Private billing percentage

As we prepare for the next financial year, we recognise the importance for practices to gain a detailed analysis of their total billed items, along with key data on private billing amounts and percentages

Use this metric to understand the proportion of the total amount of billings that were not paid by Medicare or DVA. Within this metric, you can also calculate the percentage of your private billings by Practitioner using the private billings calculator. 

To navigate to this metric, go to Clinic Insights > Past clinic metrics > Private Billing Percentage

The sections included in this article are:


Understanding the metrics and data

The data on this page can be broken down further by Practitioner, item number and eligibility providing an in-depth view of the practice.

View all metrics on this page via "By invoice" or "By item" by selecting the relevant tab at the top the the page. 

Private billing percentage 

This figure shows the total percentage of billings that were not paid by Medicare or DVA.

Total billings by service date

This figure represents the total billings (by service date) in the selected time period.

Total private billings by service date

This figure represents the total billings (inclusive of any applicable GST) in the selected period of time.

Calculated percentage amount of private billings 

Calculate the practice's percentage of private billings using the private billings calculator above. 

Billings by invoice by Practitioner

This list shows the details of total billings as well as a breakdown by private and bulk billings in the selected time period. The percentage calculator can be adjusted at the top of the page to use in this table. Once a percentage number is input, it will show in the % calculation column.

Private billings by payer

This figure represents the proportion of total billings (by the date the service occurred) attributed to each type of Payer in the selected time period.

Billings by practitioner and Payer

This graph breaks down total billings by each practitioner and who the billing Payer type is.


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Key components and filters

Private billing percentage calculator

Calculate the percentage of private billings for the practitioner vs the practice.

Enter your desired percentage into the calculator to adjust the calculated amount of private billings. For example, if practitioners in your practice have service agreements, you can use this tool to determine the distribution of billings between the practitioner and the practice.

If a practitioner's service fee is 70%, you would enter 70% to see the amount of private fees earned by the practitioner from the gross total billings.

Conversely, entering 30% will show the amount of private fees retained by the practice. This calculation can help you index your private fees based on the amount retained by the practice.

Compare this metric with the bulk billing metric to help you gain a full understanding of the proportion that bulk billings make up against overall billings at the practice by service date, including all custom items and not limited to just MBS or DVA items.

Select Practitioner

Use this filter to look at the data and tables for one Practitioner at a time.

Select items

Use this filter to break down data by specific item numbers billed.

Select eligibility type

Use this filter to break down data by patient eligibility type. 

Toggles

Use the toggles in the sidebar to filter down the patient lists further:


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Additional resources