5,700 Medicare items.Every item number. Every co-claiming rule. Every audit flag. Understood — instantly.
10 founding practices — 7 spots remaining

The MBS expert
in your pocket.

Real-time Medicare item eligibility, co-claiming rules, and audit risk flags — built for Australian GPs, by an Australian GP. No integration. No login. No waiting.

60d
Free beta trial
for founding practices
$0
No credit card
required
<10s
Answer time for
any MBS query
ClinicOS MBS
Can I bill item 721 with 36?
Patient with T2DM, CKD, and depression. Seen today for 25-min Level C consult.
Yes — items 36 and 721 (GPMP) can be co-claimed on the same day when services are clinically distinct. The 36 covers the consultation; the GPMP is billed separately as a management plan service.
Item 721 requires documentation of at least one referral to a multidisciplinary team member. Ensure this is noted in the care plan before claiming.
The daily reality

The MBS is 5,700 items.
Nobody has time to learn it.

Every day, Australian GPs make billing decisions under time pressure. Most rely on habit. The cost is significant — in missed revenue, in audit exposure, and in hours spent chasing answers.

Hours lost to MBS lookups

GPs and practice managers spend an average of 3-5 hours per week on billing queries, compliance checks, and MBS Online navigation. That is clinical time lost.

Co-claiming errors trigger audits

The most common cause of Medicare audit is accidental co-claiming of mutually exclusive items. The rules are buried in dense explanatory notes that few GPs have read in full.

Revenue left on the table

Practices consistently under-bill. Conservative estimates suggest the average mixed-billing GP misses $8,000-$20,000 in legitimate Medicare revenue per year through habit-based item selection.

Registrars billing blind

Junior doctors and registrars receive almost no formal MBS training. They rely on whoever answers the phone at the practice — a chain of uncertainty that flows through every consult.

How it works

Intelligence at
point of care.

01

Real-time item eligibility

Ask any MBS question in plain language. Get a clear, accurate answer with the relevant eligibility criteria, billing conditions, and time requirements — in under 10 seconds.

02

Co-claiming rules engine

The most dangerous MBS knowledge. ClinicOS MBS checks whether two items can be co-claimed on the same day, surfaces any exclusions, and explains why — before you submit.

03

Audit risk flags

Proactive alerts when a billing scenario carries elevated audit risk. Includes documentation requirements, common audit triggers, and how to ensure your records support the claim.

04

Works with any PMS

No integration. No setup. Open a tab alongside Medical Director, Best Practice, or Zedmed. Get your answer. Close the tab. Done.

Can I bill 721 and 36 together for a 20-min consultation with a diabetic patient?
Yes. Items 36 (Level B consultation) and 721 (GPMP) are co-claimable on the same day provided the services are clinically distinct and separately documented.

The consultation must stand alone as a complete attendance. The GPMP must meet its own documentation requirements including patient agreement and referral details.
Co-claiming permitted — ensure separate documentation for each service
Is item 704 (annual health assessment) available for a 40-year-old Aboriginal patient?
Yes. Item 704 (MBS Health Assessment for Aboriginal and Torres Strait Islander people) is available for patients of any age who identify as Aboriginal or Torres Strait Islander.

The assessment can be claimed once every 9 months. The billing GP must be the patient's regular GP or a GP at their regular practice.
Eligible — available every 9 months, no age restriction
I billed item 2712 (focussed psych) and 36 on the same day. Is this a problem?
Elevated audit risk. Items 2712 and 36 co-claimed on the same day are a known Medicare audit trigger. While not absolutely prohibited, Services Australia expects clear clinical justification for why a separate attendance item was necessary on the same day as a mental health service.
Ensure your notes document clinically separate reasons for each service. Consider whether a different consultation structure would better support the claim.
Practice impact

Calculate your
revenue recovery.

Conservative modelling suggests one missed item upgrade per ten consultations — a number consistently reported by GPs who review their billing patterns. At $99/month, the return on investment is measurable within the first week of use.

3
28
1
Estimated annual revenue recovery
$7,728
ClinicOS MBS at $99/month costs $1,188/year — a 85% discount on the value recovered
Founding practice access

Simple, transparent
pricing.

No per-seat charges. No hidden fees. One price covers your entire practice — GPs, nurses, and practice managers.

Solo / Locum
$29 /mo
Individual licence
For solo practitioners and locums who want MBS intelligence at their fingertips, wherever they work.
  • Unlimited MBS queries
  • Co-claiming rules engine
  • Audit risk flags
  • Monthly, cancel anytime
Join waitlist
PHN / Group
Custom
Multi-practice cohort
For Primary Health Networks and practice groups. Deploy across your member practices as a GP workforce capability program.
  • Everything in Standard
  • Centralised admin dashboard
  • Aggregated billing analytics
  • Dedicated account manager
  • Custom onboarding
Contact us
AL
Built by a practicing GP

Dr Alex Lapenga

MBBS · FACRRM · FCPhlebology · Harvard / MIT AI/ML

I built ClinicOS MBS because I was frustrated by the same problem my colleagues describe every day. The MBS is impossibly complex, constantly changing, and there is no good tool for navigating it at the point of care.

I am a practicing GP and phlebologist based in Canberra. I built this for myself, and then I realised it could help every GP in Australia. The beta program is how I find out if I am right — and how I make sure the tool works for clinical realities I have not encountered myself.

If you join the beta, you will have direct access to me. Your feedback shapes the product. Your workflow problems become features.

Founding practice application

Apply for
free beta access.

10 founding practices. 60 days free. In exchange for a fortnightly 20-minute feedback call. Founding practices lock in $49/month permanently after the trial — half the standard rate, forever.

No credit card required. 60-day free trial. Founding practice pricing ($49/month) locked in permanently on conversion. You can withdraw from the beta at any time.