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Grounded Scribe
Reference only — not billing advice

MBS items change. Verify the current descriptor, fee, and rules on MBS Online before billing. This page does not include a fee amount. Last reviewed 1 May 2026.

  • Chronic disease management
  • General Practitioner

Item 967

GP Chronic Condition Management Plan — review (face-to-face)

Professional attendance by a general practitioner to review a GP chronic condition management plan, face-to-face. Effective 1 July 2025, item 967 is the review counterpart to 965 (preparation), replacing the legacy GPMP review item 732. Telehealth equivalent is item 92030. Reviews are billed at most once every 3 months unless exceptional circumstances apply.

Plain-English summary. See MBS Online for the verbatim descriptor of each item.

  • TimeNot specified
  • FrequencyNot more than once every 3 months unless exceptional circumstances apply.
  • ReferralNot required
  • ProfessionGeneral Practitioner

Requirements to bill

Conditions imposed by the descriptor that must be met to claim this item.

  1. A GPCCMP prepared under item 965 (or a legacy GPMP under item 721 transitioning to the new framework) must be in place for the patient.
  2. The review must be face-to-face (the telehealth equivalent is item 92030).
  3. The review must reassess the plan — progress against agreed goals, the appropriateness of the patient's and GP's actions, and any required modifications.
  4. Where the previous 967 review was within the past 3 months, exceptional circumstances must be documented to justify the earlier review.

Your notes must show

Documentation tests — what clinical notes need to record to match what the item asks.

  • Date of review, date the plan was prepared (or last reviewed), and confirmation that at least 3 months have elapsed since the previous 967 review (or that exceptional circumstances apply, with documentation).
  • Progress against each agreed goal in the plan — specific, not generic.
  • Reassessment of the patient's actions — what is working, what is not, what changes are needed.
  • Reassessment of the GP's actions — referrals followed up, investigations reviewed, prescribing reviewed.
  • Reassessment of services from other providers — what has been delivered, gaps, additions.
  • Any modifications to the plan — explicit changes documented and agreed with the patient (or "no changes required" with rationale).
  • Distribution — confirmation that an updated plan (or confirmation of unchanged plan) was provided to the patient.
  • Next review interval set.

Common audit failures

Patterns the Professional Services Review scheme and Medicare audits flag.

  • Item 967 claimed within 3 months of the previous 967 review without exceptional-circumstances documentation.
  • A note that says "GPCCMP review, all stable, continue current management, review 3 months" — no goal-by-goal progress, no review of patient/GP/other-provider actions.
  • Plan reviewed but no documented changes or explicit "no changes required" rationale.
  • Item 967 claimed by a prescribed medical practitioner instead of a GP — PMPs use the equivalent in their item series.
  • Telehealth review billed as 967 instead of 92030 — modality must match the item.

Related MBS items

Templates that document this item

Note templates inside Grounded Scribe that produce documentation aligned to this MBS item.

In-depth reading in the Library

Source authority

Documentation tests on this page reference the descriptor conditions and PSR-audit patterns covered in our existing Library guides. Always confirm current rules against the official descriptor.

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