NEW MBS REBATE STRUCTURE FROM 1 JULY 2018

NEW MBS REBATE STRUCTURE FOR NON-VOCATIONALLY RECOGNISED GENERAL PRACTITIONERS FROM 1 JULY 2018 The Australian Government is introducing new Medicare Benefits Schedule (MBS) item fee arrangements for non-vocationally recognised general practitioners (non-VR GPs). The new arrangements will affect claims for services provided by these doctors from 1 July 2018. The…

NEW MBS REBATE STRUCTURE FOR NON-VOCATIONALLY RECOGNISED GENERAL PRACTITIONERS FROM 1 JULY 2018

The Australian Government is introducing new Medicare Benefits Schedule (MBS) item fee arrangements for non-vocationally recognised general practitioners (non-VR GPs). The new arrangements will affect claims for services provided by these doctors from 1 July 2018.

The changes will ensure that MBS fees payable reflect recognised levels of expertise, reward and incentivise investment in postgraduate specialist qualifications, and encourage more doctors to work where they are needed most.

Non-VR GPs already participating on one of the Other Medical Practitioner (OMPs) Programs will be largely unaffected by the changes at this stage due to grandfathering arrangements. The OMPs programs will, however, be closed to new entrants in late 2018.

There are no changes to the MBS fees payable to specialist GPs or to registrars training on the Australian General Practice Training Program, the Remote Vocational Training Scheme or the Australian College of Rural and Remote Medicine Independent Pathway.

 

Outline of the changes
Information about the new fee arrangements is provided in the attached Q&A Sheet. The main changes are:

  • A new MBS item group (A7), which will sit alongside the existing A2 and A19 item groups.
  • New rebate differentials of 80% and 60% tied to item access eligibility.

The application of these changes to individual doctors will depend on their practice location, based on the Modified Monash (MM) classification system.
Non-VR GPs practising in regional, rural and remote areas (MM2-7)
Non-VR GPs practising in locations with an MM2-7 classification will have access to all items in the new A7 item group, which are set at a standard 80% of the equivalent GP item. (Note that some of these items, such as Mental Health, require the practitioner to have undertaken specific training).
Non-VR GPs practising in major cities (MM 1)
Non-VR GPs practising in locations with an MM1 classification will be restricted to the existing A2 items for standard GP services, and A19 items for attendances associated with Practice Incentive Payments. These A2 and A19 items will attract rebates at 60% of the VR rate. For all other services they will be able to access the relevant items in the new A7 item group with an 80% rebate.
Non-VR GPs registered on OMPs programs (MM1-7)
Non-VR GPs who are currently registered on one of the Other Medical Practitioner programs (AHOMPs, MOMPs, OMOMPs, ROMPs) will be able to continue to access the MBS items they are currently billing until 30 June 2023. In addition, for services that are not covered under the OMPs arrangements, these doctors will now be able to access the new non-VR items listed under A7.

Further information

News

Health of the Nation 2021: The current shape of general practice

The RACGP’s annual report taking the pulse of general practice around the country has been released. Here are the key themes and reactions to this year’s findings. The 2021 Health of the Nation report draws on the responses of 1386 GPs. ________________________________________ The latest annual General Practice: Health of the Nation report has landed, taking…

The Great Resignation of 2022

Put very simply, the entire working world took a major hit due to the COVID-19 pandemic. The lives of many people across all industries were turned upside down when suddenly they found themselves unemployed or spending their working days on Zoom. Now, as we attempt to shift back to normal the majority of companies are…

How To Write A Medical Resume

As a medical doctor, there may be any number of reasons that you may be looking for a new professional position. Perhaps you are seeking a change in work/life balance, or maybe just a new setting in which to hone your skills — or simply novel challenges in your professional career. After all, medicine can…

Emergency Medicine Doctor: Career, Scope & Salary

Emergency medicine is one of the most intense professions in the medical world. Emergency medicine doctors have to be trained to effectively respond in a rapid manner to a wide range of medical and emotional crises, with causes both diverse and unexpected. The path to becoming an emergency room doctor is long, and may at…

AHPRA – Revised CPD Registration Standard

Below is the copy from an information letter from AHPRA dated 29th July 2021.  Dear Stakeholder Revised Continuing professional development registration standard I am pleased to advise that Australia’s health ministers have approved the revised Medical Board of Australia Continuing professional development (CPD) registration standard. The standard is attached. The new standard will take effect…

Want To Work As A Locum Doctor? What You Need To Know!

Many qualified doctors in Australia work as locum doctors. For younger doctors, life as a locum can be somewhat of an adventure. For others, it’s more of a lifestyle choice. There are a number of reasons why doctors decide to try their hand at being a locum. So what are the advantages of becoming a…

5 Challenges of Working in the Emergency Department

The emergency department of any hospital is a high-pressure environment where medical staff are faced with many challenges. Ambulances come and go, people come in off the streets with all sorts of injuries. Weekends can be particularly busy and trying times. It takes a certain calibre of person to be successful as an emergency department…

Difference between careers for General Physicians & General Practitioners

Difference between careers for General Physicians & General Practitioners General Practitioner The GP plays a central role in the delivery of health care to the Australian community. In Australia, the GP: is most likely the first point of contact in matters of personal health coordinates the care of patients and refers patients to other specialists…

5 Reasons To Become A GP

5 Reasons To Become A GP Becoming a general practitioner (GP) is one of the more common career paths that people entering the medical profession pursue. There are some very good reasons for this. While it’s just one of many possible careers in healthcare, becoming a GP in Australia certainly has its perks and advantages….

Career in Obstetrics & Gynaecology

Career in Obstetrics & Gynaecology Working in obstetrics provides plenty of career opportunities and personal development within the medical profession, with opportunities both in surgical and medical. There are many different career paths you can take. In this article, we’ll be examining a career in O&G, what job opportunities there are and why it might…