The MBS Billing Health Check: find the Medicare income you’ve already earned

Most GPs are sitting on income they’ve genuinely earned but never billed. Not because they’re careless — because the work happens in the room, the patient walks out, and the eligible item quietly never gets claimed. Over a week that’s a handful of items. Over a year it’s a serious number. The MBS Billing Health Check is how we find it.

What it is — and what it isn’t

The MBS Billing Health Check is a done-for-you review of one week of your consulting. We go through it patient by patient and show you exactly what was missed.

What it is not is an audit. We don’t comb through your history looking for what you got “wrong,” and we don’t pass judgement on past claims. We only look forward — at the legitimate opportunities you can capture from here on. That distinction matters to us, because the whole point of BetterBilling is ethical, defensible billing: getting paid properly for real work, never claiming for work that wasn’t done.

What we look for

These are the highest-value MBS items GPs most often leave uncaptured — reviewed one patient at a time across your week:

• 965 / 967 — Chronic Condition Management Plans and reviews that were eligible but never done or never billed.

• 10997 — practice-nurse chronic-disease monitoring your nurses actually delivered but didn’t bill (up to 5 per patient per year).

• 715 + 10987 — Aboriginal and Torres Strait Islander health assessments, plus the nurse follow-ups that come after them.

• 699 — Heart Health Checks for eligible at-risk patients who were never offered or billed one.

• Focused health assessments — targeted categories only: 75+ years, and 40–49 at risk of type 2 diabetes.

• 695 — perimenopause and menopause health assessments for symptomatic patients.

  
  

How it works

Four simple steps, and almost none of the effort falls on you:

• One week reviewed — we check your billing, patient by patient.

• A report of missed items — with the dollar value you can capture.

• A 30–45 minute meeting — we walk you through the findings.

• A custom action plan — prioritised and ready to use.

  
  

Two options

Pricing is simple and reflects the size of the review:

• Part-time GP — around 40 patients, one week of consults: $4,000.

• Full-time GP — around 80 patients, one week of consults: $6,000.

Reviewing your own practice data with a resulting action plan can also be self-recorded as a Measuring Outcomes CPD activity — confirm the hours and category with your

CPD home.

What it doesn’t cover

We’d rather be upfront. The Health Check deliberately doesn’t include: other 707 health assessment categories beyond the 75+ and 40–49 at-risk groups above; nursing home and residential aged care billings; and missed investigations such as ABIs, ECGs or pregnancy testing. It’s a focused review of the highest-yield items — not everything under the sun.

The bottom line

Quick, done-for-you, and it pays for itself. If you’ve ever finished a big week thinking “I know I under-billed that,” this is how you find out exactly what — and never miss it again.

Book your MBS Billing Health Check at betterbilling.com.au

MBS item references reflect rules current as at July 2026, including the July 2025 chronic-condition management (965/967) reforms. We identify legitimately missed billing opportunities only — we never advise billing for services not delivered. Final billing and clinical decisions remain the treating GP’s responsibility.