Elkholy Consulting, field notes on Egyptian hospital claims https://elkholy-consulting.com/notes/ Data-grounded readings for insurers and assistance companies settling Egyptian hospital claims, by a physician and former hospital medical director on Egypt's Red Sea coast. en Fri, 12 Jun 2026 08:00:00 +0000 The philosophy of cost containment https://elkholy-consulting.com/notes/philosophy-of-cost-containment/ https://elkholy-consulting.com/notes/philosophy-of-cost-containment/ Sat, 13 Jun 2026 08:00:00 +0000 Arrow, Akerlof, DRGs, Goodhart, anchoring, repeated games: the five principles that survive a market with no tariff. The economics of a Red Sea claim https://elkholy-consulting.com/notes/red-sea-claim-economics/ https://elkholy-consulting.com/notes/red-sea-claim-economics/ Thu, 11 Jun 2026 08:00:00 +0000 Tourism volumes, currency collapse, and the anatomy of an invoice priced to the payer. Egyptian prices: economics, not fraud https://elkholy-consulting.com/notes/egyptian-prices-economics-not-fraud/ https://elkholy-consulting.com/notes/egyptian-prices-economics-not-fraud/ Thu, 11 Jun 2026 08:00:00 +0000 The touristic fee, layer by layer, and why understanding the premium does not oblige you to fund it. Why Egyptian hospital bills run high https://elkholy-consulting.com/notes/why-egyptian-hospital-bills-run-high/ https://elkholy-consulting.com/notes/why-egyptian-hospital-bills-run-high/ Thu, 11 Jun 2026 08:00:00 +0000 Precedent files, service percentages, tourist premiums and padding. Why a TPA fails at cost containment https://elkholy-consulting.com/notes/why-tpa-fails-at-cost-containment/ https://elkholy-consulting.com/notes/why-tpa-fails-at-cost-containment/ Thu, 11 Jun 2026 08:00:00 +0000 Three structural reasons a TPA fails, plus the false-security effect. Five incentive lines in your claims chain https://elkholy-consulting.com/notes/five-incentives-in-your-claims-chain/ https://elkholy-consulting.com/notes/five-incentives-in-your-claims-chain/ Thu, 11 Jun 2026 08:00:00 +0000 Who earns what when your invoice grows, and the alignment test. The discount illusion https://elkholy-consulting.com/notes/the-discount-illusion/ https://elkholy-consulting.com/notes/the-discount-illusion/ Thu, 11 Jun 2026 08:00:00 +0000 Why a percentage off an asking price is not a saving. The anatomy of a guarantee of payment https://elkholy-consulting.com/notes/anatomy-of-a-guarantee-of-payment/ https://elkholy-consulting.com/notes/anatomy-of-a-guarantee-of-payment/ Thu, 11 Jun 2026 08:00:00 +0000 How hospitals read your GOP, and the six clauses that change the case. The ICU day: the most expensive line https://elkholy-consulting.com/notes/icu-day-billing/ https://elkholy-consulting.com/notes/icu-day-billing/ Fri, 12 Jun 2026 08:00:00 +0000 What the record must show for every day billed at the intensive-care rate. The quiet lines: pharmacy and consumables https://elkholy-consulting.com/notes/pharmacy-and-consumables/ https://elkholy-consulting.com/notes/pharmacy-and-consumables/ Fri, 12 Jun 2026 08:00:00 +0000 Brand premiums, daily kits, double names and undocumented repeats. Diving claims on the Red Sea https://elkholy-consulting.com/notes/diving-claims-red-sea/ https://elkholy-consulting.com/notes/diving-claims-red-sea/ Fri, 12 Jun 2026 08:00:00 +0000 Recompression sessions, chamber admissions and the fitness-to-fly hold. Reasonable and customary, with no tariff https://elkholy-consulting.com/notes/reasonable-and-customary-in-egypt/ https://elkholy-consulting.com/notes/reasonable-and-customary-in-egypt/ Fri, 12 Jun 2026 08:00:00 +0000 Three reference points for a defensible position where no tariff exists. Treat in Egypt or repatriate? https://elkholy-consulting.com/notes/treat-in-egypt-or-repatriate/ https://elkholy-consulting.com/notes/treat-in-egypt-or-repatriate/ Thu, 11 Jun 2026 08:00:00 +0000 The 48-hour fork that sets the whole cost of a Red Sea case. The repatriation ladder https://elkholy-consulting.com/notes/repatriation-ladder/ https://elkholy-consulting.com/notes/repatriation-ladder/ Fri, 12 Jun 2026 08:00:00 +0000 Escort, stretcher, air ambulance: fitness to fly picks the rung. How an outpatient visit becomes an inpatient file https://elkholy-consulting.com/notes/outpatient-to-inpatient/ https://elkholy-consulting.com/notes/outpatient-to-inpatient/ Fri, 12 Jun 2026 08:00:00 +0000 The admission conversion on small tourist files, and the hour-one question. The deposit demanded despite your guarantee https://elkholy-consulting.com/notes/cash-deposit-despite-guarantee/ https://elkholy-consulting.com/notes/cash-deposit-despite-guarantee/ Fri, 12 Jun 2026 08:00:00 +0000 Why deposits are demanded against live GOPs, and the longer fix. Managing a case from 3,000 kilometres https://elkholy-consulting.com/notes/managing-cases-from-3000-kilometres/ https://elkholy-consulting.com/notes/managing-cases-from-3000-kilometres/ Thu, 11 Jun 2026 08:00:00 +0000 Distance is an information problem, solved by position, not paperwork. How to verify an Egyptian hospital invoice https://elkholy-consulting.com/notes/verify-egyptian-hospital-invoice/ https://elkholy-consulting.com/notes/verify-egyptian-hospital-invoice/ Thu, 11 Jun 2026 08:00:00 +0000 Five practical checks and the record-versus-summary test. What is a payer precedent file? https://elkholy-consulting.com/notes/payer-precedent-file/ https://elkholy-consulting.com/notes/payer-precedent-file/ Thu, 11 Jun 2026 08:00:00 +0000 The record kept on every payer, and how to reset yours. The winter wave https://elkholy-consulting.com/notes/red-sea-winter-wave/ https://elkholy-consulting.com/notes/red-sea-winter-wave/ Fri, 12 Jun 2026 08:00:00 +0000 Seasonality, the within-season ratchet, and the September checklist.