CODING – the importance of the right fee
Just as you must make sure you use the right code for a consultation, you must ensure you use the right fee to accompany that code. This becomes even more crucial when you are charging...
CODING – the importance of the right code
Not many understand and fully appreciate the necessity of getting the consultation code absolutely right. Regardless of which insurance company you are sending an invoice to, the correct...
SPEAKING WITH AN INSURANCE COMPANY
There are certain items that are mandatory when you call a patient’s insurance company. Such requirements are dictated by the Data Protection Act and, put simply, it's highly unlikely without...
THE CONSULTATION IS NOT COVERED – PART THREE
There are many reasons an invoice for a follow-up consultation submitted to an insurance company may be declined for payment. Over the last couple of days, some - using real examples - have...
THE CONSULTATION IS NOT COVERED – PART TWO
I took a phone call from a medical secretary yesterday morning who had read the post regarding consultations not being covered under a patient's policy. She had a number of declined...
“THE CONSULTATION IS NOT COVERED UNDER YOUR PATIENT’S POLICY”?
Sometimes it can be confusing as to the precise reasons an invoice is declined by an insurance company. For example: an invoice for an initial consultation and an investigatory procedure was...
DO YOU INVOICE QUICKLY ENOUGH?
Following on from a recent blog and questions raised by a group of consultant surgeons, I was asked to further explain why you must invoice quickly. The obvious answer is that the sooner you...
CAN A PRIVATE PATIENT BE SEEN AT AN NHS LOCATION?
I took a phone call earlier this week asking if a recently established private consultant could see a patient privately at an NHS location. The argument if a private patient should be allowed...
BACK DATING A PRE-AUTHORISATION
The patient arrives for the consultation but hasn’t obtained a pre-authorisation from his/her insurance company. First question: should you see the patient? Yes of course you should. Patient...
INAPPROPRIATE BILLING
What on earth is that? Couple of examples recently where consultants who have tried to base their fees on the best rate available across the PMI estate spring to mind. Take the...
Ritual = Results
Ever wondered why MHM clients get very regular payments both from Insurance Companies, Private Hospitals and self-funding patients too? It is down to the above discipline - the ritual - both...
Want to take the island? Then burn the boats!
Many times I'm asked how and why MHM clients achieve their practice aims with apparently so little effort. How do they take the island? Defined Objective MHM does not allow its...
