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Dear Colleague

Medihelp CPT contract

From 1st January 2010 the latest version of CPT in South Africa (CCSA2010) came into operation. This resulted in major changes to the relative value units (RVU) of procedures. In addition a correction to the rand conversion factor has been implemented to effect a 9.5% increase overall above last year's remuneration status.

Medihelp CPT Payout (guaranteed to the surgeon) is significantly above the base rate paid by most Schemes. Medihelp will advise the surgeon if an account is rendered below guaranteed rate so that a revised account can be submitted; if overcharge on the account the guaranteed amount as per contract will be paid direct to the surgeon and the excess must be discounted and not claimed from the patient.

CPT CCSA2010 billing tables for Surgicom Medihelp contract

Please download the master database for 2010 CPT billing to be used for Medihelp accounts as from 1st January 2010. This is a comprehensive tabulation for most disciplines. A simplified version as well as an indexed, printable 2010 e-booklet in pdf format is nearing completion and will be made available in the next few days.

The simplified list used last year is available to assist in looking up codes, but the unit values have changed and a 6.5% increase applied.

The Surgicom Office Assistant can still be used to look up ICD10 codes, billing guides and guidelines.

Please do not hesitate to contact us for advice on any billing or coding matter.
Surgicom-ASSA Office: PO Box 1105 Cramerview 2060
Telephone : 011 706 4815; Telefax : 011 463 1041
Email : surgicom@worldonline.co.za


Stephen Grobler 051-4442878 / 051-4442889 / fax 051-4440267 or 0866-412178
sgrobler@global.co.za 

Please click on the document below to open it:
2010 Medihelp 1st January CPT billing tables master tables - (.xls 2003 format / 2MB) *Updated

2010 Medihelp 1st January CPT billing tables master tables - (.xlsx 2007 format / 923Kb) *Updated

2010 Medihelp E & M summary page - ( .pdf format / 70Kb)

ebook Surgicom CCSA 2008 Billing tables Jan 2009 - ( .pdf format / 1350Kb )

2010 Surgicom-Medihelp CPT BILLING GUIDES ( .pdf format / 2MB)*New

2010 Surgicom-Medihelp CPT BILLING MANUAL ( .pdf format / 2MB)*New

2010 Surgicom-Medihelp CPT BILLING TABLES ( .pdf format / 2MB) *New


Click here to download the Microsoft 2003 Converter Update Pack to allow your 2003 Office to open 2007 format documents.