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COID/WCA Medical Tariffs Increase for 2019

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COID/WCA 2019 Tariff Increase

Date: 30 March 2019

COID/WCA Medical Tariffs Increase for 2019 is 6.4 percent

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MEDINOL MEDICAL BILLING | PRACTICE MANAGEMENT SOFTWARE

Medinol is one of the few purpose-built practice management application to meet the unique needs of independent private healthcare providers.

Today Medinol helps over 130 providers throughout South Africa run more efficient and profitable practices, while delivering outstanding patient care.

As an on-premise software, Medinol and the data it manages, is fully under your control. This enhances your independence and privacy: what happens in your rooms, stays in your rooms.

Medinol helps manage your patient information, generates your billings, submits your claims, controls your outstanding debtors, and get your accounts paid quickly.

Medinol has been in operation since 1984, demonstrating its proven efficacy.

Medinol’s mission is to help independent practices succeed in an ever-changing healthcare environment.

More information can be found at https://medinol.co.za.

Contact:

Fudley Bezuidenhout Pr.Eng.
Founder and CEO
Email: info@medinol.co.za
Ph: 021-906-2296
Cell: 082-688-9610

MOMENTUM MEDICAL TARIFFS 2016

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practice management software review

Dear General Practitioner

Momentum Health Scheme Rate for 2016

Thank you for partnering with us in 2015. Your on-going support in 2016 will help ensure the provision of world class healthcare to our members.

We would like to confirm the increase in the reimbursement rates for 2016, which will be effective from 1 January 2016. The standard GP consultation rate (tariff code 0190) will be R323. Through our on-going quarterly profiling process, practices who qualify and comply can earn an additional R60 or R30 per consult, subject to being a Category 1 or 2 GP respectively. Your practice will receive a separate communiqué, should you qualify for this benefit.

For any other procedure, Momentum Health will be increasing the general Scheme Rate by 5%. This increase will be applicable on the current rate payable for procedures, and can be viewed on our website at www.provider.momentum.co.za.

Dispensed medicines and consumable products used as part of in-room procedures will be reimbursed as follows:

  • All dispensed medicines (including unscheduled) are priced according to the SEP / List Cost Price + 30% to a maximum of R23.40 per item
  • All unscheduled consumable products (0201) used during procedures are priced according to List Cost Price + 31% mark-up
  • All scheduled consumable products (schedule 0 to 8) used during procedures are priced according to SEP + 30% to a maximum of R23.40 per item.

We thank you once again for being the custodians of our members’ healthcare, and wish you and your staff all the best for 2016.

Kind regards

Dewald van Jaarsveld
Provider Reimbursements

Tags: practice management software review

Discovery Premiums Massive Increase in 2017

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Discovery Health has announced its new premiums for 2017, which are set to increase between 7.8% and 14.9%.

The average premium increase across Discovery Health’s plans are 10.2% – significantly higher than last year’s 8.6%, and even higher than the forecast CPI of 6.8%

The increases for individual Discovery Health plans are as follows:

  • Executive and Comprehensive: 11.9%
  • Coastal Core: 14.9%
  • Coastal Saver: 7.8%
  • All other plans: 9.9%

According to Milton Streak, ‎Principal Officer at Discovery Health Medical Scheme, most of their members will see an increase of 9.9% or lower in 2017.

Discovery Health is the biggest medical scheme on the open market with over 2.7 million members. The group warned earlier this year that premiums would be going up due to significantly higher claims than in previous years.

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Submitting Claims to Transmed State+ Universal Health

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Electronic claims to be sent via MediSwitch EDI.

Universal’s telephone number is: 086 168 6278.

They are the administrators for Transmed’s State+ network option.

So firstly, inside Medinol … go into Files -> Medical Aid … then ADD a new medical aid called Transmed-Universal …. give it a Medical aid code let’s say TU

Be sure to enter the EDI code as: 194

Save this new medical aid.

Now re-enter any members covered by this option as members of the newly created TU.

Reinvoice them using the new member codes.

Create Batch and submit to Medi-Switch.

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Spectramed change of Administrator

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Spectramed change of Administrator

 

Date: 11 July 2018  

 

Kindly take note that as of 01 November 2014 , V-Med administrators will no longer administer Spectramed claims , The new administrator Agility Global Health Solutions will be administering Spectramed claims for Doctors , Pharmacy and hospital claims.  

 

Please take note that the Switching codes for Spectramed will remain ( ROSP0000 / 522P). *** Medinol users: EDI CODE 522 (No “P”) Kindly take note that for today only MediSwitch will be rejecting all Spectramed claims as “ Mediswitch will not accept your claims via MediSwitch “ Kindly resend affected claims as of 01 November 

 

Please refer to the attached document for further information as well as important contact numbers. 

 

Spectramed contact details

 

Existing contact details will be retained

 

Call Centre: 0861 497 497

Fax Number: 0861 492 492

Email address: enquiries@spectramed.co.za

 
Kind regards

 

 

Important changes on Glustitch and Corvadil

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The pack price for Glustitch has changed to reflect the price per application and NOT per bottle.
 
Please note that when 1 is entered in the qty you will only be claiming for a SINGLE application.
 
ie: There are 5 applications per 1ML @ R49.06 per application
There are 10 applications per 2ML @ R27.51 per application
* prices exclude VAT and Markup
 
Corvadil 5mg and 10mg tablets have changed their name to Pendine.
NAPPI and SEP remain unchanged.
 
These changes will be included in the file dated 8 February 2013

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