Practice Notes
Insights from the Elle Health team
Why Medical Aid Claims get rejected and what your practice can do next.
The patient was treated three weeks ago. The claim went through on time. Now it is back in the worklist with a code that explains very little, and someone at the practice has to work out what happens next. A rejected claim does not always mean the account will remain unpaid. It means the scheme
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How to Choose Medical Billing Software for Your Practice
The demonstration looked tidy, claims moved across the screen, reports appeared in a click and every question seemed to have a feature attached to it. The real test begins a month later, when the receptionist is busy, a payment does not reconcile and a rejected claim needs an answer before the patient calls again. Medical
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Common ICD-10 coding errors that affect Medical Aid Claims
The claim comes back with an ICD-10 rejection. The code looks familiar, the consultation was documented and the account seemed complete. Somewhere between the clinical record and the claim line, however, the information stopped matching. In South Africa, ICD-10 is the national diagnostic coding standard. The code submitted should be supported by the healthcare record
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OHSC Compliance for General Practices: A Plain-Language Summary
If you run a general practice in South Africa, OHSC (Office of Health Standards Compliance) inspections are part of the landscape. But between seeing patients and managing your practice day-to-day, it can be difficult to know exactly where you stand – or where to start. This summary breaks down the key compliance requirements from the
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