# SmartNP Assist — Complete Product Documentation

> AI-powered case-based learning platform and clinical portfolio builder for Nurse Practitioners globally
> URL: https://smartnpassist.com
> Created by: Dr Sudheer Talari, FRACGP, Medical Educator
> Last updated: 2026-07-27
> Version: 3.0

---

## Product Overview

SmartNP Assist is a web-based AI case-based learning platform and clinical portfolio builder designed exclusively for Nurse Practitioners (NPs) and NP Candidates (NPCs) globally. It transforms every patient consultation into a case-based learning opportunity — from recording and transcription through to educational analysis with a Mentor's Comment, billing optimisation, prescribing analysis, referral generation, mandatory reporting detection, NMBA compliance checks, and CPD audit tools. Every consult builds the NP's endorsement portfolio.

The platform addresses critical challenges in nurse practitioner practice: 32.8% of NP malpractice claims are diagnosis-related (NSO/CNA 2022); NPs spend 37% of their workday on documentation (Arndt et al. 2017); 80% increase in NP license defence claims over 10 years (NSO 2022); and 77% of NPs report imposter syndrome affecting clinical confidence. SmartNP Assist solves these through AI-powered case-based learning, automated documentation, structured clinical frameworks, and portfolio building for endorsement applications.

---

## How It Works

1. NP starts a consultation and taps "Record"
2. Audio is captured in-browser (no external hardware needed)
3. On completion, AI transcribes the consultation
4. The system generates:
   - Structured SOAP notes with NP-specific prescribing decisions, PBS item numbers, collaborative GP arrangement, AHPRA registration number, and mandatory reporting flags
   - Billing code suggestions with exact NP MBS item numbers and fees
   - Age/gender-specific screening reminders (country-specific guidelines)
   - Clinical analysis with safety netting
   - Prescribing analysis with PBS, S4/S8 flags, interactions, contraindications
   - Referral letters and GP collaboration documents
   - Mandatory reporting detection and ISBAR escalation
   - NMBA/AHPRA compliance assessment

---

## Australian NP MBS Billing Maximiser

The Billing Maximiser is the primary value proposition for Australian NPs. It analyses each consultation against NP-specific Medicare Benefits Schedule (MBS) eligibility criteria.

### NP Consultation Items (Australia)

| Item | Description | Fee | Duration |
|------|-------------|-----|----------|
| 82200–82216 | New NP Attendance Items (from March 2025) | Varies | Varies |
| 10900 | NP Management Plan — Level B equivalent | $39.75 | < 20 min |
| 10901 | NP Management Plan — Level C equivalent | $76.95 | 20–40 min |
| 10902 | NP Management Plan — Level D equivalent | $113.30 | > 40 min |
| 10903 | NP Telehealth Management Plan | $39.75 | Any |
| 91178–91190 | NP Telehealth Items | Varies | Varies |
| 721 | GP Management Plan (collaborative arrangement) | $156.55 | 30+ min |
| 2713 | Mental Health Care Plan (NP-initiated) | $156.55 | 30+ min |

### Same-Day Co-Claimable Procedures

| Item | Description | Fee |
|------|-------------|-----|
| 10988 | Immunisation Administration | $12.75 |
| 11714 | ECG Recording and Interpretation | $22.35 |
| 11707 | Spirometry | $33.95 |
| 11505 | Spirometry — Diagnostic | $48.05 |
| 11506 | Spirometry — Monitoring | $24.00 |
| 73805 | Urine Dip (Urinalysis) | $4.55 |
| 75870 | Blood Glucose (BGL) | $4.55 |
| 11610 | Wound Care / Dressing | $22.35 |

### Co-Claiming Rules
- Items 10900/10901/10902 can be co-claimed with procedures (ECG, spirometry, immunisation, urine dip)
- Items 10900/10901/10902 CANNOT be co-claimed with telehealth items (10903) on same day
- Item 721 (GP Management Plan) is billed by the GP; NP contributes clinical information under collaborative arrangement
- Item 2713 (Mental Health Care Plan) cannot be co-claimed with consultation items on same day

### NP Revenue Roadmap
For each patient, the system generates a visit-by-visit plan showing:
- Visit 1 (Today): What to bill now
- Visit 2 (1 week): Results review + care plan
- Visit 3+: Mental health sessions, reviews, follow-ups
- Total annual revenue per patient

