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Medicare Bulk Billing Practice Incentive Program - Eligible Services Item Checker

Medicare Bulk Billing Item Checker

Medicare Bulk Billing Item Checker

Check if a Medicare item number is eligible for the Bulk Billing Practice Incentive.

Enter an item number and click "Check Eligibility".

Popular posts from this blog

Decoding the Medicare Bulk Billing Incentive: A GP's Guide to Triple Incentives and Patient Access

The Australian healthcare landscape is constantly evolving, and recent changes to the Medicare Benefits Schedule (MBS) concerning bulk billing incentives are significant for General Practitioners. As of November 1st, 2023, we've seen an exciting development: increased Medicare bulk billing incentive payments , often referred to as "triple incentives," for specific patient groups and consultation types. This article aims to demystify these changes and provide a clear, practical guide for GPs and GP trainees to understand and utilise these incentives effectively, ultimately enhancing patient access to care. Let's revisit some fundamental concepts: What is a Medicare Rebate? The Medicare rebate is the amount the Australian government contributes towards the cost of eligible medical services. When a patient sees a doctor, Medicare typically covers a portion of the scheduled fee for that service. The patient is then responsible for the gap, if any, between the scheduled fe...

Bulk Billing Incentives for GPs: The Impact of MyMedicare

Bulk billing incentives are an essential component of the Medicare Benefits Schedule, designed to encourage practitioners to bulk bill eligible patients. Understanding the interaction between consultation item numbers, MyMedicare enrolment, and available incentives is crucial for both practice management and patient care. This guide aims to help GPs and GP trainees understand how bulk billing incentives apply to different consultation types and how MyMedicare enrolment affects item eligibility. This guide will focus on services provided in Modified Monash 1 areas.   Understanding Bulk Billing Incentives in MM1 Areas General Practitioners practicing in Modified Monash 1 (metropolitan) areas can access three different bulk billing incentives when bulk billing eligible patients: Item 10990 : Standard bulk billing incentive Item 75870 : Enhanced “triple” bulk billing incentive. Item 75880 : MyMedicare-specific bulk billing incentive (for enrolled patie...

Major Changes Coming to Chronic Disease Management: What Australian GPs Need to Know

From 1 July 2025, significant changes to the Medicare Benefits Schedule (MBS) chronic disease management framework will streamline how we manage patients with chronic conditions. Here's your essential guide to what's changing and how it affects your practice. The Big Picture: Out with GPMPs and TCAs, In with GPCCMPs The most significant change is the replacement of GP Management Plans (GPMPs) and Team Care Arrangements (TCAs) with a single, streamlined GP Chronic Condition Management Plan (GPCCMP) . This consolidation aims to simplify what has been a complex dual-plan system. What's Ceasing on 1 July 2025: GPMP items: 229, 721, 92024, 92055 TCA items: 230, 723, 92025, 92056 Review items: 233, 732, 92028, 92059 New GPCCMP Items Starting 1 July 2025: Key Changes That Will Impact Your Practice Simplified Requirements No more mandatory collaboration : The requirement to consult with at least two collaborating providers is removed Direct referrals : You can refer patients ...