Cliniko runs day-to-day allied-health practice operations: appointment calendars and online bookings, customisable treatment notes and health records, invoices and payments, telehealth, SMS reminders, multi-location business management, and practice reporting. Practitioner schedules in Cliniko set when appointments can be offered — availability for patient bookings, not a dedicated employee time-clock or punch history for payroll attendance. Keito is the layer clinics add for the hours: AI-drafted time entries a staff member confirms, reviewed and approved by someone else, with any change reasoned and recorded, before the hours become a paycheck.
Illustrative review queue
Illustrative pay period
Hours reviewed
Entries confirmed
42
Staff reviewed
8
Shifts covered
96
Hours tied to each shift
Staff member, role, and shift on every entry
Reviewed before payroll runs
A separate reviewer confirms hours before the batch closes
Evidence behind payroll
Reviewed hours back the payroll run
Cliniko clinics schedule patients, document treatments, invoice, and collect payments through practice management software built for allied health. Cliniko’s own materials describe practitioner schedules as the permanent availability that drives the calendar and online bookings — useful for when patients can book, not as a substitute for an independently reviewed time-and-attendance record before payroll. Keito answers the payroll question that leaves open: did each staff member confirm their hours, and did a separate reviewer approve them, before those hours became a paycheck.
Set up practitioners, reception staff, and reviewers in Keito in days — Cliniko keeps running booking, treatment notes, invoicing, telehealth, and online bookings exactly as it does today.
Keito drafts a time entry from the shift a staff member worked, so they confirm hours instead of reconstructing attendance from appointment calendars or practitioner availability at payroll time.
A separate reviewer approves payroll status before the period closes, then hands the approved hours to payroll as evidence.
Appointment availability is not payroll attendance
Cliniko is published as practice management software for clinics and allied-health practitioners: appointment calendars with online bookings, customisable treatment notes and health records, invoices and payments, telehealth, SMS messaging, multi-location business management, reporting, and a public API with Connected apps such as Xero and MailChimp for accounting and marketing add-ons. Public monthly pricing is presented by practitioner count on Cliniko’s pricing page (including named USD plans from a single practitioner through large multi-practitioner clinics, with a 30-day free trial and optional SMS billed per message). Cliniko help guides for practitioner schedules describe setting the days and hours a practitioner works so appointments and online bookings follow that availability — calendar availability, not a documented employee punch clock with In/Out history for payroll attendance. Reviewed Cliniko product and help materials do not describe a native employee timesheet, clock-in/out, or payroll attendance module; clinics that need staff timesheets typically connect outside time or payroll tools. Keito’s argument is not that clinics need a new practice management suite, scheduler, or invoicing platform — Cliniko already publishes that stack, and Keito makes no claim to treatment notes, patient booking, telehealth, invoices, or payments. It is that the hours behind a paycheck deserve AI-drafted entries a staff member confirms and a separate reviewer approves, rather than reconstructing attendance from calendars or practitioner availability. The boundary is deliberate: Keito has no EHR, scheduling, or billing tools, and it claims no native Cliniko integration, automatic import, or synchronisation. Cliniko keeps running the clinic; Keito is where staff hours get an independent review before payroll.
Choose Cliniko when the clinic needs booking, treatment notes, invoicing, telehealth, and online bookings purpose-built for allied health
Choose Keito when the problem is independently reviewed payroll hours that Cliniko’s practitioner schedules and appointment tools are not designed to replace
Prove it in one pay period: Keito runs alongside Cliniko, reviewing hours without touching charts, bookings, or invoices
Workflow fit
Keito keeps Cliniko alternative connected to client, project, billable status, approval, and invoice context before the work reaches finance.
Choose Cliniko when the clinic needs booking, treatment notes, invoicing, telehealth, and online bookings purpose-built for allied health
Choose Keito when the problem is independently reviewed payroll hours that Cliniko’s practitioner schedules and appointment tools are not designed to replace
Prove it in one pay period: Keito runs alongside Cliniko, reviewing hours without touching charts, bookings, or invoices
Keito drafts a time entry from the shift a staff member worked; they confirm and correct it instead of reconstructing attendance from appointment calendars at payroll time.
