Intro to Family Medicine Billing in Ontario Part 1 (2024 Update)
Вставка
- Опубліковано 25 лип 2024
- Lecture recording for the McMaster Family Medicine Residency program PGY-1 residents. This is a 2024 update that reflects the changes to billing for family doctors in Ontario. This is for the resident or new family doctor to familiarize themselves with the basic billing codes, billing efficiency and EMRs.
𝗧𝗼𝗽𝗶𝗰𝘀 𝗖𝗼𝘃𝗲𝗿𝗲𝗱:
0:00 - Intro
1:37 - Resident Survey: Comfort with asking preceptor about billing
3:46 - What can or can’t you bill OHIP for?
6:20 - Billing Efficiency Tips for Residents
9:58 - 5 Billing Resources to Know
13:05 - Understanding your EMR
15:37 - Most Common Billing Codes
19:36 - Virtual Care Billing
23:18 - Mental Health Codes
23:58 - Screening/ Preventative Care Codes
25:04 - Vaccination Codes
25:45 - Procedure Codes
26:15 - Obstetrics / STI Billing
27:52 - Smoking Cessation billing
29:10 - Billing Case 1
30:11 - Billing Case 2
30:59 - Billing Case 3
31:35 - Billing Case 4
32:08 - Billing Case 5
33:08 - Billing Case 6
33:51 - Billing Case 7
𝗥𝗲𝘀𝗼𝘂𝗿𝗰𝗲𝘀:
**Dr Steph's Templates & Other resources: drive.google.com/drive/folder...
SGFP Billing Guide (2022): sgfp.ca/system/assets/assets/...
1) Part 2 Billing Lecture: • Intro to Family Medici...
2) FHO Family Medicine Billing Lecture (Pt 1): • Family Medicine Billin...
3) FHO Family Medicine Billing Practice Cases (Pt 2): • Family Medicine Billin...
4) Income Stabilization & New Grad Entry Program (NGEP) (Pt 3): • Income Stabilization &...
5) From Resident to Staff Doctor: Job Search, Starting Practice, Getting Paid: • FROM RESIDENT TO STAFF...
6) How do Doctors Get Paid?: • How Do Doctors Get Pai...
7) Career Mistakes to Avoid for New Doctors: • EP4: Top 5 Career Mist...
8) Contract Negotiation for Doctors: • CONTRACT NEGOTIATIONS ...
𝗗𝗶𝘀𝗰𝗹𝗼𝘀𝘂𝗿𝗲𝘀:
There are no conflicts of interest to disclose. These slides are for education purposes only. Any information, views, and opinions expressed are solely those of the presenter and are not a substitute for financial advice specific to your personal situation.
The examples presented in this document represent “best practice” billing.
All physicians must personally read their MOHLTC fee schedule preamble and be responsible for meeting all criteria for the appropriate billing of the services they provide.
When in doubt consult your MOHLTC advisors.
#FamilyMedicine #FamilyDoctor #Ontario
𝗧𝗼𝗽𝗶𝗰𝘀 𝗖𝗼𝘃𝗲𝗿𝗲𝗱:
0:00 - Intro
1:37 - Resident Survey: Comfort with asking preceptor about billing
3:46 - What can or can’t you bill OHIP for?
