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

 

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

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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.

 

Billing Tip #2: Rejections due to Related Codes 

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. 

Black woman doctor on the phone and reading x-ray scans
 

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

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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:

multiple dates.png

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.

 
 

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!