by Pete Crutchley | Jan 8, 2016 | Medical Billing News
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 does not mean, the insurance company will accept...
by Pete Crutchley | Jan 7, 2016 | Medical Billing News
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 concerns the interpretation of the phase “pre-authorisation” and what it...
by Pete Crutchley | Jan 6, 2016 | Medical Billing News
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 against a benefits package and how this may lead to the possible...
by Pete Crutchley | Jun 18, 2015 | Medical Billing News
One of the major areas MHM is approached about is excess and shortfalls. As at May 2015, empirical evidence indicated 26% of all claims to private medical insurance companies are subject to an excess/shortfall. This is not to imply the insurance companies are...
by Pete Crutchley | Nov 27, 2014 | Medical Billing News
A question, which was asked recently at a private practice seminar MHM were presenting at. Interestingly the question was asked by a consultant surgeon who had started his/her private practice two years earlier. He was of the opinion that such excess was the...
