Automated MBS Consultation Compliance Intelligence for Australian GP's and Clinics

Are You Confused by the Medicare Benefits Schedule?

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 and quality, you're flying without instruments.

Medicare & PSR

Pattern triggers. 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?

Burden of proof. 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
558 Total PSR cases over 9 years
¤143,327,903 Total repayments over 9 years
¤256,860 Average repayment per case
100+ PSR cases in the past 24 months

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

Compliance Overview, Chart View

Everything you need to stay ahead of a review

12 Compliance & Quality Markers
12 Compliance & Quality Markers
Continuous scoring against every marker frequently identified in review cases, risk in plain English.
Instant Historical Snapshot
Instant Historical Snapshot
Connect once and see the last 12 months of consult telemetry already analysed, no waiting.
Multi-Practice Aggregation
Multi-Practice Aggregation
Roll up data across every site you manage; drill back down to a single doctor in one click.
Proactive Threshold Alerts
Proactive Threshold Alerts
Get notified the moment a marker drifts toward a trigger, before it becomes a review concern.
Scheduled Telemetry Reports
Scheduled Telemetry Reports
Weekly or monthly reports delivered to the right inbox automatically, no logging in required.
9-Year PSR Case Library
9-Year PSR Case Library
Searchable archive of every published PSR outcome, so you can benchmark your patterns against real cases.
Advanced Analytics & Visualisations
Advanced Analytics & Visualisations
Custom views, drill-down filters, and trend visualisations across every consult, billing, and prescribing pattern in your practice.
Role-Aware Dashboards
Role-Aware Dashboards
Doctors see themselves, Practice Managers see their site, Group Managers see the whole group.
Fully Australian-Hosted
Fully Australian-Hosted
All data stays inside Australian sovereign infrastructure, no offshore processing, ever.
No PII Data Processing
No PII Data Processing
Patient identifiers never leave your practice software, GP Clarity only ingests de-identified telemetry.

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.

4

Effort That Doesn't Always Show on Paper

Many doctors deliver more clinical work than their billing reflects. Items that could legitimately be claimed are sometimes missed in the flow of a busy session, leaving genuine effort under-recorded and the full picture of a doctor's day harder to see at a glance.

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

Patterns That Are Hard to See Without the Data

Without a clear view of how each doctor's billing actually compares across the practice, it's easy to overlook where strong doctors may be quietly under-recording legitimate work, and small variations across busy days can add up over time.

4
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
Foundations watches the four signals Medicare itself uses to flag a practitioner, 80/20 and 30/20 servicing days, average billing per consult, and your peer percentile band across each MBS item stream. You get clear, practical notifications when a threshold is approaching or breached, what changed, why it matters, and what to check next, so you can address review risk early, before it escalates.
Continuously scores you against the four signals that trigger PSR review:
  • Pattern of Services 80/20
  • Pattern of Services 30/20
  • Average Billing Per Consult
  • Peer Billing Percentiles
$68 / user / month
Foundations (required)
Clarity Enhance
Quality-checked consult evidence
When a review is triggered, the outcome turns on what you can prove from the record. Enhance lifts the four quality signals that matter most under scrutiny, note quality, time-based item compliance for level C and D consults, daily volume sustainability, and prescribing patterns including high-risk drug streams, so your billing is defensible and your notes would make sense to another GP.
Lifts the four quality signals reviewers scrutinise hardest:
  • Note Quality
  • Time-Based Item Compliance
  • Daily Volume Cap
  • Prescription Volume
$34 / user / month
Optional add-on
Clarity Optimise
Compliant billing performance, fully optimised
Optimise surfaces the value sitting inside compliant care, your annual service-cap headroom, urgent after-hours item usage, the share of complex consults supporting your billing mix, and any restricted co-billing combinations to keep clean. You get clear, in-context prompts that capture legitimate revenue, support better documentation habits, and help you avoid the item pairings most frequently called out.
Surfaces the value sitting inside compliant care:
  • Annual Service Cap
  • Urgent Item Usage
  • Complex Consult Ratio
  • Restricted Co-billing
$26 / user / month
Optional add-on
Clarity Complete
One complete view across every practice
Complete extends GP Clarity beyond a single system or location by adding an adapter per additional site, so a multi-location GP gets one consolidated view of all 12 markers across every practice, platform, and workflow they bill from, not a separate dashboard per clinic. You spot cross-site patterns earlier, see where each location is drifting, and manage compliance for your whole footprint from one place.
One consolidated view across every site you bill from:
  • All 12 markers, every site
  • One adapter per additional location
  • Drill from group to single doctor in one click
  • Cross-site pattern detection
$19 / user / month
Optional add-on

Want more information? Let's Talk

Drop us a note and we'll be in touch within one business day.

Full Name
Email Address
Preferred Contact Number
I am a...
Message
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.

Get Started

Register your operations contact with us and we will roll out GP Clarity to you.


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.

An unhandled error has occurred. Reload 🗙