Fear of overbilling turning GPs off mental health MBS items

Dr Caroline Johnson says doctors are juggling confusing Medicare rules with patients' complex needs
Associate Professor Caroline Johnson.

Almost half of GPs are limiting their use of Medicare’s mental health items because they fear attracting the attention of auditors, a report suggests. 

A survey of 846 anonymous GPs found that 45% were billing shorter consultations than the time they had spent on mental health because of concerns they would become ‘statistical outliers’ and targeted for review.  

More than half of the GPs said they were opting to bill standard consultation items for mental health consults with their patients, in part because of the lower rebates on offer. 

“Yet another long consult, yet another mental health consult … I’m sure I’m going to trigger something terrible,” one GP who took part said.