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- Effective December 1, 2022, physicians can only bill the codes qualified under Comprehensive Virtual Care Services or Limited Virtual Care Services.
www.doctorcare.ca/wp-content/uploads/2022/11/DoctorCare_Virtual-Care-Codes_ON_Nov2022.pdf
Providers with a billing number in the range of 010009 to 333798 and 333800 to 398999 are eligible to submit virtual care claims. Optometrists, podiatrists, and dental surgeons are not eligible to submit claims for physician virtual care services under this new virtual care model.
CPSO’s Virtual Care policy sets expectations for physicians about the appropriate use of virtual care. This companion Advice document is intended to help physicians interpret their obligations as set out in the policy and provide guidance around how these expectations may be effectively discharged.
Physicians providing virtual care to Ontario patients located in Ontario 15 must hold a valid and active certificate of registration with the CPSO, unless the provision of virtual care from a physician licensed elsewhere is in the patient’s best interest; 16 for example, the care sought is:
What codes can I bill for virtual care services? Effective December 1, 2022, physicians can only bill the codes qualified under Comprehensive Virtual Care Services or Limited Virtual Care Services. What are Comprehensive Virtual Care Services? Comprehensive Virtual Care Services are services that can be billedif the patient
Dec 1, 2022 · Date Issued: April 14, 2023. Claims Tips: As with all insured services listed in the Schedule of Benefits – Physician Services (Schedule), general payment rules apply to Virtual Care Services.
Dec 1, 2022 · Insured physician services that can be provided virtually can be found in Appendix J of the Schedule of Benefits (the Schedule) and are also listed at the end of this EPC Billing Brief.
People also ask
Can a physician Bill for virtual care services?
How do I bill OHIP for virtual care services?
Are virtual care services eligible for payment?
Who is eligible to submit a virtual care claim?
Can a physician claim a comprehensive virtual care service?
How do you Bill a limited virtual care service?
Physicians seeking information on how to bill OHIP for virtual care services are advised to refer to the Health Insurance Act, the regulations thereunder, including the Schedule of Benefits for Physician
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