How to back date a preauthorisation
A pre-authorisation can be backdated. In by far the majority of cases, your patient will obtain authorisation for a consultation in advance of the actual date. But sometimes, the patient...
Have your consultation fees been reduced?
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...
EDI invoicing
We noticed earlier this year another of the major insurance companies - Vitality - are no longer accepting paper invoices. The curious thing about this decision is why has it taken them so long? For...
I haven’t charged the right amount!
Undercharging or not charging the right fee is much more common than you may think. Consider the two real examples below. THE ENT SURGEON Surgeon A is an ENT consultant surgeon. He performs a E1910...
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...
Can you transfer a pre-authorisation?
A pre-authorisation can be transferred. But only with the insurance company's permission! A group of consultants who refer patients to each other asked this question. They always seemed to have...
Don’t use your home address!!!
Using your home address for correspondence when you are a private medical practitioner is not a good idea! It is a very bad idea in fact. For example: a couple of weeks ago - a private medical...
Receipts and Health Cash Plans
Every so often I take a phone call from a self funding patient. The patient requires a receipt for their payment. The patient can then re-claim the amount paid from their health cash plan provider....
Get it right first time and every time
In the world of medical billing the most efficient way of doing something is to do right first time. What happens if you don't? You don't get paid. MHM recently completed a project for a...
How to increase your cash flow
One of the most often asked questions is "how can I increase my cash flow". The answer, as regards medical invoicing, is very simple: RAISE YOUR STANDARDS But what does that mean in reality?...
How and when to argue with a medical Insurance Company
I argue with medical insurance companies all the time. Let me, however, be very specific about when and why I argue with them. When I think they are wrong or when I think they have made a mistake,...
What is the expected outcome of medical billing?
To successfully perform medical invoicing or medical billing there has to be focus on the task. But what is the required outcome of such a task? Getting the invoice paid is ALWAYS the desired...