Search results
Dec 1, 2022 · Claims Tip: The December 1, 2022, version of the Schedule of Benefits now includes new information for Virtual Care Services within the Consultations and Visits section starting on page A66. This material outlines payment rules and provides commentary related to Virtual Care Services.
The information contained in the OHIP Schedule of Benefits requires knowledgeable interpretation and is intended primarily for members of the professional health care community. The Schedules set out the fees and requirements for payment for insured services under OHIP.
Approved comprehensive virtual care services provided by video are payable at the corresponding in-person rate set out in the Schedule. As detailed in the Schedule under the payment rules in the Virtual Care Services section, approved comprehensive virtual care services provided by telephone are payable at 85% of the corresponding in-person ...
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.
- 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.
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)
People also ask
Will video visits be funded under ovcp in 2022?
What is the Ontario virtual care program?
When will video visits become OHIP insured?
How do I pay for out-of-Province virtual services in Ontario?
Are virtual care services eligible for reimbursement in Ontario?
How much does a hosted video visit cost?
Dec 1, 2022 · As part of the 2021-2024 Physician Services Agreement, the Ministry of Health (MOH) and the Ontario Medical Association (OMA) agreed to a new virtual care funding framework that adds certain services provided by video and telephone as insured services under OHIP.
