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General Practice BILLING GUIDE - British Columbia Medical ...

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APPENDIX ii OTHER TOOLS TO SUPPORT FAMILY PRACTICE IN BC<br />

CDM TOOLKIT<br />

Patient Registry Development<br />

INVOICE<br />

To: Maria dela Cruz<br />

BCMA<br />

Toolkit Administration<br />

Fax: 604-638-2939<br />

From: Physician’s Name:<br />

Address:<br />

Phone #:<br />

MSP #:<br />

Amount: $500.00<br />

Please submit invoice if all the following apply:<br />

I am a general practitioner.<br />

My practice has entered at least 50 qualifying patients into the Toolkit after<br />

November 1, 2004.<br />

These patients have one or more diagnoses of a chronic disease for which a<br />

CDM Toolkit flow sheet has been developed or have been identified as part of<br />

a prevention screening age cohort.<br />

My practice has entered the patients’ baseline data against the disease or<br />

prevention flow sheets.<br />

Signed:<br />

For BCMA Office use only<br />

BCMA verifies information through Toolkit team Verified<br />

Invoice Paid Date<br />

E/24<br />

GENERAL PRACTICE <strong>BILLING</strong> <strong>GUIDE</strong>

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