When the assessment is scheduled, a Registered Nurse will conduct a clinical visit at the patient’s home or the hospital/facility. During the nursing assessment, the medical history and the clinical information of the patient, as well as the needs of the patient are determined. The Care Manager, in conjunction with a Registered Nurse, as well as a multi-disciplinary team, will present a Care Plan as a prescribed guideline.
When Medwell SA receives the required authorisation from the Medical Aid, or a Care Plan is agreed upon, it forms part of the post-evaluation procedure. Medwell SA will compile a report of motivation for this authorisation from the medical aid. The report, together with the medical history, diagnosis, ICD – 10 codes (diagnostic codes) and a letter of motivation from the treating Medical Practitioner be sent to the Medical Aid.
Based on feedback from the Medical Aid, we let you know who will be responsible for the nursing fees charged (either the medical aid or the account guarantor).