Medical Aid
Discovery Health ERA Delay
Kindly take note of the below communication from Discovery.
Dear Partner
Delay on weekly ERAs We would like to inform you that we have identified an error with the generation of provider electronic statements for payment dated 28 November 2023 for claims submitted in the week prior and therefore there will be a delay with the upload of electronic statements. We are currently working on resolving the issue and we will provide feedback once it is done. We apologise for the inconvenience caused. If you have any questions, please email us at ETM_OPERATIONS@discovery.co.za Regards,
Electronic Transaction Management Functional Enablement: Claims Support Services Discovery Health |
Brought to you by Medinol Medical Billing Software
Mastering Medical Practice with Medinol: Your Path to Success
Here’s How Medical Practice Management Software Can Help You Win the Battle Against Medical Aid Schemes
In the complex world of healthcare, medical professionals often find themselves in a constant struggle to ensure they receive fair compensation for their services from medical aid schemes. The administrative burden of managing claims, dealing with denied claims, and navigating the intricacies of medical billing can be overwhelming.
However, there is a powerful ally in this battle – Medical Practice Management Software.
Let’s explore how using Medical Practice Management Software, like Medinol, can help you streamline your operations and maximize your reimbursements.
The Challenge of Dealing with Medical Aid Schemes
Medical aid schemes play a critical role in the healthcare ecosystem, helping patients access necessary medical services. However, for medical practices, getting paid fairly and on time can often be a daunting task.
Here are some common challenges faced:
- Claims Processing Complexity: The intricacies of claims processing, coding, and submission can lead to errors, resulting in delayed or denied payments.
- Claim Denials and Rejections: Frequent claim denials and rejections due to coding errors, lack of required information, or other issues can disrupt cash flow.
- Administrative Overhead: The administrative workload involved in handling claims and managing patient data can consume valuable time and resources.
The Solution: Medical Practice Management Software
Medical Practice Management Software, like Medinol (visit us at medinol.co.za), is designed to address these challenges head-on and empower medical practices to streamline their operations while enhancing revenue collection.
Key Benefits of Using Medical Practice Management Software:
1. Efficient Claims Processing:
- Medinol’s intuitive software simplifies the claims submission process.
- It includes built-in checks to minimize coding errors, reducing the risk of denials and rejections.
2. Enhanced Revenue Collection:
- By accelerating the claims process, you can expect faster payments from medical aid schemes.
- Track and manage outstanding claims effortlessly to ensure timely follow-up.
3. Improved Administrative Efficiency:
- Reduce administrative overhead with features like automated EDI submissions, patient records management, and billing.
- Free up staff time to get back to focusing on patient care rather than paperwork.
4. Comprehensive Reporting:
- Access insightful reports and analytics to monitor practice performance, identify bottlenecks, and make data-driven decisions.
5. Compliance and Security:
- Ensure compliance with healthcare regulations and safeguard patient data with robust security measures.
6. Seamless Integration:
- Medinol can seamlessly integrate with other healthcare systems, making data exchange and management smoother.
Conclusion
Medical aid schemes will continue to be an essential part of the healthcare landscape. However, with the right tools and strategies, you can navigate the challenges they present effectively. Medical Practice Management Software, such as Medinol, offers a holistic solution to streamline operations, reduce administrative burdens, and improve revenue collection.
If you’re tired of being short-paid and want to win the battle against medical aid schemes, it’s time to explore the benefits of Medical Practice Management Software. Visit our website at medinol.co.za to learn more about Medinol and how it can transform your medical practice. Take the first step towards optimizing your operations and ensuring you receive the compensation you deserve.
Finally, if you are tired of being short-paid, contact us today and discover how Medinol can revolutionize your medical practice management. Don’t let administrative hassles hold you back from providing the best care to your patients.
6 Key Benefits of Outsourcing Your Medical Billing Tasks for Healthcare Providers
Unlocking Efficiency: The Clinical Advantages of Outsourcing Medical Billing
In the intricate world of healthcare provision, where precision and time are paramount, optimizing administrative processes is essential. The title “6 Key Benefits of Outsourcing Your Medical Billing Tasks for Healthcare Providers” encapsulates a strategy that can revolutionize healthcare operations. Delve into the core advantages of this approach and how it enhances clinical efficacy and patient well-being.
How Outsourcing your Medical Billing can elevate your practice.
