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  1. Dec 1, 2022 · If the specialist continues to provide Virtual Care at this time in the absence of either an in person visit (within the preceding 24 months) or a new referral for a video consultation, these visits are eligible for payment as Limited Virtual Care (See Appendix J, Section 2 of the Schedule).

  2. Nov 14, 2022 · The Ontario Virtual Care Program video visit claims submission and payment option will end December 1, 2022; payments will transition to the OHIP insured framework To : All Physicians Category : Physician Services

    • OHIP Virtual Care Billing Codes. On March 14, 2020 the MOH and OMA created four temporary OHIP billing codes in the schedule of benefits to facilitate telemedicine and virtual care.
    • COVID-19 Diagnostic Code. A new diagnostic code, 080 with the description Coronavirus has been created to be used when the primary purpose for the service is treating patients with a suspected or confirmed case of COVID-19 whether in patient, by telephone, or video.
    • COVID-19 Vaccine Fee Codes. On March 6, 2021, the MOH announced new fee codes to support the vaccine roll out. There are three specific codes that you can bill for administering the COVID-19 vaccine.
    • COVID-19 Sessional Fee Codes. Two new sessional OHIP fee codes have been announced for physicians supporting vaccination services at hospitals or public health units (PHU) coordinated by COVID-19 Assessment Centres.
  3. video visit rates are set at the same rate payable for insured services (i.e., the rate in the OHIP Schedule of Benefits for Physician Services under the Health Insurance Act (OHIP Physician Schedule)

  4. Effective December 1, 2022, the Schedule of Benefits (the Schedule) has been amended to reflect the new virtual care funding framework, as set out in the PSA and communicated in INFOBulletin 221002. The new virtual care model is only applicable to service dates on or after December 1, 2022.

  5. Effective December 1, 2022, video visits delivered through the Ontario Virtual Care Program (OVCP) will be transitioned into the OHIP insured framework in accordance with the pricing structure, rates, and payment parameters outlined in the PSA. To learn more about how to bill OTN Codes, read our blog here.

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  7. Nov 2, 2022 · The province is set to introduce a number of permanent changes to its virtual care program that would see the fee paid to doctors cut to $15 from $37 per patient visit.

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