Our services

Legal Services

Medvest Capital offers a selection of legal services aimed at medical practices in need of legal assistance with medical fund contract advice and dispute resolution. With a proven track record of dispute resolution, Medvest Capital is well-equipped to handle these issues with confidence and expertise, aiming to resolve them steadfastly.

Medvest Capital’s Legal Services

We meticulously analyse and, if necessary, restructure a wide range of healthcare contracts (provider agreements, arrangements with medical billing and vendor contracts) to ensure they are robust and fair.

We are committed to ensuring all healthcare contracts are concise and align with the Consumer Protection Act, Medical Schemes Act and the National Health Act, maintaining legality and strict adherence to ethical standards.

Legal Services - signing contracts
Legal Services meeting

Structuring and Advising on Speciality Contracts with Medical Funds

Effective collaboration and healthcare service delivery go hand in hand and are the cornerstones of a productive, highly efficient practice. The foundation of a well-established and seamless running practice lies within well-articulated, airtight contracts and agreements.

Advising on Client Terms and Conditions

When we advise clients on legally binding Terms and Conditions, we consider the following, to name a few:

  • The description of services on offer and the uncovered out-of-contract services.
  • The termination clause discloses prompts for termination.
  • Terms of Trade must be regularly updated as the medical practice develops and implements new services or products.

Advising on Patient Disputes for Medical Practices

Patient complaint handling is always risky because if the patient is dissatisfied with the quality of care, he/she has the right to make a formal complaint. Unfortunately, the practice suffers from lengthy litigation, loss of reputation, and humiliation.

There’s an algorithm when dealing with these types of situations, and here at Medvest Capital, we help navigate you through the process of proving, if found, unjustified complaints to avoid defamation, fines, and loss of income.

Resolving Medical Fund Disputes

Prescribed Minimum Benefits (PMBs), as stipulated in the Medical Schemes Act, 1998 (Act No. 131 of 1998), ensure that all medical scheme members have a right to access basic minimum healthcare services, regardless of their plans. The aim is to offer continuous patient care to ensure access to basic healthcare services.

Despite the stipulations in the Act, a growing number of claims have been rejected. Any beneficiary who is dissatisfied with the outcome of a medical scheme’s decision or conduct is entitled to formalise a complaint. The coverage rules for each care plan can be complicated to understand, and the high number of unpaid claims can be even more frustrating, particularly for patients who indulge in premium plans with exorbitant charges.

Our Approach to Resolving Medical Fund Disputes

We first approach the medical scheme to resolve the dispute diplomatically using their internal processes. If this fails, we proceed to take the matter up with the Council for Medical Schemes, whose role is to investigate complaints. These complaints are aimed at entities categorised under the CMS regulatory mandate.

Medvest Capital: Long-standing history of successful dispute resolution

We at Medvest Capital determine whether medical schemes have the grounds to refuse payouts and challenge them if any loopholes (escape clauses) are found. Our reputation underpins our success in these matters, ensuring you are confident in our representation.

Frequently Asked Questions

We draft all contracts using clear and precise language to prevent ambiguity and eliminate misunderstandings.

  • Medical malpractice liability
  • Indemnification clauses
  • Insurance coverage

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