Pracsoft Updates

Take advantage of the latest features in MedicalDirector Clinical & Pracsoft 4.3

Learn more and upgrade today

23 June, 2026

Once the upgrade is complete, you may need to restart the MDXi Service on your practice server:

• Click Start → Run
• Type services.msc and press Enter
• Locate MDXi Service
• Right-click and select Restart
• Confirm the status shows Running

Notes:

• There will be no change to your clinical workflow
• The restart will take up to one minute
• Users do not need to log out of workstations
• Avoid sending ePrescriptions during the restart

If you have an IT provider or internal IT team, please forward them this information so they can assist with the required service restart.

If you have any questions or need support, contact us via the customer support portal.

23 June, 2026

From 1 July 2026, changes from the Australian Communications and Media Authority (ACMA) will affect SMS Sender IDs (the name shown to message recipients instead of a phone number).

MessageNet is the SMS service provider used to send messages from MedicalDirector Clinical.

What this means:

• SMS messages where patients can reply (e.g. appointment reminders with Yes/No confirmation) are already sent from a mobile number and are not affected by this change.
• SMS messages that don’t allow a reply (e.g. one-way recalls, results notifications, or informational updates) are sent using a Sender ID and will display as ‘Unverified’ from 1 July unless that Sender ID is registered with ACMA.
• Note: Many practices use both types, so even if your appointment reminders are unaffected, your one-way messages may still be impacted.
• If you send messages using a named Sender ID, you need to register it with ACMA before 1 July 2026.
• Unregistered Sender IDs will be displayed as “Unverified”.
• Registration requires confirming your ownership and use of the Sender ID.

What Pracsoft users need to do:

• Complete ACMA registration as soon as possible to avoid disruption. This will take only a few minutes to complete.

26 June, 2026

For GPs and Practice Managers.

This page is accurate as at 26 June we will regularly update this page as and when new information becomes available.  

What to do and when 

If you Tyro, you are already fully covered. No action required. 

What’s changing 

The Health Insurance Amendment Regulations 2025 update how patient consent for bulk billing is captured. The old DB4 form is replaced by a new “DB4 – Post Assignment” agreement with additional required fields. 

On 18 June 2026, the government announced key modifications (RACGP summary): 

• Verbal consent is sufficient for 12 months from 1 July 2026, alongside the requirement to keep the documented agreement for two years (based on current Government guidance as at the date of this newsletter). 

• Compliance enforcement will not begin until regulatory changes are complete — starting with education, not penalties. 

• Enduring AoB (ongoing consent across visits) is available from 1 July for MyMedicare patients, aged care residents, and ACCHO patients. Government is still confirming how this is recorded in software. 

How Pracsoft meets each requirement 

1. Capturing consent — Post-assignment 

What the legislation requires: An agreement containing patient name, Medicare number, provider details, service date, MBS item(s), agreement date, agreement type, whether the assignor is the patient, and an updated privacy notice. 

In Pracsoft v4.4: The printed DB4 form now includes all required fields: 

The workflow is unchanged: Waiting Room → right-click → Record Visit → Bulk Bill → Voucher to print. 

During the grace period, you do not need to print the form. Verbal consent is enough. 

2. Capturing consent — Pre-assignment 

What the legislation requires: A separate agreement where the patient consents by service group (e.g., “general consult”) before the consultation. 

In Pracsoft: Pre-assignment is handled by our partners during the booking flow — see below. Pracsoft does not have a direct patient-facing channel. Throughout the next twelve months, Pracsoft will make updates to receive and store a date/time-stamped acknowledgement from partners confirming pre-assignment was captured. 

What our partners are doing 

Before making changes in Pracsoft, check what your practice already uses. If a partner captures AoB, there is no need to capture it again. 

3. Reports and record-keeping 

What the legislation requires: Keep AoB records for 2 years. Provide a copy to the patient on request. 

Today (v4.2+): Use the existing Fees Detail – Bulk Claim Fees report. Keep printed DB4 forms on file. 

In v4.5: A new Assignment of Benefit Bulk Claim Details report adds dedicated columns — Agreement Date, Agreement Type, and Assignor — filterable by patient, practitioner, and date range. 

