Seeing a Patient without a Pre-Authorisation
The patient arrives for the consultation. He hasn’t obtained a pre-authorisation. Should you see the patient? Yes, of course, you should. Patient care must come first. But the patient does not have...
Cheaper is not always the best option
Working for a consultant surgeon is fun. However, since one particular private medical insurance company decided to outsource their help desk or their "advisors" late last year, there has been a...
It’s a good idea to actually send an invoice
There a few things I hear that automatically set alarm bells ringing when I look at the billing process of a medical practice. "I'll take a look at it next week" "I'll get round to it in a bit"...
Reduced fees – the reality
Two different MHM clients - both consultant surgeons - have been advised by a specific insurance company that the fees for their initial and follow up consultations are being reduced. They are not...
Times change and so do the rules
It is depressing the number of times I hear potential clients criticising insurance companies. In my experience the reasons normally cited are incorrect. Far from it. I've lost track how often I've...
I didn’t realise I was agreeing to such a low fee
In terms of medical billing, this perhaps is one of the statements I hear from private consultant surgeons more frequently than others. The following example illustrates that despite the rejection...
Deliberately charging more than you should
A couple of examples recently where consultants have tried to base their fees on the best rate available. Take the consultant who realises that PMI company Num 1 pay £300 for a procedure. PMI...
Finding and using a CCSD Code
A question asked at the recent presentation. Insurance companies use medical coding to identify and detail a medical procedure. For example: if you are an Orthopaedic surgeon you will understand...
What’s the big secret to getting paid?
There is always a reason why you aren't getting paid. And the number one reason is that no invoice has been sent. Take, for example, the consultant surgeon I was working with recently. The issue as...
Forgive me but you CAN charge for an inpatient consultation
I was at a medical conference recently and one of the speakers - a well-established consultant surgeon and an incredibly safe pair of hands - stated during his presentation that a private...
Private Practice is dangerous if you don’t know where you are
All MHM clients are very dedicated individuals. Having spent approximately 15 years of training and finally becoming a consultant surgeon, they go on to work incredibly long hours....
Why EDI is not working for you
A question we were asked very recently. One, in fact, we are asked frequently. But what is the problem? You don't have the correct details There are a few very simple reasons why online invoices are...