Ready to simplify your holiday OHIP billing? With the holiday season fast approaching, billing for medical services can become complex, especially with specific requirements for codes like Q888, A888, and Q012.
We have created a quick reference guide in collaboration with our partners at DoctorCare to provide a resource offering clear, actionable insights into billing requirements, eligibility rules, and practical examples to ensure you stay compliant and optimize your billing processes. Download the quick reference guide here.
Key Highlights from the Quick Reference Guide
Weekend Access (Q888) Code
The Q888 code allows FHO physicians to bill for unscheduled, in-person care on weekend and holidays. To qualify:
- Patients must be enrolled with the billing physician or their FHO group.
- Visits must be unscheduled and in-person.
- Physicians need to schedule at least three visits within a three-hour block on eligible days.
Our quick reference guide breaks down the diagnostic code requirements and compares Q888 with other billing codes like A888.
Emergency Department Equivalent (A888) Code
Designed for urgent, unscheduled care provided outside hospital emergency departments, the A888 code is applicable only under specific conditions:
- No pre-arranged or scheduled patients for the day.
- Limited to dates between December 25, 2024 and January 1, 2025, as holidays this year don’t fall on weekends.
An example scenario in the guide illustrates how to ensure compliance with A888 billing requirements.
Q012 Premium Code
This premium code adds a 30% uplift for certain services during FHO after-hours, including holidays like December 25 and January 1. Our guide details how to avoid common errors when submitting this code alongside eligible services.
After-Hours Requirements for FHO Groups
FHO physicians must meet weekday and weekend after-hours obligations to bill codes like Q888 and A888. Our guide simplifies these requirements, ensuring billing compliance.
Common Errors and Solutions
Our guide also provides a troubleshooting section, addressing common error codes (eg. I6) and offering solutions for issues like retroactive patient enrolment.
Don’t Miss Critical Deadlines!
The final billing cut-off for holiday claims is December 13, 2024. This guide ensures you’re ready ahead of time, so you can focus on providing patient care without billing-related stress.
Download our Holiday OHIP Billing Guide
Take the stress out of holiday billing. Download the 2024 Holiday OHIP Billing Quick Reference Guide and get everything you need to bill with confidence this season.
For additional questions or personalized assistance, contact our team at help@oscarprodesk.ca