Cliniko’s schedules and reports surface when practitioners are available and how the clinic performed; Keito’s reviewer settles payroll status for every entry before the period closes.
Reviewers approve staff hours and hand the evidence to payroll for labor-cost review, through exports the team designs and tests itself.
The difference is not just recording time. It is whether the record can support billing, project decisions, and client conversations.
Product shape
A standalone workspace for reviewed, payroll-ready hours and labor-cost evidence.
Cliniko publishes allied-health practice management software — booking and online bookings, treatment notes, invoices and payments, telehealth, SMS, multi-location management, and reporting.
How time is captured
AI drafts a shift-specific entry from the time worked; the staff member confirms it, and a separate reviewer approves before it becomes a paycheck.
Cliniko sets practitioner schedules as appointment availability for the calendar and online bookings; reviewed product materials do not describe a dedicated employee time clock for payroll punches.
Correction and review
Every reviewed hour carries a reviewer, an approval state, and a reasoned record of any change, tracked from the first draft.
Cliniko’s reporting and schedule tools help clinics run appointments and understand practice performance; they are not documented as a second-approver payroll attendance workflow.
Review before payroll
A reviewer distinct from the staff member settles payroll status per entry before the period closes.
Cliniko keeps the clinical and billing source of truth; payroll-grade attendance review is outside the documented booking-and-availability path.
Pricing and adoption
Published flat team pricing and a setup measured in days, run alongside Cliniko.
Cliniko presents practitioner-count monthly plans online in USD with a free trial, with booking, notes, invoicing, and telehealth included in the platform.
Data movement
Team-designed, tested exports and API handoffs moved in deliberate stages.
Cliniko’s own reporting, Connected apps, and public API belong to its platform; connecting reviewed-hours data to outside payroll tools is not an assumed automatic sync with Keito.
It is software an allied-health clinic adopts instead of, or alongside, Cliniko, which runs booking, treatment notes, invoicing, telehealth, and online bookings for clinics and practitioners. Because Cliniko already covers that much of running a clinic, an alternative rarely replaces all of it at once. Keito is the alternative for independently reviewed staff hours: AI-drafted entries a staff member confirms, approved by a separate reviewer before those hours become a paycheck.
Cliniko schedules patients and practitioners and lets clinics set practitioner schedules as the permanent availability that drives the calendar and online bookings. Reviewed Cliniko product and help materials describe those as appointment-oriented tools, not a dedicated employee time-clock or punch history used as the payroll attendance source of truth.
The gap is payroll attendance review, not practice management. Cliniko already owns booking, treatment notes, invoicing, telehealth, and online bookings. Keito adds the hours layer: it drafts a time entry from the shift worked, the staff member confirms it, and a separate reviewer settles payroll status before the hours become evidence. Cliniko still owns the chart and the invoice; Keito owns the independently reviewed hours record.
Choose Cliniko when the clinic needs allied-health practice management — appointment calendars, online bookings, treatment notes, invoices and payments, telehealth, and SMS — on one platform. Keito does not reproduce any of it: no treatment notes, no patient booking, no telehealth, no invoices, no payments. It is the wrong choice if the immediate need is a practice management suite rather than an independently reviewed record of staff hours.
Each reviewed record keeps the staff member, role, shift, duration, description, payroll status, reviewer, approval state, and pay period, tied to the specific shift worked rather than an appointment count or practitioner availability block. That package backs the payroll run and gives a practice manager a reviewed answer when a staff member’s hours are questioned.
No. Keito claims no native Cliniko integration, automatic import, or two-way synchronisation — Cliniko’s own booking, notes, invoicing, Connected apps, and public API workflows belong to its platform, not Keito’s. Capture in Keito is its own workflow: AI-drafted, typed, timed, and manually entered records that pass review before becoming payroll evidence. A clinic can keep Cliniko for practice management and run Keito alongside it as the independent review layer for staff hours, with any transfer between them designed and tested by the team.
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