Backdating a pre-authorisation
The patient arrives for the consultation but hasn’t obtained a pre-authorisation from his/her insurance company. Should you see the patient? Yes, of course, you should; patient care must come first....
When using the wrong digit costs £725!
It actually happened too. Consider a CCSD code for a follow up consultation = 20310. Now consider the CCSD code for a ECG = 20110. A consultant surgeon couldn’t understand why he was not getting...
Do you invoice quickly enough?
Following on from a recent blog and questions raised at a presentation to consultant surgeons, I was asked to further explain why you must invoice quickly. Unacceptable Delay The obvious one is that...
Excess charges – usual reason for non payment
Ever thought what is the most often quoted reason for non-payment by a patient of the excess? The same reason is quoted over and over again. Its not ‘I haven’t got the money” nor is it “I didn’t...
Getting paid for an excess
Most excess charges are between £75 or £100. Of course, sometimes they can be higher or even lower but often they are £75 or £100. Invoice for excess This in itself is not a problem. It's just as...
Open Referral – The Stark Reality
Recently a family member in conjunction with his/her GP decided an appointment with a private consultant was necessary. As the family member had private medical insurance through his/her...
Invoice for excess/shortfall
Take this ONE client as an example. Out of 15 consultations 4 (four) came back with excess / shortfall deductions totalling £575 in one week. So for a total of £2,500 worth of revenue from...
Benefits accumulator
Benefits or Fees This issue came up during a recent meeting with a consultant surgeon. More specifically how fees are accounted for against a benefits package and the possible creation of a...
Devil is in the detail
Especially when invoicing online but equally applicable to PDF invoices is the attention to detail when raising invoices. Real example: an MHM client has practicing rights in a number of hospitals....
Keeping accurate records
Not only are accurate records required to show how many patients you are seeing and how much you are owed but they are also required by your accountant. They want them because HMRC want them! Not...
Tracking your fees – MHM Fee Checker
Fees differ If fees differ between insurance companies how can they be checked and monitored? For example, a fee for a fictitious CCSD code XY4321 can differ between the big five insurance companies...
Pre-authorisation – revisited
Following the previous blog regarding pre-authorisation I was asked to explain what could go wrong even if pre-authorisation had been correctly obtained. To do so, consider this question against the...