 Sept 2022 - 27 June 2025
Period covered
$90,000 - $560,000
Repayment range
Item 132
Top item

Items under scrutiny

MBS items are ranked by simple published-determination mention count across the covered period; repayment medians use only determinations where a repayment amount is recorded.

MBS itemDeterminationsMedian recorded repaymentRecorded casesLatest mention
Item 1321$225,000127 Sept 2024
Item 1331$225,000127 Sept 2024
Item 5851$560,000115 Sept 2023
Item 5911$560,000115 Sept 2023
Item 5941$560,000115 Sept 2023
Item 5991$560,000115 Sept 2023
Item 109101$117,1711Date not specified
Item 109111$117,1711Date not specified
Item 109121$117,1711Date not specified
Item 109131$117,1711Date not specified
Item 109441$117,1711Date not specified

Top issue categories

  1. Inadequate documentation4
  2. MBS requirement breach4
  3. Clinical appropriateness3
  4. Excessive servicing2
  5. Referral / request requirement2
  6. After-hours billing1
  7. Time based billing1
  8. Other1

Representative recent case

Agreement 12: Endocrinologist

Section 92 agreement with repayment

$225,000

Educational note

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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PSRPULSE

PSR Watchlist — Other29 Sept 2022 - 27 June 2025

Other

Determinations
7
Repayment range
$90,000 - $560,000
Latest publication
27 Sept 2024

Items Under Scrutiny

MBS itemDeterminationsMedian repayment where recorded
Item 1321$225,000
Item 1331$225,000
Item 5851$560,000
Item 5911$560,000
Item 5941$560,000
Item 5991$560,000

Top Issues

  1. Inadequate documentation4
  2. MBS requirement breach4
  3. Clinical appropriateness3
  4. Excessive servicing2
  5. Referral / request requirement2
  6. After-hours billing1

Representative Recent Case

Agreement 12: Endocrinologist

$225,000Section 92 agreement with repayment

MBS items are ranked by simple published-determination mention count across the covered period; repayment medians use only determinations where a repayment amount is recorded.

Compiled from published PSR outcomes · psrpulse.com.au · educational information only

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