RACF MBS QUICK SHEET

General Practitioners providing services in Residential Aged Care Facilities can bill specific RACF attendance item numbers under the Medicare Benefits Schedule (MBS). These include flag fall items for the initial facility visit and attendance items based on consultation time and complexity. The RACF MBS Billing Quick Sheet provides a simplified reference of current eligible items for VR and non-VR GPs, as well as Nurse Practitioners where applicable.

A RACF flag fall item is billed once per visit to a Residential Aged Care Facility and is designed to recognise the time and travel required to attend the facility. It is claimed in addition to eligible attendance items for individual residents seen during that visit.

Yes. Eligible Nurse Practitioners can bill specific MBS attendance items whether In-Clinic or in Residential Aged Care Facilities, provided they meet Medicare requirements. The RACF MBS Quick Sheet outlines commonly used items relevant to aged care settings.

RACF billing differs from standard clinic consultations because it includes facility attendance items and potential flag fall items. The structure recognises the additional time, travel, and coordination required to provide care in aged care facilities.

Accurate billing ensures compliance with Medicare requirements, reduces the risk of under-billing, and supports sustainable aged care medical services. Using a structured RACF billing reference can help GPs and practice managers avoid common billing errors.

Yes. The GP Aged Care Network (GPAC-N) updates the RACF MBS Billing Quick Sheet to reflect relevant Medicare item numbers applicable to aged care services in Australia.