---

## US CPT/E&M Codes (United States)

| Code | Description |
|------|-------------|
| 99201–99205 | New Patient Office Visit |
| 99211–99215 | Established Patient Office Visit |
| 99490 | Chronic Care Management (<20 min) |
| 99491 | Chronic Care Management (>20 min) |
| 99495 | Transitional Care Management (moderate complexity) |
| 99496 | Transitional Care Management (high complexity) |

---

## Prescribing Support (Section 6.7)

SmartNP Assist includes a dedicated Prescribing tab that analyses each consultation transcript and SOAP notes to provide:

- PBS item numbers for prescribed medications
- Schedule 4 (S4) and Schedule 8 (S8) classification flags
- Drug interaction checks
- Contraindication alerts based on patient history
- Non-pharmacological alternatives
- Monitoring plans (blood tests, follow-up intervals)
- Prescribing rationale documentation for NMBA audit compliance
- State-specific S8 authority requirements

NP prescribing authority: Australian NPs can prescribe S4 medications within their endorsed scope. S8 (controlled drugs) require specific state authority. SmartNP Assist flags when S8 authority is required.

---

## Referral & GP Collaboration (Section 6.8)

SmartNP Assist auto-generates referral and collaboration documents:

- GP referral letters (for conditions outside NP scope)
- Specialist referral letters (cardiology, psychiatry, orthopaedics, etc.)
- Allied health referrals (physiotherapy, psychology, dietitian)
- Collaborative arrangement documentation (NP-GP arrangement)
- ISBAR escalation handovers for urgent clinical situations

---

## Safety Flags & Mandatory Reporting (Section 6.9)

SmartNP Assist scans consultation transcripts and SOAP notes for mandatory reporting triggers:

- **Child protection**: Physical abuse, sexual abuse, neglect, emotional abuse indicators
- **Notifiable diseases**: Tuberculosis, meningococcal disease, hepatitis, STIs, COVID-19
- **Domestic violence**: Physical, emotional, financial, sexual violence indicators
- **Elder abuse**: Physical, financial, emotional, neglect indicators
- **Mental health risk**: Suicidality, self-harm, psychosis, acute mental health crisis
- **Impaired practitioner**: Concerns about another health professional's fitness to practise

When triggered, the system generates:
- ISBAR escalation handover document (Identify, Situation, Background, Assessment, Recommendation)
- Mandatory reporting documentation checklist
- State-specific reporting pathways

---

## NMBA/AHPRA Compliance — Registration Risk Shield

Assesses each consultation against the NMBA Nurse Practitioner Standards for Practice (2014, revised 2021):

- Scope of practice compliance check
- Collaborative arrangement documentation requirements
- Prescribing authority documentation
- AHPRA registration obligations (NP endorsement, 20 RN hrs + 10 NP endorsement hrs = 30 hrs CPD/year)
- Documentation adequacy assessment
- Safety netting adequacy review

Generates a risk score (0–100) with specific recommendations. Most consultations using SmartNP Assist score 70–95/100 because full consultation audio and transcript provides inherent documentation defence.

---

## Evidence-Based Screening Reminders

Age and gender-specific screening recommendations based on:
- RACGP Red Book (preventive care guidelines)
- RACGP Silver Book (older persons health)
- NHMRC guidelines
- ANMF position statements
- APNA clinical guidelines
- National screening programs (cervical, bowel, breast)
- Cardiovascular risk assessment (Framingham, AusCVD)
- Mental health screening (K10, PHQ-9, GAD-7)
- Diabetes screening (AUSDRISK)

---

## Clinical Documentation Generated

### Per Consultation (Automated)
- Raw transcript
- Structured SOAP notes (Subjective, Objective, Assessment, Plan)
- AI clinical summary
- 4-Layer clinical analysis
- Health roadmap
- Smart suggestions
- Prescribing decisions with PBS item numbers
- Safety netting documentation

### On-Demand Documents
- Specialist referral letters
- Allied health referrals
- Medical certificates / sick notes
- Investigation plans (pathology, radiology)
- Patient education handouts
- Chronic Disease Management Plans
- Mental Health Treatment Plans
- Prescribing analysis reports
- Mandatory reporting documentation

---

## Dr Talari's Clinical Frameworks

SmartNP Assist is built around Dr Sudheer Talari's proprietary clinical frameworks:

