What HMR software should do
HMR software (Home Medicines Review software) is the toolkit accredited pharmacists use to run HMRs end to end: receive or log the GP referral, prepare for the home visit, document findings, draft a GP-ready report, check medicines, and support PPA claiming. A Word template and a shared inbox are not enough when you are delivering reviews every week.
Markoste is HMR software built around that loop. You dictate findings after the visit; Scribe drafts structured report sections you edit and approve. Case tracking, medicine reconciliation, MIMS checking, call log, travel log, and patient SMS sit beside the write-up so HMR admin does not spill into spreadsheets and phones.
What is a Home Medicines Review?
A Home Medicines Review (HMR) is a collaborative medicines assessment for people living in the community. Under Medicare Benefits Schedule item 900, a GP refers an eligible patient to an accredited pharmacist, who visits the patient at home, reviews their medicines, and sends a written report back to the GP with recommendations.
Eligible patients typically take multiple medicines, have recently been discharged from hospital, or are at risk of medication-related problems. The GP remains responsible for clinical decisions; the pharmacist provides a structured assessment and documented recommendations. HMR sits alongside related services such as Residential Medication Management Review (RMMR) in aged care and Aged Care Onsite Pharmacist (ACOP) governance work.
From referral to GP-ready report
Dedicated HMR software should cover more than a Word template: referral intake, visit notes, a GP-ready report, interaction checks, and a clear path to claim through the Pharmacy Programs Administrator (PPA).
Markoste ties that loop together. The HMR module tracks cases and referrers; Scribe drafts structured report sections from your dictated findings; medicine reconciliation pulls medicines from discharge summaries and GP letters; MIMS supports interaction checking. You remain the author of every clinical recommendation.
Aligned with how reviews are funded and claimed
Pharmacists looking for HMR software usually need tools that respect MBS-linked referrals, PPA service rules, and monthly service caps — not a generic consult note editor.
HMR delivery sits inside Australia's medication review program framework. Markoste is designed for that environment: case status through the HMR lifecycle, documentation that matches how you already report, and claiming workflow support without replacing your clinical judgement or your PPA obligations.
How Markoste compares with MR Assist, i3Soft, and Medscope
MR Assist describes itself as a secure cloud platform for accredited pharmacists and general practitioners to share, complete, and monitor HMR progress, with electronic referrals, a dual-sided clinic and pharmacist portal, template-based reports, and direct PPA Online claiming for initial HMRs (follow-up claims still uploaded manually). Clinics use it free; pharmacists pay per completed HMR. Markoste is pharmacist-workflow Home Medicines Review software first: AI Scribe documentation, medicine reconciliation, and HMR case management in one place, with RMMR and ACOP on the same platform — not a GP-clinic referral exchange billed per review.
i3Soft markets cloud software covering HMRs from referral to claim, RMMRs with templated reports, and MedsCheck claim tracking, plus evidence-based decision support, MedeLists, Morisky adherence tools, and an optional Windows client that can import patient and medicine history from Fred Dispense or Z Dispense. Markoste focuses on voice-to-report Scribe documentation, HMR/RMMR/ACOP clinical modules, MIMS checking, and Markoste+ guideline rules rather than MedsCheck claim tallies or dispensing-system importers.
Medscope Medication Review Manager (MRM) positions itself as HMR/RMMR review software with an expert system that uses multiple classification ripple-down rules (MCRDR) to identify case-specific drug-related problems and word findings for report use. Markoste+ takes a different CDS path: AI extracts structured parameters from your report for you to review, then a deterministic rules engine raises guideline-based alerts (for example STOPP/START). It does not claim MCRDR-style autonomous problem detection.
TGA-exempt CDSS posture
Markoste+ is designed as TGA-exempt CDSS: AI extracts structured clinical parameters from your report, then a deterministic rules engine alerts against published guideline rules and any custom rules you configure. You review parameters and alerts before anything enters the report. Markoste does not autonomously diagnose, prescribe, or replace pharmacist clinical judgement.