![]() Will existing FHO’s have to share patient access? When LTC patients are rostered, it is technically care you are providing to your patient base, not others within your community. ![]() The Ministry will provide the exemption if the LTC work is over and above your FHO practice. The exemption does not mean that the required after-hours shifts will be lowered until more than 50% of the group provide outside services.įor exemptions – what exactly does the LTC non rostered pt >10 pts per week mean since all LTC pts done by the FHO physicians are rostered? The remaining group members will be required to provide coverage for the exempted physicians. The details can be found on page 80 in the agreement. Yes, if you are meeting the criteria for hospital and LTC work. Can we exempt these three from our group of 10? We have two doctors working at LTC and one working in a hospital. As per the new PSA, your group will be required to have eight blocks in total per week with six during the weekdays and two during the weekend.įor more information on the after-hour block requirements, view our quick reference guide here. Since there are only four physicians providing hospital services, no exemption will apply to your group. To be exempted, your group will require six physicians or more provide the exempted services i.e., more than 50% of your group. If my FHO has 11 physicians, with four of them providing hospital services, how many blocks per week do we need to provide? Virtual care can be conducted during after hours however, patients must be able to see the physician in-person during after hours if necessary. What is the requirement for after hours being virtual vs. Please note that you will need at least three scheduled visits to qualify for the new Q code. The new Q code is to be billed when scheduled patients are also seen. The A888 is only billed when it is on an urgent, ER equivalent, unscheduled basis. Will the A888 code still be available to use on weekends when the new Q code for after hours is available?Ī888 will remain billable and qualifies only for a block of unscheduled visits. Subscribe here to ensure you get the latest updates right in your inbox. When the new weekend code is released, we will share an update in our newsletter. The new weekend code will allow you to bill for scheduled and unscheduled patient visits if the physician has three scheduled visits per block. The new weekend code will not be released until July 1. Please note that this rule does not apply to weeknights. For example, if two weekend blocks are required for the group and a physician is scheduled for Saturday from 9am to 12pm, then the other physician cannot be scheduled between 9am to 12pm on Saturday. Your FHO group cannot have an overlap of after-hours blocks during your weekend coverage. What does the Ministry mean when they say that you cannot have overlap between the after-hours blocks? The post is broken down into seven sections: We have compiled a list of the most frequently asked questions about the Physician Services Agreement that we have been hearing from our doctors. We want to help you leverage our platform to help alleviate the stress of keeping up with these changes and ensure you are maximizing your revenue potential and opportunities We know it might be overwhelming and time consuming to understand all of the changes. As a result, there have been several changes that have taken effect. On March 28, 2022, the Ontario Medical Association and the Ontario Ministry of Health announced that members decisively ratified a new three-year Physician Services Agreement.
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