7 Deadly Sins of Bulk Billing
after 1 November 2025
This is what universal bulk billing really costs…
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8 is the new 19
7 to 8 minute consults will become the new norm. 19 minutes has been a stable consulting duration for some time amongst GPs, as most recently reported in the 2024 RACGP HOTN report. Slow medicine does not fit with bulk-billed medicine
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No Time for Mental Health
Refer all mental health consults to your local publicly funded mental health centre for excellence 20-minute+ consults are not financially viable, and are poorly remunerated compared to shorter consults
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Two Into Ten Won’t Fit
One problem per 10-minute appointment. No exceptions
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Freebie Free
If it does not attract an MBS rebate, it attracts a full private fee (eg, NDIS Medical Reports, Commercial Drivers Licence Renewals, Medicolegal paperwork)
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Augment Analogue
Brevity and Compliance are of the essence. If patient fees are going down, then demand is going up. Either you get smarter with systems, or you burn out trying to carry it all. Universal bulk billing only works at scale and scale needs automation. If you hate tech, get help with it. Don’t ignore it.
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Prevention in Arrears
You won’t be able to squeeze preventive care into fast-paced consults. All preventative health opportunities identified will require a future appointment to explore further
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Penalise DNA
Missed appointments? Wasted time. Lost revenue. If you’re not willing to charge for no-shows in a bulk billing model, you’re volunteering for losses.
⚖️ Here’s the truth:
These aren’t just “risks.”
They are the logical end point of saying ‘yes’ to a system that pays you less to care more. Every sin above represents a piece of your autonomy, clinical standards, or Practice identity that is at risk of erosion.
🧠 And if even one of these made you uncomfortable…
Good.
It means you care. It means you’ve built something worth protecting.
✅ Want help making sure this isn’t your Practice’s future?
At Scale My Clinic, we help General Practice Owners like you build profitable, autonomous, high-impact Practices, without selling your soul to bulk billing.
📞 Book a 20-minute Practice Growth Call
We’ll walk through your Practice’s numbers, risks, and goals and map out the next best step to protect what you’ve built.
Who This is For:
- Privately held General Practice Owners who have been in operation for over 6 months
- Those who want results immediately and need to scale their Clinics
This is NOT for:
- Not-For-Profits
- Corporates
- Non-Owners
🔥 Trusted by General Practices Across Australia
🚀 100+ GP Owners are already preparing for the bulk billing changes. Don’t get left behind!
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