In this series, we’re going to cover common ‘Anesthesia Age Premiums’ for Ontario Physicians. This is mainly for physicians who are providing anaesthesia services, which allows them to claim additional units based on certain patient characteristics. These additional units are outlined in the Schedule of Benefits. The following codes are now automated for payment purposes (as of June 1, 2008). E014C – newborn to 28 days E009C – 29 days to a year E019C – 1 year to 8 years inclusive E007C – adult 70 – 79 inclusive E018C- adult 80 and older For service dates on, or after June 1, 2008, it’s no longer necessary to submit these fee codes for payment, as the extra units will be calculated and paid automatically. Any fee codes submitted with service dates on, or after June 1, 2008, will be paid at $0 with explanatory code 30 (This Service is Not a Benefit of OHIP). Payment for all age premiums will appear as an accounting adjustment on the Remittance Advice (RA) with the description “Anaesthetic Age Premium”. Note: E021C (premature newborn less than 37 weeks gestational age) has not been automated and should continue to be claimed as part of claims submission. If you have any questions regarding Anesthesia Age Premiums’, please don’t hesitate to contact us here. Want to maximize your earnings? New to Ontario Billing? Check out our Ultimate OHIP Billing Guide that takes you through every step for billing successfully in Ontario. Master Ohip Billing This article offers general information only and is not intended as legal, financial or other professional advice. A professional advisor should be consulted regarding your specific situation. While information presented is believed to be factual and current, its accuracy is not guaranteed and it should not be regarded as a complete analysis of the subjects discussed. All expressions of opinion reflect the judgment of the author(s) as of the date of publication and are subject to change. No endorsement of any third parties or their advice, opinions, information, products or services is expressly given or implied by RBC Ventures Inc. or its affiliates. Related posts: How to Avoid Common OHIP Billing Mistakes OHIP extends temporary payments for Selected Premiums and Management Fees Retroactive Increases to Physician Laboratory Fees An OHIP Expert in Your Pocket Find codes and bill premiums with a tap. Get a $150 Credit when you sign up for Dr.Bill*. *Terms and conditions apply. . GET STARTED
1/* When you sign up for the Comprehensive Plan (fee of 1.95% of paid claims per billing cycle) with Dr.Bill you will receive a $150 billing credit (“Billing Credit”) to be applied to future Dr.Bill fees ( “Offer”). Offer is only available to new Dr.Bill users and can only be used once. Billing Credit cannot be converted to cash. If you cancel your Dr.Bill account or switch to the Essentials Plan at any time before the Billing Credit balance has reached $0, you will forfeit the balance of the Billing Credit. Offer cannot be applied retroactively and may not be combined or used in conjunction with any other Dr.Bill offer. Offer is only available in provinces where Dr.Bill operates. Offer may be amended or withdrawn at any time without notice. 2Up to $7,500 in billings free refers to the maximum amount of billings with a fee rate of 1.95% of paid claims that the $150 billing credit would cover in full. You will be charged for any additional services requested outside of the Comprehensive plan.
Already an MDBilling.ca client? It’s business as usual and you’ll still be using the same product you’ve come to know and trust for your medical billing. Click here to sign in to your MDBilling.ca account as you normally would.
Looking for MDBilling.ca? You’re in the right place! Dr.Bill and MDBilling.ca have come together to make it even easier to find the right codes, submit claims and get paid.