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:
A central repository of all Medical Scheme’s plans, benefits, co-payments and limits. Know exactly what cover your patients have before treatment.
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.
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.
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
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.
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.
Let us deal with the red tape at Medical Schemes – we will handle your Medical Scheme escalation relating to outstanding and shot payments as well as PMB claims.
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.
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.
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:
Prescribed Minimum Benefits (PMB) training
Healthcare Professional Development Programme
Healthcare Management Certificates (HAMC)
For more information about our training services, please visit the DUXAH website – http://www.duxah.co.za
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.
Use this tool to search for the correct NAPPI code based on the product name, product code and manufacturer detail.
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 you outstanding and short paid PMB claims.
Use the SMS Communicator as your preferred SMS service provider to communicate appointments and outstanding accounts – at extremely competitive rates.