The full claim: diagnosis in ICD-10 and ICD-11, procedures on a CPT-based tariff, medicines in NAPPI, and laboratory results against the pathology tariff and LOINC. We code to the standard your scheme accepts.
Yes. Every audit and engagement reviews how health data is handled, consented and retained against the Botswana Data Protection Act, and flags exposure before it becomes a penalty.
Absolutely. We work with schemes on claim-coding verification, data-quality assurance and analytics — alongside private hospitals, labs, NGOs, donors, academia and Ministries of Health.
Both. Capability building is core to how we work — we deliver clinical coding, medical terminology and documentation training, plus knowledge systems, so your quality holds long after the engagement ends.
A baseline data audit can usually begin within two weeks of your free call. We scope volume and access first, then agree a start date and a clear set of deliverables.
Not sure which tier you need?
Tell us about your claims, your data and your compliance worries. We will point you to the right starting place — free.