ONBOARDING PENDING — Registrar role not yet active. Do NOT configure in Halaxy until all checklist items are complete.

Registrar Activation Checklist

0 / 10 complete

Registrar Scope of Practice

When activated, the Psychiatric Registrar may perform:

⚠️ Key Differences from Consultant Psychiatrist

Consultant PsychiatristPsychiatric Registrar
QualificationFRANZCP (Fellow)Trainee — not yet FRANZCP
MBS GroupGroup A8 (Consultant Psychiatrist)Group A2 (Other Medical Practitioner)
Item Numbers291, 296, 300–30852, 53, 54, 57, 151
Billing ModelPrivate billing (patient pays gap)Bulk billing only ($0 to patient)
Referral RequiredYes (GP referral for Medicare)No (Group A2 = non-referred)
Item 294Eligible (MM2–MM7)Not eligible
Schedule Fees$51.30–$535.95$11.00–$98.40
SupervisionIndependentMin 4 hrs/week by FRANZCP

NEVER use Group A8 items (291, 296, 300–308) for the registrar. This will cause Medicare claim rejection.

Registrar MBS Items — Group A2 (Bulk Billed)

All appointments bulk billed — patient pays $0. Registrar receives 85% of schedule fee.

DurationFace-to-FaceVideoPhoneSchedule FeeRegistrar (85%)
≤5 min5291792—$11.00$9.35
5–25 min5391803—$21.00$17.85
25–45 min549180491903$38.00$32.30
45–60 min579180591913$61.00$51.85
>60 min15191923—$98.40$83.64

Bulk Billing Incentive (BBI)

When bulk billing Group A2 items, the practice may also claim BBI items 10990 / 10991 for additional Medicare payment. Amount varies by MMM area.

Supervision Requirements

Financial Model — 85% Split

Registrar receives 85% of the MBS schedule fee. Practice retains 15%.

ItemDurationSchedule FeeRegistrar (85%)Practice (15%)
52≤5 min$11.00$9.35$1.65
535–25 min$21.00$17.85$3.15
5425–45 min$38.00$32.30$5.70
5745–60 min$61.00$51.85$9.15
151>60 min$98.40$83.64$14.76

Revenue Estimate (per day)

Assuming 6 × Item 57 (45–60 min consultations) per day:

  • Total Medicare revenue: 6 × $61.00 = $366.00
  • Registrar receives: 6 × $51.85 = $311.10
  • Practice retains: 6 × $9.15 = $54.90

BBI payments (items 10990/10991) provide additional revenue — amount varies by MMM area.

Halaxy Configuration — Bulk Billing

  1. Add registrar as a new practitioner in Halaxy (Settings → Team)
  2. Enter Medicare provider number in practitioner profile
  3. Create appointment types for each duration (52, 53, 54, 57, 151)
  4. Set payment type to "Bulk Bill" for all registrar appointments
  5. Import Group A2 rebate amounts from MBS preset database (Finances → Fees → Update Fees)
  6. Set fee = schedule fee (no gap — patient pays $0)
  7. Enable automatic Medicare claiming
  8. Add video telehealth items (91792, 91803, 91804, 91805, 91923) as linked items

19AB Exemption — International Medical Graduates

If the registrar is an Australian citizen or permanent resident: no 19AB restrictions apply. The 3GA placement provides full Medicare access.

If the registrar is an International Medical Graduate (IMG):