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Our area of expertise include

Claims management

  • Generating invoices
  • Billing/Coding – invoice accounts with application of the billing rules as per the Doctor’s Billing Manuel, published by the South African Medical Association as well as general guidelines by CMS.
  • Submission of claims to the relevant funder
  • Claim are submitted electronically to the medical funders via Mediswitch.
  • Prompt follow up on payment and ensuring reimbursement for services
  • We claim PMB with remarkable success.

Debt management

  • We generate emails and SMS reminders from the practice management system, to your patients so that they are aware if any money is owed to your practice. The quicker the reminders go out, the faster your money is collected.
  • Accounts that are deemed uncollectible by the age of a hundred and twenty (120) days we hand over to a Debt Collector. All legal costs are collected from the debtors.

Remittances and reconciliation

Accounts receivable analysis

  • All the administration expenses are covered in our fee. You will be billed a percentage of Accounts received (actual income) and not on Accounts invoiced.
  • With WCA claims we are assisted by Dedicated Debt Collection (DDC). They have good reputation in getting these accounts paid within a reasonable time frame. They invoice you separately for these accounts paid.
  • We proud ourselves in the professional manner all accounts are handled. We always deal with accounts in such the manner, not to conflict with the applicable rules of the Health Professional Council. We maintain a professional relationship with all clients, patients and funders always. Because we handle all the financial aspects, you can focus on the patients’ well-being.