General Practice BILLING GUIDE - British Columbia Medical ...

A GP SERVICES COMMITTEE INCENTIVES
12. If the GP mental health management fees (G14045–G14048) and the GP
mental health telephone/email management fees (G14049) are restricted to
the GP who has been paid for the mental health planning fee (G14043), what
do group practices do when they share the care of the patient?
An exception has been made allowing another GP to bill for this fee with the approval
of the most responsible GP (MRGP). This allows flexibility in situations when patient
care is shared between GPs. In this circumstance, the alternate GP must submit the
claim with a note indicating he/she is in the group of the MRGP and is sharing the care
of the patient.
If a disagreement arises about the billing of this service, GP Services will adjudicate
based upon whether the most responsible GP, i.e., the GP paid for the mental health
planning fee, approved or did not approve the service provided. GP Services feels that
this provides the maximum flexibility while still maintaining responsibility.
13. Can I access the mental health management fees if I have billed for the
mental health planning fee but have not yet been paid for it?
Adjudication of any billings for mental health management fees will depend upon
whether the GP is eventually paid for the mental health care planning fee. In other
words, if a GP bills for the mental health planning fee (G14043) and provides — and
bills for — a follow-up management service under G14045, G14046, G14047,
G14048, or G14049 prior to receiving payment for G14043, payment for those
follow-up management billings will be made only if G14033 is subsequently paid to
that GP. Until that time any follow-up services will show as “BH” on the remittance.
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GENERAL PRACTICE BILLING GUIDE