The Art of Excess and Shortfalls
One of the major areas MHM is approached about is excess and shortfalls. In October 2019, empirical evidence indicated 26% of all claims to private medical insurance companies are subject to an...
Assumption: the root of all mistakes
Some consultant surgeons aren’t fully familiar with the fees paid by different medical insurance companies for the same surgical episode. They actually undercharge without even realising it. Any of...
Rubbish In = Rubbish Out
MHM recently completed a project for a hospital. The project was to investigate why the hospital was not getting paid. One insurance company was proving to be particularly troublesome. An analysis...
Pre-authorisation issued but payment refused.
Consider when the patient has contacted his/her insurance company and been issued with a pre-authorisation number. This does not mean, the insurance company will accept your charge. This happened to...
Patient’s Insurance Policy and Exclusions
Recently my stepdaughter received confirmation from her GP additional tests were required for an issue that had arisen. Both she and her Mum were somewhat disturbed that the waiting time for the...
Sexist. But True
My website designer friend related a really interesting tale to me this week. He designs websites for all sorts of businesses including consultant surgeons but was confused. He’d checked the traffic...
How can you have a follow up when you haven’t seen the patient before?
Another day arrives. Its time to invoice yesterday's clinics. Pay attention This is a good example of not paying sufficient attention to the clinic list. It almost cost the consultant £50. The...
The Insurance Company took my fee back!
Some insurance companies decline to accept invoices that are sent more than six months after the consultation or surgical episode. Fair enough, they should have been invoiced. BUT… A statement was...
A Life of Their Own
Have you ever thought how long a pre-authorisation is live? Or how many didn’t realise some insurance companies deem pre-auths do have a life span? For example: I was asked to invoice for a...
Back up your data – PEASE!!
It’s amazing how many people don’t back their IT systems up. When they have an accident, they have a serious accident. One guy kept all his correspondence and notes on his laptop and only on his...
Don’t be afraid to ask for the money
Why are you in business? Many times, consultant surgeons have approached MHM because they, as consultant surgeons, don’t like asking patients for the money. And from a certain point of view, this is...
www.can’t be bothered.co.uk
Every time I give a presentation to consultants wishing to start a private practice it's pretty much guaranteed, I’ll get asked about having a website. In particular, I’ll be asked – do I need one?...