by Pete Crutchley | Oct 21, 2014 | Medical Billing News
Fees differ If fees differ between insurance companies how can they be checked and monitored? For example, a fee for a fictitious CCSD code XY4321 can differ between the big five insurance companies by as much as £100. Add to the equation another code. AB9876. It may...
by Pete Crutchley | Oct 16, 2014 | Medical Billing News
Following the previous blog regarding pre-authorisation I was asked to explain what could go wrong even if pre-authorisation had been correctly obtained. To do so, consider this question against the background of a recent (within the last month) issue… The patient...
by Pete Crutchley | Oct 14, 2014 | Medical Billing News
Reality is, the question itself is incorrectly asked! A consultant surgeon or other medical professional doesn’t set his/her own fees. Instead the fees payable are designated by the private medical insurance company with whom the patient is insured. Take ANY surgical...
by Pete Crutchley | Oct 9, 2014 | Medical Billing News
What does a pre-authorisation actually mean? Many times either the patient or the consultant has queried why an account has not been paid in full. The cry is heard citing a correct pre-authorisation has been obtained. The issue concerns the interpretation of the phase...
by Pete Crutchley | Oct 7, 2014 | Medical Billing News
There are certain details, which the invoice sent to the insurance company, must show. Otherwise, you may not get paid. Minimum Requirements The layout must include the following: Patient full name, patient complete address (including the postcode!!), patient’s...