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Options for payment for Out-of-Province patients who receive an eligible virtual service within the province of Ontario by an Ontario physician include: Submitting a paper claim directly to the patient’s home plan (e.g., QC); or; Charging the patient directly
Oct 1, 2021 · Outside use and Access Bonus. Effective October 1, 2021, K080, K081, and K082, services rendered on or after October 1, 2021 by a family physician outside of the patient’s enrolling group will be considered Outside Use.
Video Services – must be performed using a Verified Virtual Visit Solution. Geographic Location – the physician and patient must be located in Ontario during the visit. For more information on the billing criteria for virtual care, view the Schedule of Benefits here.
Dec 1, 2022 · The December 1, 2022, version of the Schedule introduces a new section for Virtual Care Services within the Consultations and Visits section starting on page A66. This new section outlines additional specific payment rules and provides commentary related to these 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.
Virtual care uses digital tools to help you connect with health care providers online or by phone, for convenient access to the best care when and where you need it. Health811 Call 811 or chat online with a registered nurse 24/7 and find health care services
People also ask
How do I pay for out-of-Province virtual services in Ontario?
Are virtual care services eligible for reimbursement in Ontario?
Are virtual care services eligible for payment?
Can a physician Bill for virtual care services?
Does OHIP cover virtual care?
Does CPSO determine which virtual care platforms can be used?
Check for any applicable costs or fees associated with using the virtual care platform or service. Virtual care is covered in a lot of instances, but doctors can charge a reasonable fee for services that aren’t covered by OHIP.