4. Enduring AoB 

What the legislation provides for: Ongoing consent across multiple visits for MyMedicare patients, aged care residents, and ACCHO patients. Government has not yet published how this is recorded in software. 

In v4.5: We are investigating how to support capturing and recording enduring consent. 

This document is a general overview based on publicly available government materials and current product plans as at 25 June 2026. It does not constitute legal or professional advice. Refer to RACGP guidance and Services Australia for further information. 

An updated July, 2026 Medicare Benefits Schedule (MBS) is now available to download below.

Download Update

In case you missed it: From 1 July 2026 there were several changes to the Medicare Benefits Schedule (MBS). Read the full details on the MBS website.

View instructions on how to update new MBS fees

Frequently Asked Questions

Q. Can I perform this update while people at the practice are working on Pracsoft?
A. Yes, you can do the upgrade at any time and it will not impact anyone currently working on Pracsoft. The upgrade will be applied automatically and instantly for all Pracsoft users.

Q. Do I have to apply this update on all my computers at the practice?
A. You only need to run this upgrade on one computer and this can be any machine in the practice, no need to do it on the server.

Q. How can I confirm the upgrade has worked?
A. You can check one of the updated item numbers against the new price values provided on www.mbsonline.gov.au and https://www.dva.gov.au/providers/fees-schedules.

Q. Will this upgrade overwrite my custom or health fund item numbers?
A. No, this will only update the fees in the MBS schedule that have been updated by Medicare, it will not alter any other custom or health fund fees you may have.

Any Fees Columns that have been generated by the surgery that include formulas will need to be recalculated.

Q: Will this update remove Deleted MBS Items?
A. No, deleted items have not been removed from the attached fee list for practices that require retrospective billing. Click to learn how to delete MBS fees

Q: Will this update change amended fee descriptions?
A. No, this update will not update amended fee descriptions. Click to learn how to modify MBS fees

If you have any questions or you experience any problems applying this update, please contact MedicalDirector Customer Care on 1300 300 161 or log an online enquiry.

From 1 November 2023 higher bulk billing incentives for Commonwealth concession card holders and patients aged under 16 years of age will be introduced and may be co-claimed with the specific consultation items. Please see the MBS Online Fact Sheet for Bulk Billing in General Practice here for further information. 

The new MBS Item numbers that are being released on 1 November to support the triple incentive items are included in the November MBS Fee Update. 

Please Note: Our team is actively working on a way to streamline this process which we expect to have available 2 November 2023. In the meantime manual replacement of the automatically populated incentive item to the new correct item will need to be done to ensure the correct rebate is collected.

It is not currently possible to automatically add the relevant incentives to only the applicable MBS items 91801, 91802 and 91920 Video Telehealth, and the 91900 and 91910 Phone Telehealth items as this incentive is reliant on the patient being registered at their practice through MyMedicare. At this stage, a patient’s MyMedicare registration is not able to be stored within Pracsoft and therefore unable to be verified as part of this billing workflow. Software Vendors, the MSIA and Services Australia are working together to make this possible in the future.  

To add the new incentive item numbers for eligible patients requires 3 steps detailed below: 

1. Apply the November Fee Update 
2. Enable Incentives for the relevant item numbers 
3. Recording the Visit 

Enable Incentives for the item numbers: 

1. Open Pracsoft 
2. Select Admin > Fees 
3. Click Find
   
   
4. Enter the item number you wish to allocate incentives for (eg 91910) and press ok
   
   
5. Tick ‘Incentive Eligible’
   

Recording the visit: 

1. Record your visit as usual adding the required item number 
2. An incentive item will pre-populate based on your Incentive Payments setting in Practitioner Details
   
   
3. If the pre-populated incentive item is incorrect for this item number/patient Untick Apply incentive 
4. Add the correct incentive item based on the latest MBS Changes and patient MyMedicare registration status, please see the MBS Online Fact Sheet for Bulk Billing in General Practice here for further information.
   
   
5. Complete the recording of the visit as usual