Glossary: Prices, Structures & Configuration

Browse the glossary using this index

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B

Billing Groups

A Billing Group will tell the system which calculates the price that should use when calculating the tariff price. The billing code will apply certain rules on the tariff code for each medical aid and plan. Each Medical Aid Plan can be linked to a certain Billing Group.

Web App:

Shortcut (default): N/A

Roadmap: N/A

User mail link: N/A

Desktop App:

Shortcut: N/A

Roadmap: Mod Med debs > M Lists > SM Billing groups > S Billing groups for (certain doctor).

User mail link: Billing Groups

R

Relative Value Units (RVU's)

Relative Value Unit (as assigned to CCSA codes – not a Rand value).

The MDCM (Medical Doctor's Coding Manual) provides us the RVU (Relative Value Unit) for each code. Every service rendered, is allocated a relative value unit. This compares the relativity between the various services, based on time, expertise, difficulty, etc. The RVU is constant for the service rendered for a specific speciality and may not be changed.

Also known as the number of units.

T

Tariff Code

A Tariff Code is a code allocated to a Procedure or Consultation with an amount linked to the Code.

Tariff Codes are normally received from Medical Aids with a description and an amount per Speciality.