GP for Pollies

Glossary

Plain-English definitions for unavoidable jargon.

Bulk billing
When a doctor accepts the Medicare benefit as full payment for a service, meaning the patient pays nothing out of pocket.
Source: MBS Online
Mixed billing
When a practice bulk bills some patients (e.g., concession card holders) but charges a gap to others.
Source: MBS Online
Schedule fee
The fee set by the government for a given MBS item. The Medicare benefit is calculated from this amount.
Source: MBS Online
Benefit (Medicare benefit)
The amount Medicare pays (or reimburses) for an MBS item when claimed. For GP non-referred attendances, this is 100% of the schedule fee.
Source: MBS Online
Gap (out-of-pocket)
The difference between the clinic's fee and the Medicare benefit - the amount the patient pays from their own pocket.
Source: MBS Online
BBI (Bulk Billing Incentive)
Additional MBS items that can be claimed alongside a consultation when the service is bulk billed. Only payable when no gap is charged.
Source: MBS Online - BBI factsheet
BBPIP (Bulk Billing Practice Incentive Program)
A quarterly incentive of 12.5% of MBS revenue for practices that bulk bill all patients for all consultations. Introduced November 2025.
Source: MBS Online - BBI factsheet
MM1–MM7 (Modified Monash Model)
A geographic classification system used by the Australian Government to define whether a location is metropolitan (MM1), regional (MM2–MM3), rural (MM4–MM5), or remote (MM6–MM7).
Source: Department of Health and Aged Care
FTE (Full-time equivalent)
A unit of measurement representing the workload of a full-time worker. Used to standardise GP workforce counts that include part-time practitioners.
Source: Commonwealth GP Workforce Data
PHN (Primary Health Network)
One of 31 federally funded regional organisations that coordinate primary health care services and address local health needs.
Source: Department of Health and Aged Care
Non-referred attendance
A medical consultation that does not require a referral - the core GP consultation type. Patients see their GP directly without needing a letter from another doctor.
Source: MBS Online
MBS (Medicare Benefits Schedule)
The list of medical services subsidised by the Australian Government through Medicare. Each service has an item number, description, and schedule fee.
Source: MBS Online
Continuity of care
Care that is coherent and connected over time for an individual patient - not simply 'seeing the same doctor', but having a coordinated, longitudinal health relationship.
Source: RACGP Standards for General Practices