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What is Effective
Practice Management
18 January 2013
Who is Med e Mass
 Subsidiary of Bytes Healthcare Solutions
 Leading Practice Management company
 Sister company is the MediSwitch
 9500 doctors
 Footprint 4 regions and 48 dealers
 Product Development Manager and 2 development teams
 National support call center
 Western Cape – in house support center for personal touch.
As a Healthcare Provider you have
many roles!
Charity
Community
Representative
Financial
Whizz
Human
Being
Investor
Director
Decision Maker
Businessperson
Employer/
Employee
Counselor
IT user
Administrator
Medical Practitioner
Marketing/
Salesperson
Practice Management
Needs to be Effective & Proactive
What does Effective Practice
Management Mean??
 Long term strategy for growth, retention , profitability and patient
satisfaction
 Proactive, rather than reactive management of your practice
 Implemented protocols that reduce the need for intuition in running
your practice
 Organization of reliable data that is easy to access and allows
you to make informed decisions for the growth of your practice
 Risk management - data security key element
 Financial controls allowing good governance.
What does Effective Practice
Management Offer You??
 Turn-around time for payment from medical aids is reduced
 Turn-around time for problem resolution smaller
 Documented events for auditing purpose
 Verification and Control of patient information
 Saves you Time
 Saved time goes into improving your Practice Management
Key Deliveries Of A Practice
Management System
 Improved practice efficiency
 Improved practice productivity
 Improved patient financial information
 Improved correspondence, marketing, and
practice analysis capabilities
 Mitigate the risks of cash flow
Key Deliveries Of A Practice
Management System
 User Friendly
 Efficiency
 Integrity
 Security/Tracking
 Reporting
 Innovation
 Communication
Process Flow
 Copy of Id
 Copy of Medical Aid
 Proof of address (FICA)
 General details
 Benefit checks
 ID Validation
 MSV (Switch)
 (Id no, Medical aid no,
Dependant no, etc.)
 Appointment diary
Process Flow
 Examination of
patient
 Diagnosis
 Treatment plan
 Appointment Diary
 ICD10 list
 BHF coding
 Billing / Receipting
(where applicable)
 Clinical Notes
Process Flow
 Physical Billing
 Receipting
 Statements
 Electronic claiming
 BHF coding / updated medical Tariffs
 ICD10 listing
 Macros
 Medical Aids (Medprax)
 Dot matrix / Laser statements
 EDI
 Management Reporting
 Audit trails, Cash flow, T/Over analysis,
 User security
The need for control
within the system
Need to keep track within the
system
Appointment diary per
individual, room, equipment,
department
Financial reports, age analysis
 Demographic reports
Managing claims through EDI
Revenue Management
EDIEDI CASHCASH
Single source of receipts
of payments
Easy reconciliation
Significant fraud-mitigating
assurance
Single source of receipts
of payments
Easy reconciliation
Significant fraud-mitigating
assurance
Cheque,
Credit Card
EFT
Cheque,
Credit Card
EFT
Credit Control
 Effective management of outstanding debt
 Protocols and procedures
Financial Reports- Control
Med-e-Mass has a fully comprehensive set of
Financial reports that balance perfectly at
month end to give the user a fully balanced
set of financial records these include:
»The Age Analysis
»Turnover Analysis
»Audit Trails
»VAT Report
»Transaction Search Reports
In closing
We offer our customers a complete solution
Covering
 PMA software
Medical aid claims
Credit card facilities
Hardware requirements
Peace of mind
Questions ??
THANK YOU

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Practice Management

  • 1. What is Effective Practice Management 18 January 2013
  • 2. Who is Med e Mass  Subsidiary of Bytes Healthcare Solutions  Leading Practice Management company  Sister company is the MediSwitch  9500 doctors  Footprint 4 regions and 48 dealers  Product Development Manager and 2 development teams  National support call center  Western Cape – in house support center for personal touch.
  • 3. As a Healthcare Provider you have many roles! Charity Community Representative Financial Whizz Human Being Investor Director Decision Maker Businessperson Employer/ Employee Counselor IT user Administrator Medical Practitioner Marketing/ Salesperson
  • 4. Practice Management Needs to be Effective & Proactive
  • 5. What does Effective Practice Management Mean??  Long term strategy for growth, retention , profitability and patient satisfaction  Proactive, rather than reactive management of your practice  Implemented protocols that reduce the need for intuition in running your practice  Organization of reliable data that is easy to access and allows you to make informed decisions for the growth of your practice  Risk management - data security key element  Financial controls allowing good governance.
  • 6. What does Effective Practice Management Offer You??  Turn-around time for payment from medical aids is reduced  Turn-around time for problem resolution smaller  Documented events for auditing purpose  Verification and Control of patient information  Saves you Time  Saved time goes into improving your Practice Management
  • 7. Key Deliveries Of A Practice Management System  Improved practice efficiency  Improved practice productivity  Improved patient financial information  Improved correspondence, marketing, and practice analysis capabilities  Mitigate the risks of cash flow
  • 8. Key Deliveries Of A Practice Management System  User Friendly  Efficiency  Integrity  Security/Tracking  Reporting  Innovation  Communication
  • 9. Process Flow  Copy of Id  Copy of Medical Aid  Proof of address (FICA)  General details  Benefit checks  ID Validation  MSV (Switch)  (Id no, Medical aid no, Dependant no, etc.)  Appointment diary
  • 10. Process Flow  Examination of patient  Diagnosis  Treatment plan  Appointment Diary  ICD10 list  BHF coding  Billing / Receipting (where applicable)  Clinical Notes
  • 11. Process Flow  Physical Billing  Receipting  Statements  Electronic claiming  BHF coding / updated medical Tariffs  ICD10 listing  Macros  Medical Aids (Medprax)  Dot matrix / Laser statements  EDI  Management Reporting  Audit trails, Cash flow, T/Over analysis,  User security
  • 12. The need for control within the system Need to keep track within the system Appointment diary per individual, room, equipment, department Financial reports, age analysis  Demographic reports Managing claims through EDI
  • 13. Revenue Management EDIEDI CASHCASH Single source of receipts of payments Easy reconciliation Significant fraud-mitigating assurance Single source of receipts of payments Easy reconciliation Significant fraud-mitigating assurance Cheque, Credit Card EFT Cheque, Credit Card EFT
  • 14. Credit Control  Effective management of outstanding debt  Protocols and procedures
  • 15. Financial Reports- Control Med-e-Mass has a fully comprehensive set of Financial reports that balance perfectly at month end to give the user a fully balanced set of financial records these include: »The Age Analysis »Turnover Analysis »Audit Trails »VAT Report »Transaction Search Reports
  • 16. In closing We offer our customers a complete solution Covering  PMA software Medical aid claims Credit card facilities Hardware requirements Peace of mind