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For surgeons, specialists and anaesthetists
Reviewed by Panbo Ye, CFP®, FCPA Last reviewed
We help surgeons, physicians and anaesthetists see what each list, room and fund really pays, with accounting, tax and financial planning under one roof.
Your first meeting is at no cost, with no obligation · English or Mandarin
At a glance
| Your first meeting | Free, no obligation. Bring a recent payslip, agreement or report and your last return. We confirm scope and fees in writing before any work starts. |
|---|---|
| What’s included | Tax returns and tax planning, PAYG instalments, a monthly one-page income report, a review of your rooms and billing-agent agreements, and super and insurance advice from our financial planners. |
| Who you’ll work with | A client manager as your single contact, a senior tax manager reviewing your work, and me, Panbo Ye (CFP®, FCPA), leading advice. |
| Fees | Personal tax return with a financial wellbeing check $330; sole-trader schedule from $550; tax planning from $1,500 (+GST). See all fees |
What we help with
We read your billing reports and agreements so your decisions about lists, rooms and staff are made on facts.
Room fee, secretary, billing agent, consumables and indemnity, divided by the sessions you actually run. Some sessions lose money once everything is counted.
Gaps, rejected claims and slow payers build up quietly. We reconcile billing reports to Medicare, fund and hospital remittances every month, so bad debts are caught while they can still be collected.
Income by hospital, procedure and fund, against costs and last year, so decisions about lists, rooms and staff are made on facts.
How specialist income flows
Specialist billing has more moving parts than almost any other profession. These are the areas where we most often find gaps.
For in-hospital services, Medicare pays 75% of the schedule fee and the patient’s fund pays the rest under its no-gap or known-gap arrangements. Each fund’s schedule differs, so the same procedure can pay very differently.
Clear written estimates before surgery reduce disputes and bad debts. Good practices treat consent as part of cash flow, not just paperwork.
A GP referral to a specialist is generally valid for 12 months (unless stated otherwise) and a specialist-to-specialist referral for 3 months. Expired referrals mean lower rebates or rejected claims, and unhappy patients.
Agents typically charge a percentage of collections. We compare the fee with what an in-house setup would cost, and check that what you receive matches what was billed.
Assistant fees, anaesthetic time units and after-hours modifiers are easy to under-claim and hard to recover later. We look at patterns across your lists.
The GP relief schemes in NSW, Queensland and Victoria largely do not cover non-GP specialists. If rooms collect your fees and pay you a share, that money flow can create payroll tax exposure for the practice, and costs that come back to you.
Most specialists start with sessional rooms: a licence to use a room for set sessions, often with reception and equipment included. It is a business decision with long tails. Here is what we look at with you, alongside your lawyer.
Genie, Gentu, Clinic to Cloud, Bp VIP.net, Zedmed, Xestro, Medical-Objects, HealthLink, Tyro Health, HICAPS, Billing agents, Heidi / Lyrebird.
Tax and wealth
Personal services income rules limit what a company or trust can do for a sole specialist. Once you employ staff or build a practice, the picture changes. We test it against the rules and your numbers.
PAYG instalments matched to your real income and a separate tax account, so the bill is never a surprise.
Above $250,000, concessional super contributions attract an extra 15% tax. Super can still make sense, and we show you the numbers.
Own-occupation income protection matters as much as the amount, and your service or rooms agreement should be read clause by clause. Income protection for doctors → Contracts and structures →
How it works
Book online
Bring a recent billing report and your room agreement, and I’ll tell you plainly where your time and money go. In English or Mandarin, in Chatswood or online. Prefer to talk first? Call 1300 913 929 or 0405 913 913.
Calendar not showing? Open the booking calendar in a new tab → or call 1300 913 929.
Reviewed for accuracy
Panbo Ye, CFP®, FCPA, SMSF Specialist Adviser™ and registered tax agent; founder of Everglow.
Last reviewed:
Rules, rates and thresholds change. Check the source, or talk to us, before acting. This page is general information, not personal advice.
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General information only. This page is general in nature and does not take into account your objectives, financial situation or needs. Rules, rates and Medicare items change; figures are current at the date of publication and should be checked against the ATO, Services Australia, MBS Online and your state revenue office before you act. Everglow is not a law firm: we review the financial, tax and commercial side of agreements and work alongside your lawyer for legal advice. Clinical and coding decisions always remain with the treating practitioner. Tax services are provided by Everglow Accounting Pty Ltd and Kam & Beadman Pty Ltd (liability limited by a scheme approved under Professional Standards Legislation). Financial advice is provided by Everglow Wealth Pty Ltd, Corporate Authorised Representative No. 1254987 of PGW Financial Services Pty Ltd (AFSL 384713).