Know your outcome
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. But what is...
Seeing a patient without the right pre-authorisation
A pre-authorisation can be backdated. In by far the majority of cases, your patient will obtain authorisation for an initial consultation in advance of the actual date. But sometimes, the...
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 is 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 invoicing and billing process of a business. "I'll take a look at it next week" "I'll get round to it...
Reduced fees – reality check
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...
Times change. So do the rules
It is depressing the number of times I hear potential clients rubbishing insurance companies. In my experience the reasons normally cited are incorrect. Far from it. I've lost track how often...
Actually, you DID agree to that consultation 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...
Time is a really valuable commodity
The story so far.. I was literally 70% through billing for a client’s clinic he held yesterday. Eight separate patients and a mixture of initial and follow up consultations. All was going well until...
Keep you records up to date and well organised
A normal item when I get asked to review a consultant’s invoicing process is the potential for weakness in the area of records on his/her part. Carrier bags & Cardboard Boxes Sometimes,...
Inappropriate medical billing
What on earth is that? Inappropriate billing is literally getting it completely wrong! A couple of recent examples where consultants have tried to base their fees on the best rate available. Take...
Where do you find 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...
There is always a reason you are not 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...