Services
Why Medical practices need Billing or Collection services:
In the ever-changing world of the healthcare, ensuring that outstanding payments are collected can be challenging. Late payments or rejected claims can significantly impact your practice’s cashflow. Our medical collections team helps providers to be remunerated for their services promptly, ensuring financial stability and peace of mind.
By reducing errors in billing claims and ensuring timely collections, we assist the practice to maximise their revenue.
Practice Management Solutions
Medical Billing:
Intelligent billing for specialist practices - Our team is dedicated to ensure that the billing received from your practice is done according to SAMA guidelines
Billing coding advice
Claims capture and EDI submission – we provide accurate capturing and submission of all claims, all our claims are checked for accuracy and completeness
Claims Management:
We manage and track all claims with follow-ups to the medical scheme or patient
Claims rejection management – All claims rejected are investigated by our team and the relevant steps are taken to ensure the claim is paid from either the correct benefits by the scheme or by the patient where applicable
Claims auditing – our experienced team can audit claims in line with SAMA billing rules.
Reconciliation of manual and electronic remittances – All remittances are verified against the practice bank statement to ensure accurate payment allocations
Reporting
Transparent reporting and communications. Your practice will have full access to the Practice Management application used by us. Furthermore, also being able to keep up to date with the daily progress of your claims, we prepare the following:
Monthly transactions reports.
Monthly management reports.
Customized reports to suit the practice needs
Legal support for Debt Recovery
In cases where legal action is required, we work closely with a partner of legal experts to help recover funds owed to your practice.
WCA Claims
We partner with a third party that specialises in the collection of WCA/IOD claims.
Pricing
Each practice is evaluated on their specific requirements and our fee will be determined depending on the services required and the size of the practice. Based on this evaluation our fees are calculated on the funds collected from medical schemes and patients.
Other Services:
Recruitment
Through a partner we are able to assist in recruitment of medical practice staff. The Recruitment process is a daunting task. The purpose of our partner is changing lives for the better. To make these perfect placements, our partner has a rigorous interview process that conducts thorough background checks, testing, preliminary interviews and reference checks. We want to ensure that our clients have access to the top candidates in the industry.
Web Design
Our sole design partner, can assist with creating and developing your website’s design. Based on your specific marketing strategy, they can design around your requirements, providing in-depth insight, research and visual elements. With continuous and collaborative development and engagement, you will have comfort in your vision brought to life.