General Practice BILLING GUIDE - British Columbia Medical ...

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A GP SERVICES COMMITTEE INCENTIVES 12. Are the payments eligible for the rural premiums? No. 13. Are general practitioners who are paid by service contract, sessional, or salary payments eligible to receive the chronic disease management payments? Yes. 1.7 ChRONIC DISEASE MANAGEMENT (CDM) PAyMENTS 2007–2008 14050 and 14051 – Annual bonus for provision of clinical guidelines-based diabetes and congestive heart failure care was increased from $75 to $125 per person effective April 1, 2006. 14052 – Annual $50 bonus payment for clinical guidelines-based hypertension management was introduced April 1, 2006. GENERAL PRACTICE BILLING GUIDE A/7
A GP SERVICES COMMITTEE INCENTIVES 2. CONFERENCING FEES (14015 AND 14016) These new payments (14015 and 14016) are for case conferencing for complex patients who are facility-based or community-based. Under the 2006 agreement they are limited to the care of BC patients (out-of-province patients are not eligible) who fall into five categories: • frail elderly; diagnostic code V15 • palliative care; diagnostic code V58 • end of life; diagnostic code V58 • mental illness; appropriate mental health diagnostic codes • patients of any age with multiple medical needs or complex co-morbidity (two or more distinct but potentially interacting problems where care needs to be coordinated over time between several health disciplines); diagnostic code of one of the major disorders but at some future date, both will be required See table 1 below for a more complete description of the eligible patient populations. Eligibility These incentive payments to improve patient care are available to: • all general practitioners who have a valid BC Medical Services Plan (MSP) practitioner number (registered specialty 00); practitioners who have billed any specialty fee in the previous 12 months are not eligible; and • whose majority professional activity is in full-service family practice; and • who are considered the most responsible general practitioner for the patients at the time of service. These payments are not available to physicians who are employed by or who are under contract with a facility or health authority who would otherwise have attended the conference as a requirement of their employment or contract. They are also not available for physicians working under salary, service contract, or sessional arrangements who would otherwise have attended the conference as a requirement of their contract. These payments are payable at a rate of $40 per 15 minutes or greater portion thereof. They are payable in addition to payment for a medically required visit if the conferencing requirements are done on the same day as a visit provided the visit occurs before or after the conference. There is a maximum of 6 units (90 minutes) payable per calendar year per patient, with a maximum of 4 units (1 hour) on any single day. The claim must state start and end times of the service. A/8 GENERAL PRACTICE BILLING GUIDE
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A GP SERVICES COMMITTEE INCENTIVES
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B WORKSAFEBC GP FEES Fee Code Descr
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B WORKSAFEBC GP FEES Fee Code Descr
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GENERAL PRACTICE BILLING GUIDE
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C UNINSURED SERVICES A00073 A Medic
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C UNINSURED SERVICES NOTE: Physicia
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GENERAL PRACTICE BILLING GUIDE
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APPENDIX i FORMS FOR THE GPSC INITI
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APPENDIX ii OTHER TOOLS TO SUPPORT
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APPENDIX iii DIAGNOSTIC CODES QUICK
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APPENDIX iii DIAGNOSTIC CODES QUICK
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General Practice BILLING GUIDE - British Columbia Medical ...

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