### 4-Layer Framework (Engage, Explore, Exclude, Evaluate)
- **Layer 1 — Engage**: Presenting complaint, opening statement, patient agenda
- **Layer 2 — Explore**: OSCE AAA history (Onset, Setting, Course, Estimate, Aggravating, Alleviating, Associated)
- **Layer 3 — Exclude**: DIRECTION red flags + Individual/Family/Community risk factors
- **Layer 4 — Evaluate**: Examination findings, assessment, plan

### Traffic Light Framework
- **Green**: Safe to manage in primary care
- **Amber**: Monitor closely, consider referral
- **Red**: Urgent action required, escalate immediately

### DIRECTION Framework (Red Flag Screening)
D — Drugs (medication side effects, interactions)
I — Infection (sepsis, meningitis, osteomyelitis)
R — Referred pain (cardiac, renal, aortic)
E — Endocrine (thyroid, adrenal, diabetes)
C — Cardiac (MI, PE, arrhythmia)
T — Trauma (fracture, haemorrhage)
I — Inflammatory (autoimmune, vasculitis)
O — Obstruction (bowel, urinary, biliary)
N — Neoplasm (malignancy, paraneoplastic)

### OSCE AAA (Layer 2 History)
O — Onset (when did it start, sudden vs gradual)
S — Setting (what were you doing, context)
C — Course (getting better, worse, or same)
E — Estimate (severity 0–10, functional impact)
A — Aggravating factors
A — Alleviating factors
A — Associated symptoms

---

## CPD Audit Tool

Tracks continuing professional development activities against NMBA requirements: 20 RN hours + 10 NP endorsement hours = 30 hours/year total. Features:
- Activity logging by category (clinical, education, research, leadership)
- Progress tracking against 30 hr annual target (20 RN + 10 NP)
- Audit report generation
- Record-keeping for 5 years (NMBA requirement)
- AHPRA myCPD portal integration guidance

---

## Technology Stack

- Web-based (works on any device with a browser)
- Progressive Web App (installable on mobile)
- Audio recording in-browser using Web Audio API
- AI transcription: Real-time speech-to-text
- AI analysis: Large language models
- Secure, encrypted data storage (AWS S3 Sydney — Australian data residency)
- Multi-country support (9 countries)
- Stripe-powered secure payments

---

## Pricing Model

| Plan | Price (AUD) | Inclusions |
|------|-------------|------------|
| Free Trial | $0 | 50 consultation credits, no credit card required |
| Pay-Per-Consult | $1/credit | Packs of 10 ($10), 25 ($25), 50 ($50), 100 ($100) |
| Monthly Subscription | $49/month | Unlimited consultations + 50 bonus credits |

All prices in AUD. 100% tax deductible for Australian NPs as professional development expense. No credit card required for free trial.

---

## Target Users

| User Type | Primary Use Case |
|-----------|-----------------|
| Endorsed NP | Daily consultations, billing optimisation, prescribing documentation, CPD evidence, NMBA compliance |
| NP Candidate (NPC) | Case-based learning, endorsement portfolio building, framework learning |
| Mental Health NP | Mental health consultations, MHCP generation, mandatory reporting |
| Chronic Disease NP | Care planning, CDM billing, long-term management |
| Practice Manager | Revenue optimisation, audit compliance, staff training |

---

## Multi-Country Healthcare Support

| Country | Billing System | Notes |
|---------|---------------|-------|
| Australia | MBS NP items 82200–82216, 10900–10903, 91178–91190 | Primary market |
| United States | CPT/E&M 99201–99215 | NP scope varies by state |
| United Kingdom | NHS documentation | Fee-for-service not applicable |
| New Zealand | ACC, DHB | Documentation support |
| Canada | Provincial billing codes | Documentation support |
| Ireland | HSE documentation | Documentation support |
| Netherlands | DBC codes | Fee-for-service |
| Singapore | MOH documentation | Documentation support |
| South Africa | HPCSA documentation | Documentation support |

---

## Disclaimer

SmartNP Assist is an AI-powered educational and documentation support tool. It does not replace clinical judgment. All clinical decisions remain the responsibility of the treating Nurse Practitioner. Dr Sudheer Talari / SmartNP Assist does not accept liability for clinical or legal decisions made based on AI-generated content. Always verify against current guidelines, your NP endorsement scope, and applicable legislation.

---

## Contact and Support

- Website: https://smartnpassist.com
- Creator: Dr Sudheer Talari, FRACGP, Medical Educator
- Support: Available through the platform
- Machine-readable summary: https://smartnpassist.com/llms.txt
- AI permissions: https://smartnpassist.com/ai.txt