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Determinants of GP billing in Australia: content and time
Helena Britt1, Lisa Valenti, Graeme C Miller
1AIHW GP Statistics and Classification Unit, Family Medicine Research Centre, University of Sydney, Acacia House, Westmead Hospital, Westmead, NSW 2145. helenab@med.usyd.edu.au
Objective:
To examine relations between consultation length and content, and general practitioner choice of claiming level B or C when billing consultations > 20 minutes through Medicare.
Design And Setting:
A secondary analysis from a cross-sectional national general practice survey (1 April 2000 to 31 March 2003) of 101 112 consultations with 2811 GPs, comparing level B consultations
Main Outcome Measures:
Consultation length, encounter, patient characteristics; number, type of problems managed; type and frequency of treatments provided in relation to consultation level charged.
Results:
There were 80 476 level B consultations
Conclusions:
Patient characteristics and consultation content differ at longer consultations. Consultations charged as level C are more complex than those charged as level B. GPs use both time and content when choosing item number, rather than relying only on specified time thresholds. This has implications for future restructuring of MBS attendance items.
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