Incorrect diagnostic (ICD) or procedural (CPT) coding triggers:
Minimize short and member co-payment
Avoidable claim rejections from medical schemes
Maximize Invoice Billing amount
We audit, correct, and optimize your coding practices to capture full revenue potential.
Switching houses such as IQuest or Surgicom is the critical platform hospitals use to place orders – if your product isn’t listed, you’re missing a smooth billing Experience. We manage price file submissions and updates, ensuring your NAPPI codes, catalogue details, and sell prices are accurately reflected. No entry means no orders can be placed, even if your product is approved.
We ensure diagnoses reflect clinical complexity (Comorbidities eg : Diabetes ,Hypertension ), to ensure payment out of your accurate funding bucket to justify higher reimbursements
Capture all billable interventions – from surgical modifiers to dual-coding opportunities in theatre.
Coding Audit to maximum payout
Every Decimal Point Matters –
A single coding error can cost your practice:
Identify of potential conditions per patient
We implement accurate coding protocols..
Accuracy Rate on Claim Coding
Are you leaving money on the table? Let’s analyze your last 50 claims.
Our experts find an average of R28,000/month in missed billing per practice.
Specific ICD-10 codes trigger Prescribed Minimum Benefit coverage. We ensure payment from the accurate Funding Bucket
Bilateral procedures
Yes – Within 4 months of date of treatment
Yes , Please request a consultation
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