Services

Providing support, knowledge and technology to ensure a thriving healthcare practice

With growing complexity, payment ambiguity, managed care, co-pays and other healthcare insurance trends, the SpesNet products and services have been designed to help professional medical healthcare practitioners and their practice staff to effectively manage the operational and business aspects of their practice by providing practical solutions for "real-world" concerns in everyday practice.

These include:

Health Code Index

Accurate coding reduces administration, the need for motivations and medical scheme rejections. We provide you with a clinically appropriate cross match between RPL, ICD-10 and CPT4 (CCSA) codes and also:

  • An RPL, ICD-10 and CPT4 search engine
  • RPL tariff, including Payment Arrangements tariffs
  • PMB indicator per ICD-10 code
  • ICD-10 Age and Gender validation
  • Primary & Secondary ICD-10 code validation
  • ICD-10 External Cause code warning
  • NAPPI code search
  • Real-time coding updates

Funder's File

A central repository of all Medical Scheme’s plans, benefits, co-payments and limits. Know exactly what cover your patients have before treatment.

Website Builder

Ensure you have an online presence! That’s how patients find you. You are now able to build and manage your own website – free to subscribing members.

Payment Arrangement Database

A central repository of all Medical Scheme’s Payment Arrangements and Alternative Reimbursement Models (ARM’s). Optimising your practice income by assisting you in comparing these and choosing the correct ones for your practice.

Healthcare Helpline

This call centre is both managed and supported by a dedicated team of medical professionals, clinical nursing case managers as well as coding experts. Call them for advice on ICD-10, RPL and CPT4 (CCSA) coding, PMBs and general healthcare issues.

Human Resource Management and Legal assistance

As a subscriber we provide you with electronic contracts and policy documents, saving you time and assisting you to manage your staff and protect your practice. We also provide you with other legislated forms and documents such as a Practice Patient agreement, the Childrens Act forms and National Health Act to name a few.

Account Management Services

Let us deal with the Medical Scheme red tape – we will handle your Medical Scheme escalations relating to outstanding and short payments as well as PMB claims.

Injury on Duty Claims

Let our dedicated team of specialists assist you in recovering your outstanding IOD claims. Let us deal with the red tape at the Compensation Fund. 

For a detailed list of all the SpesNet services and products and your subscription options, please refer to the table below: 

 

- Subscription can be offset against practice expenses as a tax benefit
- Where required, SpesNet reserve the right to alter this product and service offering
- A calendar month's notice period on termination of contract required

 

ProductsPlan 2Plan 3
Subscription R 590 p.m (VAT incl) R 770 p.m (VAT incl)
Log on's - Single Sign On Dr + 2 Dr + 3
Additional Users R 75 p.u.p.m R 55 p.u.p.m
Patient Informed Consent - through ADAM
Human Resources Management Contracts and Policies
Practice / Patient contracts
Legislated Forms and Notifications
Website Builder
Preferential debit & credit card rates & rentals
SpesCommunicator - SMS service
Funders File Specific search Comparative search
Payment Arrangement database
Healthcare Helpline - ICD-10 support
Healthcare Helpline - RPL support
Healthcare Helpline - CPT4 support
ICD-10 search
RPL search
CPT4 search x
RPL Tariff (Payment Arrangements incl)
RPL-ICD-10 cross match
RPL-ICD-10-CPT4 cross match x
PMB indicator per ICD-10 code
ICD-10 External Cause code warning & guidance
ICD-10 Age & Gender warning
Coding updates
SpesNews monthly edition
Discount on chargeables 10% 20%
Account management Services Chargeable Chargeable
HPCSA assistance Chargeable Chargeable
Medical Scheme forensic audit support Chargeable Chargeable
Training - CPD Chargeable Chargeable
Training - RPL/ICD-10/PMB's Chargeable Chargeable
Training - Practice Management Chargeable Chargeable

 

  • Health Code Index

    Accurate coding reduces administration, the need for motivations and medical scheme rejections. We provide you with a clinically appropriate cross match between RPL, ICD-10 and CPT4 (CCSA) codes and also:

    • An RPL, ICD-10 and CPT4 search engine
    • RPL tariff, including Payment Arrangement tariffs
    • PMB indicator per ICD-10 code
    • ICD-10 Age and Gender validation
    • Primary/secondary ICD-10 code validation
    • ICD-10 External Cause code warning
    • NAPPI code search
    • Real-time coding updates
  • Funders File

    A central repository of all Medical Scheme’s plans, benefits, co-payments and limits. Know exactly what cover your patients have before treatment.

  • Web Builder

    Ensure you have an internet presence! Most people are coming to expect that any professionally run business will have a web site. With a well-designed website your healthcare practice becomes a real player, both on and off the net.
     
