Revenue Cycle Management
Boost cash flow in your medical practice. Discover how TSBC improves Revenue Cycle Management with accurate coding, daily claims, and patient support. Our Revenue Cycle Management solutions streamline billing, reduce errors, and enhance efficiency. Partner with TSBC for expert Revenue Cycle Management that supports long-term financial health.
A healthy revenue cycle is the backbone of any successful medical practice and healthy cash flow is built on clean data, accurate coding, timely submissions, and disciplined follow-through.
At TSBC, we specialise in improving revenue cycle management (RCM) for private medical practices in South Africa. Here’s a practical framework we implement from day one to help practices increase collections, reduce leakage, and improve financial performance.
1) Accurate patient data via smart onboarding
Revenue cycle success starts with clean, complete patient data. Capture the right information before the visit with online, journey-specific smart forms (new patient, follow-up, pre-/post-op).
Validate demographics, scheme membership, benefits, authorisations, referring clinician details, consent, and billing disclosures in one pass. Fewer gaps at intake mean fewer denials and faster receipting.
2) Accurate coding—specialist expertise
Correct medical coding is revenue-critical. TSBC’s experienced team maintains current scheme schedules, aligns ICD-10 and tariffs, and builds templates for common conditions/procedures with guardrails for mutually exclusive codes. Peer review and pre-submission checks lift claims acceptance and reduce rework, keeping your practice compliant.
3) Timely submissions, every day
Speed matters and your cash flow improves when claims are submitted daily, not in end-of-week batches.
TSBC liaises directly with your rooms to ensure billing is up-to-date and claims go out regularly. This prevents rejections, shortens days in the age analysis, and improves cash flow predictability. Same-day reconciliation closes the loop.
4) Event-based credit control (not time-based)
Instead of waiting for the traditional 30/60/90-day cycle, TSBC runs event-based workflows.
Remittance received, short-pay detected, PMB flag raised, rejection returned, info request logged, each event triggers the next best action immediately. PMB shortfalls, for example, move into a specialised queue with prescribed steps, deadlines, and an auditable trail.
5) Right-time patient interactions
Financial conversations should support, not strain, the patient-doctor relationship. TSBC coordinates with doctors to time patient communications appropriately (e.g., post-recovery checkpoints).
Patients receive clear estimates, deposit options where suitable, and proactive updates while schemes are engaged for payment in full. This ensures patients feel informed and respected throughout the billing journey.
6) Clean handover of true bad debt
When escalation is unavoidable, TSBC ensures compliant, well-documented debt handovers with full contact history, clinical/billing notes, and signed consents.
We only work with reputable partners, protect dignity, and feed insights back into onboarding, coding, and collections to prevent repeat leakage.
Measure what matters
Across this workflow, we track a focused set of Key Performance Indicators (KPIs) that puts your practice first and ensures your hard work results in your financial success.
The TSBC difference
From accurate online onboarding to expert coding, daily submissions, event-based credit control, right-time patient communication, and disciplined bad-debt handover, TSBC builds a revenue cycle that supports clinical excellence.
Want a quick gap check? We’ll map your current process and show exactly where money is leaking, and how to fix it.
