Navigating the Medicare Benefits Schedule (MBS) in general practice

17 February 2025

The Medicare Benefits Schedule (MBS) is a vital resource for general practice teams, detailing the services subsidised by the Australian Government. It forms part of the broader Medicare Benefits Scheme, which is managed by the Department of Health and administered by the Department of Human Services.

Understanding the MBS is essential for general practice staff to ensure accurate billing, compliance, and maximising available funding for patient care.

Key resources for general practice staff

To assist you in navigating the complexities of the MBS, we’ve compiled a quick guide with essential resources:

  • MBS Online: The comprehensive online platform that contains the full listing of MBS services. This is your go-to resource for all MBS-related information, including item numbers, updates, and claiming guidelines.
  • MBS Online – Latest News: Stay up to date with the most recent changes and updates to the MBS, including policy changes and new item numbers.
  • MBS Online – Current Factsheets: Access factsheets that offer clear explanations of MBS services, helping practices interpret changes and apply them correctly.
  • MBS Quick Guide February 2025: A simplified guide to the MBS, which includes relevant updates for general practices, ensuring your team has the most recent and relevant information.
  • MBS Quick Guide to Telehealth and COVID-19 Item Numbers February 2025: As telehealth continues to be an essential service, this guide offers specific item numbers related to telehealth consultations, including those introduced during the COVID-19 pandemic.

Latest resources for general practice & RACH staff

  • GPACI User Guide: This resource will support General Practices to plan their delivery of care for the GPACI and provide examples of how to use MBS items to meet the requirements of this incentive.

The ‘AskMBS’ advice email service is also available for MBS item number enquiries. It provides a great service, as clinics will receive replies in writing: askmbs@health.gov.au

By using the available online resources and seeking advice when needed, you can ensure your practice is billing accurately and taking full advantage of the subsidies available through Medicare. For detailed information on MBS Item Numbers and claiming complexities, visit MBS Online.

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