Detail your services

1. Medical Practice Administration

We assist practices with their day-to-day administrative requirements.

Services include:

● Patient registration

● Appointment scheduling

● Patient information management

● Practice administration

● Administrative workflow support

● Document management

● Patient communication support

2. Medical Billing & Coding

Accurate billing is essential to maintaining a healthy practice.

Our billing support includes:

● Medical billing

● ICD-10 coding support

● Procedure and tariff coding

● Invoice processing

● Billing reviews

● Claim preparation

● Billing error identification

● Outstanding account follow-up

Our objective is to help practices submit accurate and complete claims and reduce avoidable billing-related delays.

3. Medical Aid Claims Management

We assist healthcare practices with the administration of medical aid claims.

Our support includes:

● Electronic claims submission

● Claims monitoring

● Claims status follow-up

● Rejected claim investigation

● Claim resubmissions where appropriate

● Outstanding claim follow-up

● Claims administration

● Medical scheme correspondence

Proper coding and complete claim information are important because medical schemes may reject or delay claims for reasons such as incorrect information, coding issues or missing pre-authorisation where applicable.

4. MEDICAL SCHEME & INSURANCE AUTHORISATION REQUEST ASSISTANCE

Let SAMPS assist with the paperwork behind healthcare authorisations.

Certain healthcare services may require prior authorisation from a medical scheme or healthcare funder before treatment, procedures, admissions or specialised services are provided.

SAMPS can assist healthcare practices with the administrative process of requesting authorisationfrom applicable medical schemes and insurance/healthcare funding companies.

Our Authorisation Support Includes:

● Preparation of authorisation requests

● Submission of authorisation requests

● Follow-up with medical schemes and funders

● Tracking of authorisation requests

● Communication regarding outstanding information

● Assistance with supporting documentation

● Follow-up on pending requests

● Recording and administration of authorisation numbers

● Assistance with additional information requests

● Administrative follow-up on changes to authorised treatment where required

Depending on the scheme and service, authorisation requests may require information such as patient/member details, provider and practice numbers, diagnosis codes, procedure/tariff codes and treatment or admission dates.

Important

SAMPS provides administrative assistance with authorisation requests. Final authorisation and funding decisions remain with the relevant medical scheme, insurer or healthcare funder and are subject to the applicable benefit rules, clinical criteria and funding policies.

An authorisation should not automatically be understood as a guarantee that all costs will be paid.

5. REVENUE CYCLE MANAGEMENT

We help practices manage the financial journey from service delivery through to payment.

Our support includes:

● Revenue monitoring

● Accounts receivable management

● Outstanding account follow-up

● Payment tracking

● Claim follow-ups

● Reconciliation support

● Revenue reporting

● Debt recovery administration

The goal:

Improve collections. Reduce outstanding accounts. Strengthen practice cash flow.

6. ACCOUNTS RECEIVABLE MANAGEMENT

Unpaid accounts can place significant pressure on a medical practice.

SAMPS assists with:

● Patient account monitoring

● Outstanding account follow-up

● Payment tracking

● Account communication

● Debt recovery administration

● Payment arrangement administration

● Account reporting

7. ELECTRONIC MEDICAL RECORDS (EMR)

SAMPS supports modern, technology-driven practice management through the eMD Practice Management System.

Features include:

● Electronic Medical Records

● Clinical documentation

● Electronic billing

● Medical aid claims processing

● Appointment scheduling

● Patient record management

● Electronic prescriptions

● Medical debt management

● Business reporting and analytics

● Cloud-based access

8. PRACTICE PERFORMANCE REPORTING

Understand how your practice is performing.

We can assist with reporting around:

● Billing performance

● Claims activity

● Revenue

● Outstanding accounts

● Collections

● Practice activity

● Administrative performance

Our reporting support helps healthcare professionals make better-informed operational decisions.

9. ADMINISTRATIVE OUTSOURCING

Your practice does not necessarily need to manage every administrative function internally.

SAMPS can provide outsourced administrative support tailored to your practice.

Outsource the paperwork.

Reduce the workload.

Focus on your patients.

10. HEALTHCARE IT SUPPORT

We assist practices with technology and practice-management systems, including:

● Practice-management system support

● EMR support

● Billing system assistance

● User support

● Technical troubleshooting

● System administration support

11. PRACTICE CONSULTING

Every medical practice is different.

Our consulting services can assist with:

● Practice workflow assessment

● Administrative process improvement

● Billing process reviews

● Revenue-cycle reviews

● Practice-management solutions

● Operational efficiency

● Administrative outsourcing strategies