How to Prepare Your Practice for a Medical Aid Audit

How to Prepare Your Practice for a Medical Aid Audit

A medical aid audit is not always a sign that something is wrong. In South Africa, schemes and administrators use Section 59 of the Medical Schemes Act to check claims that look inconsistent, late, poorly coded or poorly documented. Specialists feel this more than most, because high-value procedures, hospital work, authorisations and scheme-specific tariffs all […]