RCM Intelligence Hub
CA(SA)-authored analysis, verified regulatory updates, and practice management insights for South African private practitioners.
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When a billing system provider offers to collect your outstanding A/R, the key question is whether their system helped create it. This …
This is the guide that doesn't exist anywhere else: a clinician-facing comparison of South Africa's main billing systems and bureau services, built …
A governance-focused policy brief translating the CMS Final Report findings and Circular 10 of 2026 into operational directives for South African practice …
The CMS Final Section 59 Investigation Report and Circular 10 of 2026 have permanently shifted the compliance baseline for South African private …
A POPIA-compliant, HPCSA-aligned 30/60/90/120-day escalation framework for South African private specialist practices. Covers scheme debtors, patient debtors, ICD-10 rejection workflows, short-payment classification, …
6 critical Revenue Cycle Management KPIs for South African specialist practices — with formulas, SA benchmarks, worked examples, and red-flag actions. Covers …
Bureaux, switches, data providers, specialist overlays and additional PMS options. The South African billing infrastructure that sits underneath …
Many South African specialist practices carry a growing debtors book not because of reckless billing, but because their …
A print-ready, one-page action checklist for South African clinicians — 10 time-bound items addressing the documentation, coding, pre-authorisation …
A concise five-minute briefing for South African clinicians on CMS Section 59 investigations — covering the seven primary …
A step-by-step guide to recovering incorrectly rejected Prescribed Minimum Benefit claims in South Africa. Covers the three PMB …
The 120-day medical aid claim deadline is not merely an administrative rule; it is a revenue governance risk …
Practical ICD-10 coding sequences, PMB maternity entitlements, global vs itemised billing rules, HPCSA Booklet 19 gap cover obligations, …
The NHI Act is law but not yet operational. Section 33's restriction on medical schemes only activates when …
Most people carrying medical aid, gap cover, and health insurance don't know the three products operate under completely …
Radiology billing in South Africa is a high-value revenue cycle that requires precision across authorisation, ICD-10 coding, tariff …
ICD-10 coding errors in South African radiology can turn valid clinical work into rejected, short-paid or misallocated claims. …
Health Professions Council of South Africa — registration, CPD, and compliance resources.
Visit HPCSABoard of Healthcare Funders — medical scheme regulations and industry updates.
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GoMedPay-authored analysis, sourced from the Medical Schemes Act, HPCSA, and primary SA healthcare references.
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