1. Increased Efficiency: By outsourcing your medical billing tasks, healthcare providers can focus more on patient care and other core activities. Professional billing companies have the expertise and resources to handle billing processes efficiently, resulting in faster reimbursements and reduced billing errors.
2. Cost Savings: Outsourcing medical billing can significantly reduce overhead costs for healthcare providers. Instead of hiring and training an in-house billing team, outsourcing allows providers to access specialised services at a fraction of the cost. This includes software, hardware, and ongoing training expenses.
3. Improved Cash Flow: Timely and accurate billing is crucial for maintaining a healthy revenue cycle. Outsourcing medical billing ensures that claims are submitted promptly and accurately, leading to faster reimbursements. This improves cash flow and helps healthcare providers maintain financial sustainability.
4. Expertise and Compliance: Medical billing companies have a team of experienced professionals who stay updated with the latest industry regulations and coding changes. By outsourcing, healthcare providers can ensure compliance with complex billing rules, reducing the risk of audits, penalties, and claim rejections.
5. Scalability and Flexibility: Outsourcing medical billing allows healthcare providers to scale their operations up or down as needed. Whether it’s a private practice, a small clinic or a large hospital, outsourcing offers flexibility to handle fluctuations in patient volume without compromising billing accuracy or efficiency.
6. Access to Advanced Technology: Billing companies invest in advanced billing software and technology to streamline the billing process. By outsourcing, healthcare providers gain access to these tools without the need for upfront investments. This ensures efficient claim submission, accurate coding, and detailed reporting for better financial management.
Outsourcing medical billing tasks can be a game-changer for healthcare providers. It not only improves operational efficiency but also allows providers to focus on their core competencies. By leveraging the expertise of professional billing companies, healthcare providers can optimize revenue generation, reduce costs, and enhance patient care.
In the ever-evolving landscape of healthcare, the power to excel lies in strategic decisions that elevate patient care and operational efficiency. As a healthcare provider, you hold the key to transforming your practice into a pinnacle of success.
Ready to embark on this transformative journey? Take the leap towards streamlined medical billing, increased revenue, and enhanced patient interactions. Embrace the future of healthcare administration by partnering with Medical Billing Desk, where expertise meets innovation. Your patients deserve the best, and your practice deserves to thrive. Make the shift today and witness the remarkable impact on your clinical endeavors.
Sanlam Insurance Medical Fees 2023
Sanlam Insurance Medical Fees
Year: | 2023 |
% increase: | 5.9 |
Updated: | 30/12/2022 |
- Medical examinations
Tariff code A1101 |
1.1 General Practitioners
Description Standard Medical Report including copies of specialist reports or special investigations. |
Units 65 |
2023 | ||||
Previous year’s fee |
Increase |
Rounded
Fee (Without discount) |
Excl. VAT |
VAT Value |
|||
R 955.00 | R 1,011.35 | R 1,011.30 | R 879.39 | R 131.91 | |||
A1102 | Standard Medical Report without any copies of specialist reports or special investigations | 52 | R 764.00 | R 809.08 | R 809.10 | R 703.57 | R 105.53 |
A1103 | Short Medical Report or abbreviated variations thereof | 26 | R 381.90 | R 404.43 | R 404.40 | R 351.65 | R 52.75 |
A1105 | Cardiovascular Examination and Report only | 26 | R 381.90 | R 404.43 | R 404.40 | R 351.65 | R 52.75 |
A1106 | Three blood pressure recordings during one visit | 26 | R 381.90 | R 404.43 | R 404.40 | R 351.65 | R 52.75 |
A2100 |
