The Bulk Billing Incentives program is run by Medicare and compensates providers when they bulk bill. The amount of compensation depends on the provider's location.
Practice Location
MBS uses the Modified Monash Model (MMM) which defines if a location is a city, rural, remote, or very remote area. The model then categorises the location between MM 1 to MM 7.
MM 1 is a location within a major city. Only practices categorised between MM 2 to MM 7 are eligible for the Bulk Billing Incentives.
The MMM is classified using the Australian Statistical Geography Standard (ASGS) which can be found here.
Click here to access Medicare's website where they define the different MM locations and which item numbers you need to use.
If you are eligible and wish to claim using the Bulk Billing Incentives click here to access an article on how to turn this feature on in MediRecords
Patients Eligibility
Doctors are only able to access Bulk Billing Incentives if their clinic and the patient are both eligible. A patient is eligible if they meet one of the following criteria:
- They are a child under the age of 16 at the time the service was performed
- They possess a Commonwealth concession card
Providers Eligibility
The Bulk Billing Incentives can only be applied to GP items and not Specialist items.
If you would like to see how Bulk Billing Incentives work when invoicing please click here
If you are encountering any issues or have questions about eligibility in relation to Bulk Billing Incentives please contact Medicare on 13 21 50
Comments
0 comments