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The Better Billing Newsletter (ON) – May’s Issue

Courtney Marie L.
Jun. 3, 2019
5-minute read
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In May’s issue of the Better Billing Newsletter we go over counselling code rejections, how to properly bill for related codes and more! So, in case you missed it, here it is again:  

Billing Tip #1: How to Avoid Rejections on Counselling Codes

Our billing agents noticed a lot of counselling codes getting rejected. This is usually due to:
  1. Billing special visit premiums on counselling codes. ***Counselling appointments are technically pre-booked and therefore no special visit premiums apply.
  2. Billing counselling (such as  K013) on the same bill as an assessment with the same diagnosis code.***Counselling codes CAN be billed on the same day as an assessment BUT:
  • They need to be on separate claims.
  • They need to have different and unrelated diagnostic codes.
  While there are certain exceptions to this, no other services are eligible for payment on the same day as any type of counselling service.   Our agents also noticed there's been a number of rejections due to related codes being billed on separate claims. Remember, if it's related, it must be billed on the same claim. For example, if you bill a consultation, on the same bill you need to add your special visit codes.  

Billing Reminder:

Conferencing calls are not applicable across provinces as OHIP currently has no reciprocal agreements when speaking to physicians who are not working in Ontario.

May's Tutorials

1. Shared Claims 

If you haven’t heard already, you can now share claim details for your phone calls and patient conferences with all participating colleagues. You can do this on your  iPhone or on the  Web App.

2. How to Select Multiple Dates 

On the Web app, you can add multiple dates for a single patient/claim just by clicking each date you'd like on the calendar. Here's an example of what you'd see: You can select a few days in a row or specific dates.  

Keep Learning

  • Check out the latest ‘ this week IN THE JOURNALS,’ to take a shallow dive into recently released articles that should be on your radar...

Online Webinars with Accreditation 

 

Podcasts

This month's suggestions:    Sudoku seizures: A 25-year-old man is in a rehab hospital following a hypoxic brain injury he sustained in a skiing accident. Several weeks into his recovery, he begins to experience clonic seizures of his left arm from one unusual trigger: Sudoku... Part I of III: Dangers of poor sleep, Alzheimer’s risk, mental health, memory consolidation, and more: "I think that sleep may be one of the most significant lifestyle factors that determines your risk ratio for Alzheimer's disease." — Matthew Walker, Ph.D.  

News Around the Nation ...

Looking for more tutorials, tips and suggestions?  Send us an email and let us know what you'd like to see in the next Better Billing Newsletter!  
  This article offers general information only and is not intended as legal, financial or other professional advice. A professional advisor should be consulted regarding your specific situation. While information presented is believed to be factual and current, its accuracy is not guaranteed and it should not be regarded as a complete analysis of the subjects discussed. All expressions of opinion reflect the judgment of the author(s) as of the date of publication and are subject to change. No endorsement of any third parties or their advice, opinions, information, products or services is expressly given or implied by RBC Ventures Inc. or its affiliates.
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How to bill OHIP for doctor-to-doctor telephone consults

Related Blog

This article was originally published on August 24, 2019 and has since been updated. Did you know? Doctor-to-doctor telephone consultations as short as 10 minutes in duration are eligible for payment by OHIP. At Dr. Bill, we’ve noticed that telephone consultations are one of those tasks many doctors regularly perform—yet also regularly leave unclaimed!  Everyone

Courtney Marie L
Writer and editor with a demonstrated history of working in the Canadian healthcare sector and the publishing industry. Skilled in writing, editing, proofreading, Spanish to English translation, and teaching English as a second language. Strong communications professional with a Bachelor of Arts in Geography and Political Science from the University of Manitoba.
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