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National Health Performance Authority, Healthy Communities: Bulk-billed GP attendances, 2012–13

Identifying and definitional attributes

Metadata item type:Help on this termIndicator
Indicator type:Help on this termIndicator
Short name:Help on this termBulk-billed GP attendances, 2012–13
METeOR identifier:Help on this term528911
Registration status:Help on this termNational Health Performance Authority (retired), Retired 01/07/2016
Description:Help on this termThe percentage of GP attendances bulk billed in a year.
Indicator set:Help on this termNational Health Performance Authority: Healthy Communities: 2011– National Health Performance Authority (retired), Retired 01/07/2016

Collection and usage attributes

Population group age to:Help on this termAll ages
Computation description:Help on this term

Bulked billing is an arrangement in which a GP bills Medicare directly for any eligible medical or allied health service that the patient receives, and imposes no other 'gap payment' on the patient. In this arrangement the provider accepts the Medicare benefits as full payment for the service and the patient assigns their right to a Medicare benefit to the service provider.

GP attendances are Medicare benefit-funded patient/doctor encounters, such as visits and consultations, for which the patient has not been referred by another doctor. GP attendances exclude services provided by practice nurses and Aboriginal and Torres Strait Islander health practitioners on a GP’s behalf.

In terms of “Broad Type of Service’ Groups, GP attendances comprise all items in Broad Type of Services Groups ‘A’ – GP/VRGP non-referred attendances,  ‘M’ - Enhanced Primary Care  and ‘B’  Non-referred other attendances as published in official MBS statistics by the Department of Human Services and the Department of Health.

For MBS data, Medicare Local was determined having regard to the enrolment postcode for each person from the last MBS service of any type, processed by the Department of Human Services in 2012–13.  All MBS services for each individual processed in 2012–13, were attributed to the postcode in question. 

MBS postcode level data were allocated to Medicare Local regions using concordance files provided by ABS.

Numerator based on Medicare (MBS) total GP attendances bulk billed and denominator based on MBS total GP attendances, from data provided by the Department of Health for the financial year of processing, 2012–13.

Before MBS data are published by the NHPA all confidential data cells are suppressed.

The current definition of confidential data is as follows:

  • For number of MBS services:
    • if number of services is less than 6 or
    • if number of services is equal to or greater than 6 but
      • one provider provides more than 85% of services or two providers provide more than 90% of services or
      • one patient receives more than 85% of services or two patients receive more than 90% of services.
  • If data on number of services is confidential, corresponding data on other measures such as MBS benefit paid is also regarded as confidential
Computation:Help on this term

100 x (Numerator ÷ Denominator)

Medicare Benefits Scheme data

Bulk-billed GP attendances

Bulk-billed GP attendances variation within Medicare Locals

Numerator:Help on this termNumber of bulk-billed GP attendances claimed through the Medicare Benefits Schedule (MBS) 
Numerator data elements:Help on this term
Data Element / Data SetService event—bulk billed General Practitioner (GP) service, total number NN[N]
Data Source
Medicare (MBS) data
Guide for use
Data source type: Administrative by-product data
Data Element / Data SetAddress—Australian postcode, Australian postcode code (Postcode datafile) {NNNN}
Data Source
Medicare (MBS) data
Guide for use
Person - MBS benefit for GP service, Total Australian Currency N[N(8)]
Data Element / Data SetPerson—General Practitioner MBS health assessment indicator, yes/no code N
Data Source
Medicare (MBS) data
Guide for use
Person - MBS benefit for GP service, Total Australian Currency N[N(8)]
A count of Yes's is used for the numerator.
Denominator:Help on this termTotal GP attendances for year of processing
Denominator data elements:Help on this term
Data Element / Data SetPerson—General Practitioner MBS health assessment indicator, yes/no code N
Data Source
Medicare (MBS) data
Guide for use
Person - MBS benefit for GP service, Total Australian Currency N[N(8)]
A count of all Yes's and No's is used for the denominator.
Disaggregation:Help on this termBy Medicare Local catchments and Medicare Local peer groups
Disaggregation data elements:Help on this term
Data Element / Data SetAdministrative health region—Medicare Local identifier, code AANNN
Data Element / Data SetAdministrative health region—Medicare Local peer group, code N

Representational attributes

Representation class:Help on this termRate
Data type:Help on this termReal
Unit of measure:Help on this termPerson
Format:Help on this termNNNN.N

Indicator conceptual framework

Framework and dimensions:Help on this termPAF-Equity of access

Data source attributes

Data sources:Help on this term
Data SourceMedicare (MBS) data
Frequency
Annually
Data custodian

Department of Health


Accountability attributes

Reporting requirements:Help on this termNational Health Performance Authority-Performance & Accountability Framework
Organisation responsible for providing data:Help on this termDepartment of Health
Accountability:Help on this termNational Health Performance Authority
Further data development / collection required:Help on this term 

Source and reference attributes

Submitting organisation:Help on this termNational Health Performance Authority
Origin:Help on this termHealthy Communities
Reference documents:Help on this termNational Health Performance Authority-Performance & Accountability Framework

Relational attributes

Related metadata references:Help on this term

Has been superseded by National Health Performance Authority, Healthy Communities: Bulk-billed GP attendances, 2013–14 National Health Performance Authority (retired), Retired 01/07/2016

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