Why Outsourcing Administration Can Make Sense for South African Medical Practices

Not every medical practice needs a medical bureau. A practice with an experienced internal team and well-managed administrative processes may be perfectly comfortable keeping its billing and account administration in-house. But there are also practices where the receptionist is trying to follow up on unpaid accounts while managing a busy front desk, the practice manager […]
The Financial Impact of Rejected Medical Aid Claims

A rejected medical aid claim for R800 does not necessarily cost a medical practice only R800. Someone needs to identify the rejection, work out what went wrong, find the correct information, amend the account, resubmit it and then check whether payment eventually arrives. If the problem requires communication with the practitioner, patient or medical scheme, […]
How to Reduce Outstanding Medical Debtors

An overdue account may only become noticeable when it appears on an ageing report, but the problem often starts much earlier. It could begin with outdated patient details, unclear payment responsibility, delayed account submission or a follow-up that simply did not happen. By the time an account has been outstanding for 60 or 90 days, […]
The Importance of Compliance in Medical Billing

Compliance in medical billing can sound like a broad regulatory issue, but inside a medical practice it comes down to practical, everyday details. Was the correct patient information captured? Does the code accurately reflect the service provided? Is there enough information to support the account? Is sensitive patient information being handled appropriately? These details matter […]