Ever had to change a CCSD code after surgery?
This issue has come up a few times over the years. Indeed, I've already been asked the question twice during 2016 and it's only January 11th too. Consider if, during the initial consultation,...
Medical invoicing – 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...
PRE-AUTHORISATION: the actual example.
Consider when the patient has contacted his/her insurance company and been issued with a pre-authorisation number. The actual meaning and use of a pre-authorisation was discussed yesterday. A...
PRE-AUTHORISATION: WHAT IT REALLY AUTHORISES?
Many times either the patient or the consultant has queried why an account has not been paid in full citing a correct pre-authorisation was obtained before the episode or consultation. The issue...
HOW THE BENEFITS ACCUMULATOR CREATES A SHORTFALL FOR A SURGEON
Following yesterday's blog, I received two emails from consultant surgeons regarding the relationship between benefits and fees. More specifically how fees are accounted for...
GYNAECOLOGIST – the difference between benefits and fees.
This is one of the most frequently and mis-understood issues in the world of medical invoicing. Even if either way the result leads to an excess invoice being required and sent to the...
ORTHOPAEDIC SURGEON – consultation within six months
I'm used to insurance companies declining to pay a consultation that occurs within 10 days of a surgical episode. It's the very reason before I invoice consultations within 10 days of...
Ritually, religiously supported by ONE piece of equipment and you get paid.
In one single sentence the cornerstones of how a private consultant surgeon can achieve the financial reward for all his efforts. Ritual Every single time you perform an outpatient clinic the...
What it’s REALLY like when you don’t get the right details
What follows is absolutely real and why medical invoicing can be more troublesome than it need be. Ordinary Day One of my guys ran an outpatient clinic last Thursday The clinic list...
When should becomes MUST
Don't say - "all the details should be obtained". Say "all the details MUST be obtained". In other words, turn "should" into a must. But why is this so important? And why must you do it every...
As a Consultant Surgeon you must measure your business
All MHM clients are very dedicated individuals. Having spent approximately 15 years of training and to become a consultant surgeon, they then go on to work incredibly long hours. They do so...
How long should a consultation last?
An interesting question asked by a consultant in the process of starting her own private practice. And a question I couldn't really answer. What I could do was interrogate, based on a month's...