What we do — 02
Revenue Assurance.
Active follow-up between submission and payment. Scheme-by-scheme reconciliation, patient account management, and reporting that tells you what is happening to your money.
01
What we do
Revenue Assurance is the back end of the anaesthetic revenue cycle. Where Anaesthetic Billing concerns the accurate submission of claims, Revenue Assurance concerns what happens between submission and payment — and ensuring that what happens is what should happen.
The service exists because submitting a claim is not the same as collecting on a claim. Schemes short-pay. Schemes query. Schemes pay late. Patients leave residual balances unattended. Standing arrangements produce predictable patterns that need predictable management. Without active follow-up, money that has been correctly billed quietly fails to arrive — and the practitioner has no way of knowing how much, or why.
02
Technical scope
Five disciplines. The first four manage the work; the fifth governs how the work is done.
Active follow-up of unpaid and short-paid claims
Every claim is tracked from submission through to settlement. Where a claim has not paid in line with expectation, we engage the scheme directly — with claim history, supporting documentation, and the technical argument required to recover the underpayment.
Scheme-by-scheme reconciliation
Each scheme has its own remittance behaviour, short-payment patterns, and query types. We reconcile against each scheme separately, so issues are identified at source rather than aggregated into a single unhelpful “outstanding” number.
Patient account management
Where a balance remains after the scheme has paid, we manage patient billing professionally and persistently. The objective is collection without damaging the relationship between the practitioner and the patient.
Reporting
Monthly reporting in plain terms — collection ratio, days-to-pay, short-payment patterns, outstanding balances by scheme and age. Designed to be read in fifteen minutes, not to be an elaborate dashboard no one ever opens.
Compliance and ethical billing
All recovery activity sits within the relevant scheme rules, the Council for Medical Schemes framework, and the ethical standards expected in regulated healthcare. Aggressive recovery practices are not consistent with how we work.
The Revenue Diagnostic
What is your collection ratio actually doing? A specialist review of the last six months, in writing, within 48 hours. Free.
03
Submission and collection are one cycle.
Collection performance is downstream of submission accuracy.
A claim that was technically correct at submission has a measurably better chance of being paid in full, on time, without query. A claim that was not — even if the error was small — enters a category that takes significantly more effort to recover, often for less return. The single most effective revenue-assurance intervention is to submit accurately in the first place.
We do not bill for submission without recovery, because doing so would produce systematically weaker outcomes for the practitioner.
04
What you see, and how often
The reporting cadence is designed to be informative, not intrusive.
Monthly
Written report
A concise summary of the previous month — the metrics that matter and a short narrative on anything that needs attention.
On demand
Real-time visibility
Where a practitioner wants to see the position of their accounts at any point in the month, that information is available without delay or formality.
Quarterly
In-person review
Once a quarter, Marli sits down with the practitioner — in person where geography allows, by video call otherwise — to review the trajectory and agree adjustments.
Anaesthesiologists are busy. The objective is to give the information needed to be confident in revenue, in the time available to consume it.
Recovery is downstream of submission. The cleanest collection performance comes from claims that were correctly coded the first time.
The Revenue Diagnostic
An independent specialist view of what is being collected — and what isn’t.
A 30-minute video call with Marli. A structured review of your last six months. Written findings within 48 hours. No obligation.
Book a Revenue Diagnostic