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,
If you run a specialist practice in South Africa, billing is rarely just “send the claim and wait”. Medical scheme rules change. Membership details are wrong at the counter. A theatre list is billed late because the admin team is already drowning. Short payments sit
Healthy cash flow is one of the most important factors in the success of any healthcare practice. No matter the size of your practice, delayed payments and rejected claims can place unnecessary pressure on daily operations and long-term growth. Improving your billing processes is one
