Remittance Advice are important!
Many private consultant surgeons do not appreciate remittances sent to them are important. They are not just for tax reasons. They are not just to keep the accountant happy. There is a time-critical...
Stand your ground but don’t twist the facts
I argue with medical insurance companies all the time. Let me, however, be very specific about when and why I argue with them. I argue with them when I think they are wrong or when I think they...
Inappropriate Billing
What on earth is that? A couple of examples recently where consultants who have tried to base their fees on the best rate available. Take the consultant who realises that PMI company Num 1...
What is medical coding anyway?
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...
Excess and Shortfalls: 2018 style
Just taking ONE client as an example. Out of 15 consultations, 4 (four) came back with excess/shortfall deductions totaling £575. So for a total of £2,500 worth of revenue from outpatient...
You want to win? – then raise your standards
One of the most often asked questions is "how as a private consultant surgeon can I improve or increase my cash flow". The answer, as regards medical invoicing, is very simple to answer: RAISE YOUR...
The insurance company got it wrong
I argue with medical insurance companies all the time. Let me, however, be very specific about when and why I argue with them. I argue with them when I think they are wrong or when I think they...
What are you trying to do?
To successfully perform medical invoicing or medical billing there has to be a degree of focus on the task itself. In fact, there has to be a total concentration on the expected outcome. What...
How to see a patient without a pre-authorisation
A pre-authorisation can be backdated. In the majority of cases, your patient will obtain authorisation for a consultation in advance of the actual date. But sometimes, the patient arrives for the...
Cheaper is not always best
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...
Make sure you 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....