SpesPrac (Pty) Ltd

SERVICES Practice Billing Income Management PMB Management Financial Reporting Debt recovery Patient queries _____________________________________________________________________ Practice Billing: Capturing of daily in-and-out of hospital billing. Allow real time claiming from Medical Schemes. Our knowledge of ICD-10 codes ensure that billing is precise and in line with medical board standards. Monitoring medical scheme rejections and problem solving. Income Management: Accurate receipt allocations for patient accounts. Processing of Medical aid remittances. Receipting of all patient, electronic transfers. Reconciliations of patient accounts. Follow up of Medical scheme queries. PMB Management: Motivation and applying for PMB’s according to medical standards. Follow up on PMB’s applied for. Financial Reporting : Monthly financial reporting allows our clients to understand the growth and overall view to make financial decisions and to set financial goals. Reports generated includes financial age analysis, monthly invoices vs monthly income, transaction summaries and medical aid age analysis. Credit Control: Dedicated credit controllers that collect all payments that are due. Follow up with medical schemes to collect payments. Collecting payments from patients, where medical aids short paid accounts. Sorting of accounts in statuses for ease of reference. Handing over Bad Debt to Med Collections (In house legal company) for Legal collecting (Optional) Software used: SpesPrac uses Vericlaim as a total paperless cloud software. With relationship that is established over years, we negotiated tariffs that are extremely competitive in the market, to give to our clients the best services at a reasonable cost. Feature of Vericlaim include but not limited to: ICD-10 search engine, Clinical note functions, reporting, paper-less patient filing, paper-less diary keeping. Other systems also in operation: Elixir, GoodX and Med EDI.