Your attention is urgently drawn to the fact that The Council for Medical Schemes resolved on 25 May 2011 to suspend the accreditation of the managed care organization, Emerging Market Healthcare for 3 years on the basis of suspected fraud/corrupt payments to certain individuals.
The Medical Aid options with which EMC is involved includes:
• Prosano ProVider & Pro Classic Options
• Resolution Health “Foundation Option”
• Protea Medical Aid: Student and Essential option
It is our duty to caution you that, as a possible provider of service to patients on these schemes, your payment for these options may or may not be affected by this suspension of EMC’s operations. Until further notice, you should carefully consider the position of your practice and whether you should or should not convert patients on these options to cash.
The application of the CPC motto “Cash is King” needs to be carefully considered.