by Pete Crutchley | Jan 27, 2022 | Medical Billing News
One of the major areas MHM is approached about is excess and shortfalls. In October 2021, empirical evidence indicated 30% of all claims to private medical insurance companies are subject to an excess/shortfall. This is not to imply the insurance companies are to...
by Pete Crutchley | Jan 26, 2022 | Medical Billing News
This is a topic that comes up frequently when I meet Private Consultant Surgeons. Indeed, the point was mentioned last year in a blog regarding asking self-funding patients to pay in advance. Self-funding patients represent the major risk of non-payment for the...
by Pete Crutchley | Jan 25, 2022 | Medical Billing News
Most consultants when they first start a private practice, consider how best they can set their fees. In reality, it is not the consultant who sets his or her own fees. It is the patient’s insurance company. Consideration of fee setting should be viewed from two...
by Pete Crutchley | Jan 24, 2022 | Medical Billing News
Take, for example, a patient who requires an injection which may be performed by a private orthopaedic surgeon at an outpatient consultation. Thus you raise an invoice for, as an example, £195 [£100 for the consultation and £95 for the injection]. Please be...
by Pete Crutchley | Jan 23, 2022 | Medical Billing News
MHM recently completed a group of consultants with a remit to investigate why they were not getting paid. One insurance company was proving to be particularly troublesome. An analysis of a month’s invoices soon identified why for particular insurance company...
by Pete Crutchley | Jan 22, 2022 | Medical Billing News
Consider when the patient has contacted his/her insurance company and been issued with a pre-authorisation number. This does not mean, the insurance company will accept your charge. This happened to an MHM client a few days ago. We spoke to the insurance company...