1.2 Specialist Physicians Standard Medical Report including copies of specialist reports or special investigations. |
94 |
R 1,372.50 |
R 1,453.48 |
R 1,453.50 |
R 1,263.91 |
R 189.59 |
A2200 | Standard Medical Report with resting ECG only ( 12 leads ) | 123 | R 1,792.90 | R 1,898.68 | R 1,898.70 | R 1,651.04 | R 247.66 |
A2300 | Standard Medical Report with Effort ECG ( resting, post-effort, 3- and 6 mins post recovery tracings ) | 136 | R 1,983.90 | R 2,100.95 | R 2,101.00 | R 1,826.96 | R 274.04 |
A2401 | Examination and completion of questionnaire on cardiovascular system | 56 | R 823.40 | R 871.98 | R 872.00 | R 758.26 | R 113.74 |
A2402 | Examination and completion of questionnaire on cardiovascular system, including resting 12-lead ECG | 85 | R 1,235.30 | R 1,308.18 | R 1,308.20 | R 1,137.57 | R 170.63 |
A2403 | Examination and completion of questionnaire on cardiovascular system, including effort ECG | 100 | R 1,464.10 | R 1,550.48 | R 1,550.50 | R 1,348.26 | R 202.24 |
A1103 |
1.3 Nurses (doctor delegated exams, in fulltime employment of a doctor) Short Medical Report or abreviated variations thereof |
26 |
R 381.90 |
R 404.43 |
R 404.40 |
R 351.65 |
R 52.75 |
A1104 | Body mass index (BMI) assessment | 5 | R 74.60 | R 79.00 | R 79.00 | R 68.70 | R 10.30 |
A1106 | Three blood pressure recordings during one visit | 26 | R 381.90 | R 404.43 | R 404.40 | R 351.65 | R 52.75 |
A1202 |
2. Sample collection (GP’s, Specialists) Collection of blood sample(s) for pathological examination(s), per venesection |
10 |
R 152.90 |
R 161.92 |
R 161.90 |
R 140.78 |
R 21.12 |
A1301 |
3. Electrocardiograms (GP’s, Specialists) Resting ECG only – 12 leads |
29 |
R 420.20 |
R 444.99 |
R 445.00 |
R 386.96 |
R 58.04 |
A1302 | Effort ECG ( including resting, immediately post-effort, 3- and 6 minutes post-effort tracings ) | 42 | R 611.20 | R 647.26 | R 647.30 | R 562.87 | R 84.43 |
Tariff code
A1306 |
1.1 General Practitioners
Description
4.1 Lung Function tests (GP’s) Lung fuction test with vitalometer ( no interpretation or report ) |
Units
26 |
2023 | ||||
Previous year’s fee |
Increase |
Rounded
Fee (Without discount) |
Excl. VAT |
VAT Value |
|||
R 381.90 |
R 404.43 |
R 404.40 |
R 351.65 |
R 52.75 |
|||
A1307 |
4.2 Lung Function tests (Specialists) Lung fuction test with vitalometer ( no interpretation or report ) |
26 |
R 381.90 |
R 404.43 |
R 404.40 |
R 351.65 |
R 52.75 |
A1401 |
5. Extracts from records/special quesionnaires (GP’s, Specialists) Personal Medical Attendant Report |
31 |
R 458.40 |
R 485.45 |
R 485.40 |
R 422.09 |
R 63.31 |
A1402 | Copies of previous reports | 21 | R 305.60 | R 323.63 | R 323.60 | R 281.39 | R 42.21 |
A1403 | Completion of specific reports (eg Diabetes, psychological/nervous disorders questionnaire ) | 26 | R 381.90 | R 404.43 | R 404.40 | R 351.65 | R 52.75 |
A1404 | Loan of one or more ECG,s | 10 | R 152.90 | R 161.92 | R 161.90 | R 140.78 | R 21.12 |
A1405 | Report for deceased estate | 31 | R 458.40 | R 485.45 | R 485.40 | R 422.09 | R 63.31 |
A4104 | Personal Medical Attendant Report for sportspeople by team doctor | 49 | R 710.70 | R 752.63 | R 752.60 | R 654.43 | R 98.17 |
A1501 |
6. Counselling (GP’s, Specialists) HIV Post Test Counselling |
52 |
R 764.00 |
R 809.08 |
R 809.10 |
R 703.57 |
R 105.53 |
A3101 |
7. Radiology (Specialist Radiologists) X-ray chest PA and lateral |
56 |
R 823.30 |
R 871.87 |
R 871.90 |
R 758.17 |
R 113.73 |
A3103 | X-ray chest PA only | 44 | R 640.60 | R 678.40 | R 678.40 | R 589.91 | R 88.49 |
A4101 |
8. Reports by Specialists Copies of previous reports |
25 |
R 366.10 |
R 387.70 |
R 387.70 |
R 337.13 |
R 50.57 |
A4102 | PMA by a Specialist | 38 | R 548.90 | R 581.29 | R 581.30 | R 505.48 | R 75.82 |
A4103 | PMA by a Specialist with copies of previous reports and test results | 47 | R 686.10 | R 726.58 | R 726.60 | R 631.83 | R 94.77 |
A1450 | Completion of specific reports (Psychological/Nervous disorders questionnaire) | 31 | R 457.30 | R 484.28 | R 484.30 | R 421.13 | R 63.17 |