6:20 - Billing Efficiency Tips for Residents
9:58 - 5 Billing Resources to Know
13:05 - Understanding your EMR
15:37 - Most Common Billing Codes
19:36 - Virtual Care Billing
23:18 - Mental Health Codes
23:58 - Screening/ Preventative Care Codes
25:04 - Vaccination Codes
25:45 - Procedure Codes
26:15 - Obstetrics / STI Billing
27:52 - Smoking Cessation billing
29:10 - Billing Case 1
30:11 - Billing Case 2
30:59 - Billing Case 3
31:35 - Billing Case 4
32:08 - Billing Case 5
33:08 - Billing Case 6
33:51 - Billing Case 7
𝗥𝗲𝘀𝗼𝘂𝗿𝗰𝗲𝘀:
**Dr Steph's Templates & Other resources: drive.google.com/drive/folders/1yJ9FrszahqTRwYnM-ekKfiKugpMwBA0S?usp=drive_link
1) Part 2 Billing Lecture: ua-cam.com/video/Xvqo6NC1t_c/v-deo.html
2) FHO Family Medicine Billing Lecture (Pt 1): ua-cam.com/video/Omcrd3I4R6s/v-deo.html
3) FHO Family Medicine Billing Practice Cases (Pt 2): ua-cam.com/video/mpjAn9qBdGI/v-deo.html
4) Income Stabilization & New Grad Entry Program (NGEP) (Pt 3): ua-cam.com/video/dt0TdpM1ww4/v-deo.html
5) From Resident to Staff Doctor: Job Search, Starting Practice, Getting Paid: ua-cam.com/video/CuDsEY2C_OU/v-deo.html
6) How do Doctors Get Paid?: ua-cam.com/video/X5uOkB0BuW0/v-deo.html
7) Career Mistakes to Avoid for New Doctors: ua-cam.com/video/A4MCT9VREPs/v-deo.html
8) Contract Negotiation for Doctors: ua-cam.com/video/SUD0Bp222oA/v-deo.html
You are a lifesaver Dr. Steph!!! THANK YOU!!!!
This is excellent. Thank you!
Can you combine the K013 (counselling) code with A007, A001 or A003 (general visit codes) codes? For example patient is presenting for chest pain that you think is GERD and you counsel them on non-pharmacological options regarding GERD management? Or for example patient has headaches but you discover they have insomnia and you discuss sleep hygiene.
I have combined K013 with A007 and A001 before but just make sure you bill different diagnostic code for each. I haven't combined K013 with A003 just because if the pt comes in for chest pain and you counsel them for 20 min on GERD, it's still in relation to the same issue they came in for the first place - so in that situation I would only bill A003.
Also from a time management perspective, if you're spending that much time with a patient to need to bill a K013 and A003, it is probably better for time efficiency to bill the A003 then ask pt to come back for another booked appt for the counselling to bill the K013.
Thank you! Appreciate all the time and effort you put into making all this so clear.
Is there a billing course within OHIP that they offer? MSB offers a basic course for free in Saskatchewan for physicians, NP's and Medical Billers.
Unfortunately the MOH in Ontario doesn’t provide a billing course, which is why I made these videos. OMA has some billing modules and seminars on their members portal that you can check out as well!
would appreciate a clarification - if i see the patient and nurse does vaccination (before or after) can I still bill for vaccine?
Yes you can bill for the vaccine that your nurse did as it’s considered a delegated act. However if your NP saw a patient and did the vaccine independently on a day when you weren’t there then you can’t bill for it. www.cpso.on.ca/Physicians/Policies-Guidance/Policies/Delegation-of-Controlled-Acts
Dear Dr Steph:
What is the appropriate billing code for a meet and greet?
What do you think should be required for a meet and greet consultation?
Thank you kindly,
Par (new family physician in Ontario, previous practice as a GP in Australia)
Welcome to Ontario! For M&G there are 2 codes I’ve seen being billed: A007 or K131 (or any of the preventative visit billing codes). Usually I will discuss the clinic policies, hours and fill in the CPP. Sometimes if the patient has a fairly extensive history and I end up taking a past med hx, social hx and do a comprehensive physical exam, I will bill a K131/2 + Q200 to roster them.
@@BreakingBadDebt, I'm very grateful for your reply. Do you also see the K013 item number used for meet-and-greets? I note these require a diagnostic code, so I wonder how much time must go into specific health education as opposed to clinic policy, my background, and how I practice medicine, so I could justify the billing.
@@pardogg Hey, I personally don't bill K013 for M&Gs because you're only limited to 3 of these / pt/year so I prefer to save them for when I actually need to counsel the pt on something. As you identified, the K013 is a counselling code for a pre-booked appt where the reason for counselling is identified with the booking (i.e. a prebooked appt to talk about obesity).
I'm currently on disability and I'm looking into medical billing and coding as a new career as it may work with my disability quite well. I'm looking for more information to make sure this is something that I can do. I did find an online course for ohip that was roughly about $500 what would be your recommendations
Out of curiosity what's the course? I don't think you need to do a course to learn about how billing works in Ontario, there are a lot of free resources for family medicine billing including the videos I've made, as well as OMA billing webinars that you can access through your OMA members portal.
@@BreakingBadDebt it was a course I found looking through Google