Run the practice on numbers you can trust.

Under a typical service agreement, the practice collects patient fees and Medicare benefits for the practitioner, keeps its service fee, and pays out the balance. The ledger records that cycle in full: fees collected by practitioner, the service fee as the practice’s income, and the balance held until it is paid, with a statement for each practitioner. How the agreement runs is set by the agreement itself, and its tax treatment is a matter for tax advice.

To the practitioner. When a patient is bulk billed, they assign their right to the Medicare benefit to the practitioner who provided the service, who accepts it as full payment, under section 20A of the Health Insurance Act 1973. Where the practice collects those benefits under a service agreement, the books hold them for the practitioner until they are paid out.

They can. Under the contractor provisions in state payroll tax law, a practice that engages practitioners to serve its patients may be treated as paying wages, unless an exemption applies, such as a practitioner working 90 days or fewer in a financial year at the practice. Revenue NSW and the State Revenue Office in Victoria set this out in ruling PTA 041. Visory records every practitioner payment and the days worked, so the figures are ready for the return. Whether a particular agreement is caught is a tax question, and Visory does not give tax advice.

Usually. Medical services, and listed allied health services by a recognised professional that are appropriate treatment, are GST-free to the patient. Rooms and administration a practice supplies to a practitioner are not GST-free, and a practitioner’s services supplied to the clinic rather than the patient usually are not either. Visory codes each side of the agreement as it reads and prepares the BAS from the ledger. This is general information, not tax advice.

The Health Professionals and Support Services Award 2020 (MA000027). It covers private medical, dental, pathology, physiotherapy, chiropractic, and osteopathic practices, with a wider span of ordinary hours than most awards: 7.30 am to 9.00 pm on weekdays and 8.00 am to 4.30 pm on Saturdays. A Payroll Officer classifies each role, runs every pay cycle against the award, and checks each variation before you approve the run.

Yes, through accounts payable. Delphi AI prepares each practitioner’s statement from the reconciled ledger: fees collected, the service fee retained, any adjustments, and the amount due. Your Visory team oversees it, and you approve the payment before it is made. Employed practitioners are paid through payroll instead.

Through daily bank feeds, against the billing reports from your practice software. Medicare and DVA payments arrive in batches, health funds and terminals settle on their own cycles, and insurers and compensation schemes pay invoices weeks later. Each deposit is matched to the fees behind it, by practitioner, so unpaid accounts surface while they can still be followed up.

No. Billing and claiming stay with your front desk and your practice software. Visory reconciles what is paid, follows up insurer, scheme, and account-patient invoices in your name, and keeps the ledger behind them.

Visory charges one flat monthly fee for the scope we agree. No timesheets, no hourly billing, no surprises. The fee reflects the services you take and the volume of work in the practice, from the number of practitioners and pay runs to the payments reconciled each week, so you know the monthly cost before you start.