Consultation not covered under the patient’s insurance policy
Sometimes it can be confusing why an invoice is declined for payment. The patient arrived for her consultation. She brought her pre-authorisation number too. An invoice for her...
Changing a CCSD Code post surgery
This issue has come up a few times over the years. Consider if, during the initial consultation, you advise your patient surgery is required. The patient is therefore given a CCSD code...
The patients won’t just be referred to you now.
One of the most common remarks I hear from my guys is the number of patients they see in the NHS. They literally have patients queuing up to see them. Such a comment is normally followed by the...
Failure to get paid is not an accident – why aren’t you getting paid?
Failure to get paid is not an accident. Something has always caused it. And the number one reason is that no invoice has been sent. Take for example, the consultant surgeon I was working with...
Self funding patients – pick the phone up!
Many times I come across a consultant who is having problems getting paid by self-funding patients. This is often followed by a reference to numerous reminders and sometimes even final...
Pre-authorisation declined but still issued?
Numerous times when I've sent an invoice for an excess or a shortfall, the patient telephones and quotes the pre-authorisation to me claiming their insurance company will settle the account. In...
My patients keep claiming they’ve already paid!
This specific issue comes up frequently when MHM is asked to review the outstanding accounts of a private consultant surgeon. There are two reasons normally why the patient believes they have...
Getting to the cause of the problem.
MHM recently completed a project for a private hospital. The project was to investigate why various private medical insurance companies were not paying. One insurance company was proving to be...
Are you making it easy or hard to get paid?
If you get the basics right many problems with getting paid aren't allowed to happen. Accidents aren't allowed to happen. The basics mean the absolute minimum and mandatory requirements in...
Measuring how you are performing is a must.
All MHM clients are very dedicated individuals. Having spent approximately 15 years of training and finally becoming medical professionals, they go on to work incredibly long hours. They do so...
Can you back date a pre-authorisation?
I've been asked this question quite a few times over the years. In by far the majority of cases, your patient should obtain pre-authorisation prior to the initial consultation. But sometimes,...
Why Mr A Surgeon gets paid quickly but Mr B. Surgeon doesn’t
There are only 24 hours in a day. All of my guys are incredibly busy. I'm amazed at the volume of work they get through in a single day. They are either on-call, doing a ward round or in...