PSR Annual Report 2007-08

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Report on performance

Performance

Issues identified

The issues identified in PSR cases this year generally related to:

More detail on these issues can be found in Table 3.

Table 3: Issues identified in PSR cases, 2007–08
Inappropriate use of MBS attendance items
  • Up-coding of consultation items
  • Inappropriate use of chronic disease management items
  • Inappropriate referrals to allied health providers using team care arrangement items
Inappropriate use of diagnostic imaging or pathology
  • CT scans without clinical justification
  • Unnecessary repeated pathology testing, including frequent blood lipid levels
  • Unusual and expensive blood tests without clinical justification
Inappropriate use of MBS procedural items
  • Up-coding of skin cancer removal items
  • Up-coding of laceration repair items
  • Excessive use of skin flap items when treating skin lesions
  • Inappropriate use of vascular diagnostic items
Inappropriate prescribing
  • Up-coding of fracture items
  • Excessive prescription of lipid lowering drugs
  • Excessive prescription of narcotic and benzodiazepine drugs
  • Unnecessary use of antibiotics
  • Inappropriate choice of antibiotics
  • Prescription of anti-inflammatory and H2 blocking drugs against the PBS guidelines

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