GEMS Tanzanite Beryl Adherence Letter
As a network provider your compliance with GEMS protocols are being reviewed.

As a network provider your compliance with GEMS protocols are being reviewed.

Simply send a WhatsApp message to 012 426 4655 to contact Medipost Pharmacy. From there, you can register as a patient. This enables you to place requests for your medication to be dispensed, arrange for free courier delivery and route your delivery to an alternative address if needed.
Medipost Pharmacy can communicate with patients in all official languages and keeps the costs of chronic medicines low due to the large scale of its operations and the fact that the group of companies complement one another in a secure value chain.
The group’s in-house supply and distribution service, Kawari Wholesalers, obtains medicines directly from pharmaceutical manufacturers. The group’s logistics company, MediLogistics, transports the medicines to Medipost Pharmacy in accordance with the principles of Good Pharmacy Practice.
Once the medicines have been dispensed, MediLogistics delivers the patient-ready parcels directly to patients or medicine collection points, including doctors’ practices, completing the continuum of care.
When confronted with a choice between in-house based Medical Billing System and a web-based or hosted Medical Billing System system, which might happen to be the better choice for you and your practice?
Current economic hardship being what it is means more and more medical practitioners are finding themselves facing this critical question that needs a decision.
For starters, it is a good idea to have clarity on the understanding of both terms. In-house based Medical Billing systems where the application is based at the medical practitioner’s site, is the most popular. On the other hand a ASP or web-based Medical Billing system as the name suggests is hosted by a third party somewhere on the web.
Actually both systems have their pros and cons which a medical practitioner should closely examine in order to make an informed decision.
There is no question that you will always have much more control of things with a in-house based Medical Billing system. It is faster and you do not have to rely entirely on the Web to access your practice billing data. Suffice to say there is a price to pay and it starts with a generally higher upfront investment you will have to make to acquire the medical billing software outright. Moreover remote access to your Medical Billing System data when you are away from the practice is limited and generally a little complex than the case would be with a web based system.
On the other hand, a web based medical billing software means that your upfront costs reduce dramatically. Not only for the initial setup but also in terms of maintenance since the IT professionals belonging to the hosting vendor are obligated to maintain it and you should have no costs in that regard. Not to mention the online back-up service that is done automatically for you. And then you can always access your data from anywhere in the world as long as you have an Internet connection which has to be one of the greatest pluses a web based system has.
But in this greatest strength also lies its major weakness. And that is the fact that your access is totally dependant on an internet connection meaning that access in certain areas and under certain conditions will just not be possible.
Then there are the usual risks that go with web based systems. For instance your data could end up being completely inaccessible in the event that the online company hosting it goes belly up. Or your have cloud outages.
All these aspects have to be considered and deliberated upon before you make a decision. It will depend a lot on your practice, what you want to do with it and of course your medical billing software budget.
Date 29 June 2018
Dear Healthcare Provider,
From 1 January 2017, all hearing aid claims will require the submission of a valid NAPPI code. From 1 April 2017 any hearing aid claim submitted without a valid NAPPI code, will be rejected and a unique rejection code will alert you and your patient of the NAPPI code requirement to rectify this in order to process and pay your claim.
Nappi Codes
Based on the definition in the Medicines and Related Substances Control Act (No 101 of 1965), hearing aids fall within the category termed “medical devices”. In the medical aid industry, the current standard process is that medical devices are identified via unique NAPPI codes. The submission of a NAPPI code with any medical device is an acceptable and standard claims submission norm. It allows for transparent product identification and pricing. The NAPPI code thus enables the processing of claims on a uniform basis, subject to scheme specific benefits and rules.
Claims submission
We have been advised that when you submit your claim for tariff code 821830 or 83051 (global charge for supply and fitting of hearing aid and follow-up), ensure that the NAPPI code is submitted in the descriptor field of the claim. The actual price of the NAPPI code is not required on the claim. The claimed amount for these two tariff codes should be the composite of the cost of the hearing aid and the cost of the associated professional fees.
Medprax Nappi File
We have included all valid NAPPI codes for hearing aids in our Material file. These include the correct pricing for each hearing aid and device, and will be automatically imported into your software when you run your weekly update. You are able to charge the correct price according to the medical aid reimbursement rate. Your software can assist you should you wish to only claim the amount for the tariff codes and submit the NAPPI code at a zero price.
Contact us
Please do not hesitate to contact us should you wish to subscribe to the weekly Material file update.
If you have any questions or need assistance in understanding the requirements for the above hearing aid claims.
Karen Colby
031 9049208
karen@medprax.co.za
Applicable to the following constituent medical schemes: