Articles

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

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

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 It could begin with outdated patient details, unclear payment responsibility, delayed account submission or a follow-up that simply did not happen.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

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?

If you run a specialist practice in South Africa, administration is rarely the quiet background work people imagine. Claims go out late. A scheme asks for a code you already sent. A patient was active on the morning of the consult and inactive by the

Most specialists don’t go into medicine to chase medical aid claims. Yet in a South African practice, billing sits right next to clinical work. A theatre list can go perfectly and still leave the practice waiting weeks for payment if a membership number was wrong,