Dear Doctor, should your medical practice’s Billing Cycle Management reflect your values, compassion and commitment when it comes to your patients and their families?

Our Services Rendered competitively and will result in cost savings for your practice.

Our Administrative Process includes the following and can be customised as per Practice requirements.

  • Support Debtors Process
  • Web Base System support in Rooms
  • Industry change notifications
Scheduling & Admission

Paperless Environment : Scheduling of patients
Electronic Diary : Electronic submission of billing or bill directly in the cloud
Patient Validation : Confirm Medical aid membership, Medical Aid plan, and Dependant Code
Benefit Checker : Confirm availability of funds

Billing

Coding and Billing : Defined as per client preference
Bill at maximum tariff per medical aid per plan
Recover PMB claims at the maximum agreed rate
Guide practice to optimally code and bill
Procedure quotations

Coding : Automated sequencing
ICD 10 look-up function
PMB Code identifier (flag)
 
Price : Tariff lookup per medical aid per discipline per procedure code
Procedure quotations

Submission

The patient is always informed during the process, no surprises in the funder do not pay
EDI : Real time response (Enhance credit control process)
E-mail/SMS to the patient (your patient is always informed)

Credit Controlling

Receipting : Defined and agreed credit control cycle
(Including optimised PMB & WCA claims)
Defined hand over process for third party collections

Credit Control Assistant
Credit Control Task List
Narrations are date stamped and permanent
Support legal recovery process

Receipting

Reconciliation with Practice bank account
Payment and rejection reason codes automated

Reporting

Access to any patient information and reporting available
Comprehensive management reports including cash flow analysis, referring doctor and service centre reports
Reporting : Complete Audit trail of your practice
Operational Assistant billing and
Assistant Payment report

With the basic legal requirements covered, be sure to get a detailed description of our quality assurance program. We have an extensive Advisory guideline programme and Debt Collecting program and details can be disclosed on request.

Dear Doctor, do you want to increase your staff’s productivity while saving valuable time spent on administration?

How Doctors Benefit from choosing us:

  • We function as an extension to the practice’s accounts receivable department
  • Highly trained personnel specialized in healthcare collections
  • Customization of a delivery model to fit practice requirements
  • Sophisticated technology enhances efficiency
  • Maximize income and optimize cash flow
  • Contain costs and improve collection rates
  • Decrease the risk of bad debt through our QIP
  • Peace of mind

Management Fees

You pay for performance only, at a pre-determined percentage (%) on cash collected by Sea West.

Management Information
We provide information that benchmark the debtors’ performance information of your practice against your peers, as well as our company average. In addition, we provide you with detailed information and audit trails, giving you complete control and insight into all our activities and interaction with your practice.

Costs included in our management fees:

  • Employee cost
  • Practice Stationery
  • Practice Billing System
  • EDI Switching
  • Postage and Printing
  • SMS and Telephone
  • Cloud Hosting

This is how we add value:

Business Opportunity

Availability of knowledgeable staff
When your staff is unavailable due to sickness or practice vacancies

Training of practice employees on your behalf
Your staff is aware of new developments, and performance is managed

Sustainable professional personal contact with patients

Cost Efficiency

Share in value derived from economies of scale
Pay for performance only

Access to corporate executive management skills
A team of skilled professionals concerned about your practice

Disaster Recovery

Security of data
Data stored in corporate off-site database and backed up daily

Access to data in a cloud environment
Your practice and our office has continuous access to all data processes, protected online in the event that either office is struck by disaster (Act of God)

Access to leading edge technologies
It is our business to investigate, influence and implement leading edge approaches to streamline practice administration

Risk Management

Maximisation of Turnover
Tariff and medical funder payment arrangements management

Partitioning of duties
Mitigates risk associated with fraudulent activities

Quality Assurance
Billing rules and funder requirements are audited by quality assurers before submission of responsible funders

Increased Productivity
More time to attend to patients or spend at your leisure

Dear Doctor, are you ready to add value to your practice?