In the current regulatory landscape, Medicare compliance is no longer a "set and forget" task. With increased AI-driven data matching from Medicare and strict 80/20 service rules, the risk of accidental non-compliance—and subsequent debt recovery—is at an all-time high.
We partner with practitioners and clinic owners to remove the guesswork, ensuring your Medicare revenue is both stable and audit-proof.

Our Medicare Expertise
  • Platform-Specific Templates: We create clinical and administrative templates in Halaxy, Zanda, Cliniko and Nookal that include mandatory Medicare fields (GP details, provider numbers, and referral dates) so you never miss a requirement.
  • Referral Verification: We ensure every patient has a "Valid Referral" on file before the first billable session, checking for essential elements like the diagnosis, session count, and GP signature.
  • Precision Billing & Item Numbers: We manage the complex world of MBS item numbers (Better Access, Chronic Disease Management, Eating Disorder Plans), ensuring the correct codes are used for telehealth vs. face-to-face vs. group sessions.
  • End-to-End Session Tracking: Never lose track of where a patient is in their "Course of Treatment." We set up automated tracking to alert you when a GP review is due or when a patient is approaching their 10-session annual limit.

The "Safe Practice" Advantage
Common Risk
Invalid Referrals
We audit intake documents to ensure referrals meet Medicare’s strict legal criteria (dates, signatures, and specific session requests).
Over-servicing Errors
We implement hard-stop tracking in your calendar system so you never accidentally bill a 7th session on a 6-session referral.
Missed Reporting
We automate "Letter to GP" templates, ensuring the mandatory reports are easily for you to complete and send after sessions 6 and 10 (or every 10 sessions on an EDP) to keep the referral chain valid.
Rejected Claims
Our expertise in Medicare and third-party integrations (like Tyro) means we troubleshoot rejection codes (like 'Referral Date Error') in real-time.
Expert Support for Peace of Mind
Medicare processes can be a maze of "Course of Treatment" rules and "Reporting Requirements." We act as your compliance officers, ensuring that when you get paid, that money stays in your account.

​Whether you are a solo practitioner or a multi-site clinic, we provide the infrastructure to keep you compliant by design.
​ABN 29 103 647 620
© COPYRIGHT 2015. ALL RIGHTS RESERVED.
Picture