    As a subscriber to SpesNet you are able to use our free Website Builder to create and manage your own website.

  • Payment Arrangement database

    A central repository of all Medical Scheme’s Payment Arrangements and Alternative Reimbursement models (ARM’s). Optimising your practice income by assisting you in comparing these and choosing the correct ones for your practice.

  • Healthcare Helpline

    This call centre is both managed and supported by a dedicated team of medical professionals, clinical nursing case managers as well as coding experts. Call them for advice on ICD-10, RPL and CPT4 coding, PMB’s and general healthcare issues.

    With established relationships at all the major Funders we are able to provide services that include:

      • Medical coding support and assistance including

        • ICD-10 diagnostic codes,
        • NHRPL (SAMA) codes,
        • CPT4 (CCSA)
        • Combinations/cross matching of these code sets
      • Advice on correct application of RPL rules and modifiers

      • Coding assistance and support with clinically complex cases.

      • Account intervention and assistance with Funder escalations, Prescribed Minimum Benefits (PMB) accounts and PMB Pre-authorisations.

      • Regular electronic updates about changes in billing rules and coding standards.

  • Human Resources Management and Legal assistance

    As a subscriber we provide you with electronic employment contracts and policy documents, saving you time and assisting you to manage your staff and protect your practice.

    We also provide you with other legislated forms and documents such as a Practice Patient contract, the Childrens Act forms and National Health Act to name a view.

  • Account Management Services

    Let us deal with the red tape at Medical Schemes – we will handle your Medical Scheme escalation relating to outstanding and short payments as well as PMB claims.

  • Credit Card Terminals

    We have negotiated with all major Banks to offer you exceptional discounts on transactional and rental fees on in-room credit and debit card machines. The savings you generate out of this service, often makes the SpesNet membership offer more than cost-neutral. Use our online Savings Calculator to see how much you could save.

  • Injury on Duty claims (COID)

    Let our dedicated team of specialists assist you in recovering your outstanding IOD claims. Let us deal with the red tape at the Compensation Fund.

  • Coding Management Training

     

    SpesNet offers training through DUXAH, The Academy of Healthcare. DUXAH, evolved from within SpesNet and embarked on a mission to educate, motivate and incentivise postgraduate training and assist Specialists, their staff and all healthcare administration managers. 

    We offer the following:

    Coding training 

    • ICD-10 coding
    • RPL coding (Reference Price List) 

    Prescribed Minimum Benefits (PMB) training 

    Healthcare Professional Development Programme 

    • Practice made perfect
    • Research Methods
    • Risk Management
    • Statistics for clinicians 

    Healthcare Management Certificates (HAMC) 

    • Administration Management Certificate
    • Healthcare Management Certificate
    • Business Management Certificate 

    For more information about our training services, please visit the DUXAH website – http://www.duxah.co.za

     

  • In-field Practice Support Consultants

      • Provide personalised support services to both the doctor and his/her practice staff.

      • Assistance and advice in practice management reviews.

      • Assistance and advice on Funder agreements, DSP’s and preferred provider contracting.

      • Update subscribing members regularly on Healthcare market changes and trends.

      • Establish your practice support needs and implement the appropriate solutions.

  • NAPPI search

    Use this tool to search for the correct NAPPI code based on the product name, product code and manufacturer detail.

  • Prescribed Minimum Benefits (PMB’s)

    Through Health Code Index we provide you with a Prescribed Minimum Benefit (PMB) indicator on ICD-10 codes and our Healthcare Helpline is just a call a way to assist you with your outstanding and short paid PMB claims.

  • SMS Communicator

    Use the SMS Communicator as your preferred SMS service provider to communicate appointments and outstanding accounts – at extremely competitive rates.

Featured services

Health Code Index

Accurate coding reduces administration, the need for motivations and medical scheme rejections. We provide you with a clinically appropriate cross match between RPL, ICD-10 and CPT4 (CCSA) codes and also: • An RPL, ICD-10 and CPT4 search engine • RPL tariff, including Payment Arrangement tariffs • PMB indicator per ICD-10 code • ICD-10 Age and Gender validation • Primary/secondary ICD-10 code validation • ICD-10 External Cause code warning • NAPPI code search • Real-time coding updates

Credit Card Terminals

We have negotiated with all major Banks to offer you exceptional discounts on transactional and rental fees on in-room credit and debit card machines. The savings you generate out of this service, often makes the SpesNet membership offer more than cost-neutral. Use our online Savings Calculator to see how much you could save.

Injury on Duty claims (COID)

Let our dedicated team of specialists assist you in recovering your outstanding IOD claims. Let us deal with the red tape at the Compensation Fund.