Why Olive Medical Being a professional can be one of the most rewarding calling if only you were actually allowed to do what you do best. Sadly, the private healthcare system has been painted into a corner by changing legislation, demands by medical aids, financial pressure and a whole plethora of issues that put professionals such as yourself under immense pressure. Olive Medical, with their deep understanding of the market are ideally positioned to assist you to overcome the minefield that is Private Healthcare In order to claim for a service that you have provided, you need to ensure all the required information (personal and medical aid details) are collected upfront. Failure to do this will result in non-payment of the claim or in a worst case, prosecution for fraud by the medical aid. With Olive providing you with access to Mykit, the details can be collected quickly and efficiently and the details can be validated through the Member Status validation function. Our training is based on real world examples, and are presented in such a way that the delegates are well equipped to ensure errors are minimised. Then you need to apply the correct coding for the services you have provided (ICD10 and NAPPI Code). If the wrong codes are used, the medical aid adjudication process could reject the claim, flag your practice as suspicious and ultimately delay all payments due to you. Not only does Olive Medical have extensive experience in the required coding, but their practice management software, Mykit is exceptionally good at helping the user to select the right codes and to streamline the entire process by providing the user with the most commonly used codes upfront. Again, our training ensure that the delegate is conversant with the various coding standards and the wonderful tools embedded in the product. Getting the claim to the medical aid is an issue in its own right. Unless you make use of a quality electronic claim submission service, the claim could be lost or delayed in uploading to the medical aid claim processing system. It could also occur that claims are rejected and the practice administrator is not notified, with the result that the claim is not re-processed. Our claim transaction switching infrastructure is second to none in terms of efficiency and cost effectiveness. By being truly integrated with Mykit, the claim submission process is seamless, feedback immediate and the user is able to easily identify any possible issue and take the appropriate action. Faster payment is what it is all about. It may occur that despite best efforts, a claim is either short paid (co-payments by patient) or declined (funds depleted) and you will be required to arrange for payment from the patient (or responsible person). The sooner contact is made to arrange payment the better, as it become more difficult to collect outstanding fees the longer you wait. Despite their best intentions, patients often forget to make payment, and the practice will need to follow up on the debt. Due to the sensitivity behind approaching patients for payment, many practices outsource this function to external parties such as Olive Medical. Either way we can either train practice staff to carry out this function, or alternatively take over the responsibility for this on a contingency basis (i.e. our fees are dependent on what we collect). Sadly, there are cases where patient refuse to honour their debt, and should the practice wish to escalate this to a Debt Collector/Attorney, they will need to provide all the relevant proof that the debt is valid, the correct process was followed and that this was the only other avenue open to the practice. In these exception cases, Olive Medical are able to extract all the information required quickly and efficiently, including details on all contact made with the patient and any “promise to pay” that was made. Using Olive Medical services will be one of the best decisions that you have ever made. Whether you use us purely as a service provider (software and switching services), training facilitator (processes, code usage, practice administration) or as a full blown service provider (claims administration - from submission to collection/handover) you are assured of professional, personal and expert service.