| Q1: Why do doctors at this Practice charge a fee for medical services and not bulk bill every service delivered to patients? |
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Unfortunately, in the current climate, it is becoming more expensive to run a modern and up-to-date medical practice. These rising costs include staff wages, maintaining practice accreditation standards and up-keep of equipment and hardware. It is also becoming more expensive for individual doctors to remain registered to practice, keep up-to-date with medical knowledge and skills, and to pay escalating premiums for medical indemnity cover. Each doctor's costs for medical indemnity cover alone are likely to double in the next year or two.
Unfortunately, the Medicare rebate (the fee received by your doctor if he/she bulk bills a service) does not reflect the true cost of maintaining a modern medical practice and the cost of maintaining individual registration, medical indemnity cover and skills. By charging a reasonable fee for the majority of medical services, your doctor is able to spend more time discussing your medical problems with you, especially if these problems are complex or multifaceted. Because our doctors charge a fee, they are not under pressure to see a large number of patients each hour and are therefore able to give patients as much time as is necessary. We believe this improves the quality of the service provided to patients with both simple and complex issues. It also allows time for your doctor to discuss preventative health issues with you at greater length, with fantastic benefits for your long-term health.
Unfortunately, the Medicare rebate (the fee received by your doctor if he/she bulk bills a service) does not reflect the true cost of maintaining a modern medical practice and the cost of maintaining individual registration, medical indemnity cover and skills. By charging a reasonable fee for the majority of medical services, your doctor is able to spend more time discussing your medical problems with you, especially if these problems are complex or multifaceted. Because our doctors charge a fee, they are not under pressure to see a large number of patients each hour and are therefore able to give patients as much time as is necessary. We believe this improves the quality of the service provided to patients with both simple and complex issues. It also allows time for your doctor to discuss preventative health issues with you at greater length, with fantastic benefits for your long-term health.
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| Q2: How much am I likely to be out of pocket? |
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We try to keep our fees as low as possible. In general, our fees are 65-70% of the corresponding AMA recommended fees. We believe this represents excellent value for our patients. A large proportion of the fee is refunded through the Medicare rebate, upon attendance to a Medicare office. For those who find it difficult to get to a Medicare office, there are other options available such as having the Medicare rebate credited directly to your nominated bank account. Please ask our Reception staff for more information about these options.
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| Q3: Are there any situations where I may be bulk billed? |
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Yes, certainly. Our billing schedule is very flexible and each doctor can bulk bill if he or she feels that this is appropriate. Situations in which patients may be charged a discounted fee or bulk billed include:
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Frail, elderly patients.
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Acutely ill patients, especially children.
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Multiple reviews in quick succession for the same problem (e.g. sick children).
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Couples or multiple family members presenting together.
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Quick visits (e.g. injections, repeat prescriptions, referral letters).
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Nurse visits (e.g. dressings, removal of sutures).
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Bona fide financial hardship.
All medical services for DVA cardholders are billed directly to Veteran's Affairs, with no out-of-pocket expenses to the veteran.
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| Q4. How am I billed for surgical procedures? |
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Surgical procedures such as skin lesion excisions require more time and extra skills. There are extra costs to the practice such as local anaesthetics, suture material and dressings that need to be taken into account. To minimise up-front costs to our patients, we charge a non-refundable ‘Booking fee' when the procedure is booked. On the day of the actual procedure, the patient is then bulk-billed. The less satisfactory alternative is to charge the full amount up-front to the patient on the day of the procedure – this can amount to several hundred dollars in the case of complicated procedures.
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Q5. How does the Practice's billing policy benefit my health? |
| By charging a fee for the majority of medical services, your doctor is able to slow down and spend more time with each patient. As a direct result of our billing policy, our doctors are able to devote as much time as is necessary to deal with a wide variety of problems. It also allows time for your doctor to discuss relevant preventative health measures with you, and this has many proven benefits for your long-term health and well-being. Of course, if you feel that your problem requires more time than a standard consultation, you can request a longer appointment with reception staff when you make a booking. In addition to this, our doctors are able to leave some appointment spots unbooked to allow same day and ‘walk in' emergency appointments. This allows patients who are very ill, distressed or in pain to be seen in a timely manner. The practice's billing policy makes this kind of flexibility more achievable.
We trust that this information has helped you to understand our billing policy and answered any questions you might have. If you have any other questions, please ask our reception staff.
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