Are You Confused by the Medicare Benefits Schedule?

Are You Worried About Professional Services Review Scrutiny?

Are You Wondering If Your Consult Notes Would Stand Up to Review?

Are You Confident Your Billing Items and Co-Billing Are Used Correctly?

GP Clarity's solutions can turn your consult telemetry into clear, actionable signals, helping you bill Medicare correctly, reduce PSR risk, and strengthen your clinical notes, so you can focus on patient care, with confidence and peace of mind.

If you're not proactively monitoring your consult telemetry, you're at serious risk.

Medicare & PSR

Do you know if your Medicare claiming patterns stand out, through automatic triggers like the 80/20 servicing rule or the 30/20 phone rule, or as an outlier versus peers, such as unusually high volumes, an unusual item mix, frequent co billings, repeat attendances, or prescribing patterns, and what that means for your compliance risk? And could a tip off or complaint prompt a review?

Once a review starts, could you clearly demonstrate that each service was clinically necessary and relevant, that the item you billed genuinely matches the MBS or PBS requirements (including time thresholds, descriptors, and any restrictions), and that your notes are contemporaneous and detailed enough for another GP to understand what you assessed, what you decided, and why?

Professional Services Review

Want to see how GP Clarity can help keep you safe?

Have you considered the potential impact that a review can have on you and your practice?

Doctor Practice Manager
For Doctors
1

Personal Income and Billing Risk

A PSR review can lead to repayments and restrictions on billing certain Medicare items, which directly affects a doctor's income and ability to practise normally.

2

Stress and Mental Load

The process is complex, time consuming, and emotionally draining, often leaving doctors distracted, anxious, and under pressure while still caring for patients.

3

Good Care, Weak Evidence

A doctor may provide appropriate clinical care, but if the notes, item selection, or documentation do not clearly support the billing, that care can still be challenged.

For Practices

Revenue and Throughput Disruption

When a doctor is under PSR pressure, practices can experience billing interruptions, reduced capacity, and cashflow strain, especially in bulk-billing environments.

1

Admin Burden and Operational Drag

PSR responses require records, submissions, internal reviews, and coordination, pulling practice managers and admin teams away from daily operations.

2

Workflow and Compliance Gaps Exposed

PSR often reveals system-level weaknesses like inconsistent notes, poor billing controls, and variable staff processes, turning one doctor's issue into a practice-wide risk.

3

In the past 12 months, there have been more than 100 PSR Cases, where doctors have had to pay back on average $270,000.00 per case to Medicare.

GP Clarity's Solutions can protect you for the future, from today

Clarity Foundations

Your always on MBS compliance safety radar

Clarity Enhance

Quality checked consult evidence, review ready

Clarity Optimise

Safe, secure and also optimised billing performance

Clarity Complete

One complete view across every practice you work in.

We continuously monitor the claiming and prescribing patterns that commonly trigger Medicare review activity, including threshold style triggers, peer outlier signals, and unusual billing mixes. You get clear, practical notifications, what changed, why it matters, and what to check next, so you can address risk early, before it escalates.

When a review is triggered, the outcome often turns on what you can prove from the record, item fit, clinical justification, and note quality. Enhance helps you lift the quality signals that matter most, documenting the clinical story, matching the correct MBS or PBS requirements, and ensuring your notes would make sense to another GP, so your billing is defensible under scrutiny.

Optimise finds the missed value sitting inside compliant care, under billed consult complexity, forgotten time thresholds, overlooked co billing opportunities, and item selection improvements that align with the rules. You get actionable prompts that improve billing accuracy, support better documentation habits, and help you capture legitimate revenue without increasing risk.

Complete extends GP Clarity beyond a single system or location by adding additional adapters per site, so you can consolidate telemetry across multiple practices, platforms, or workflows. The result is a single, consistent compliance and optimisation view of your activity, regardless of where you consult.

$59 / month

Required Module

$24 / month

Additional Module

$19 / month

Additional Module

$15 / month

Additional Module

Want to hear more about how the GP Clarity solutions work in your practice, or register for a 7-day unlimited trial subscription?

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GP Clarity GP Clarity

Medicare compliance support and practice optimization for Australian GPs.

Contact

Email: info@gpclarity.com.au
Phone: 1300 XXX XXX


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Original Content

We support you with practical strategies to help you avoid an audit from the PSR.

Your Entitlement

As a GP, you are entitled to Medicare compliance support from your service provider.

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What is GP Clarity?

We've cracked the code of the PSR.

We profile your Medicare compliance risk, using your own metrics, and show you how to avoid an audit.

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