The Longitudinal Family Physician (LFP) Payment Model, introduced by the Ministry of Health in British Columbia on February 1, 2023, continues to evolve. Adoption has grown rapidly, with over 4,000 physicians now enrolled. For OSCAR Pro users, keeping up with the latest changes is critical to ensuring accurate billing and streamlined patient management.
In this blog, we break down the key updates and clarifications that may affect your practice in 2025.
Billing & Payment Updates
Facility-Based Care Billing (Effective June 24, 2025)
Physicians billing under the LFP model for clinic-based care can now bill for facility-based services, including inpatient care, pregnancy and newborn care, long-term care, and palliative care in facilities.
- Locum physicians are eligible to bill facility-based care immediately.
- Physicians can choose which facility settings to bill under the LFP model (or remain under FFS/alternate payment).
- Registration is required for facility settings.
- The LFP Payment Schedule has been updated to include facility-based billing. All physicians should review the revised schedule, even if they don’t provide these services.
The Simplified LFP Guide now includes the new time and interaction codes for facility-based care.
FPSC Network Payments for Inpatient & Maternity Care
As of March 31, 2025, fee codes 14086 (Assigned Inpatient Care Network) and 14010 (Maternity Care Network) have been deleted.
Beginning April 2025:
- FPSC payments now require an annual claim form instead of quarterly fee codes.
- The total payment remains at $8,400 per year, remitted quarterly at $2,100.
- Payments are eligible for family physicians under FFS, LFP, or alternate funding models.
- They appear on remittance statements as MN (Maternity) or IP (Inpatient Care).
Ensure your banking information is current – payments are tied to the claim’s payee number.
New LFP Explanatory Codes (August 2025)
MSP has introduced new explanatory codes for the LFP model to clarify why claims may be rejected, reduced, or adjusted. These appear on Teleplan remittance statements and help prevent repeat billing errors.
| Code | Explanation | Common Cause |
| PM | Same-day LFP interaction requires a clinical note. | Missing note record for multiple same-day interactions. |
| PS | Procedures not payable in addition to an in-person visit. | Procedure and in-person appointment billed together. |
| PT | Only one procedure code payable per day (except 98022/98052 if distinct). | Multiple procedures or duplicates billed. |
| PN | Only one time code per 15 minutes. | Duplicate or overlapping time codes (often EMR entry error). |
Tips for OSCAR Pro Users:
- Review Remittance Advice reports for explanatory codes.
- Track recurring codes to identify workflow or EMR setup issues.
- Refer to the most recent Explanatory Code Index from MSP.
- Add claim notes when resubmitting to support faster processing.
Time Code Billing Restrictions
- Daily cap: 14 hours
- Biweekly cap: 120 hours
- Administrative time (98012, 98042) capped at 10% of annual time codes.
- Start and end times for multiple claims on the same day cannot overlap.
Non-Panel Services Transition Period (Extended)
Under the LFP model, Clinic Non-panel Services must not exceed 30% of LFP Clinic-based Services. The transition period to meet this requirement has now been extended until March 31, 2026.
If you are actively transitioning:
- Submit both the LFP Clinic-based Services Transition Code (98001) and the Transition Form.
- Exemptions: locum-only physicians and rural physicians who receive the Northern Isolation Allowance (NIA) (as of Dec 15, 2002).
If you already submitted both, no further action is required. If you need an exception in 2026, you’ll need to resubmit between January 1 and March 31, 2026.
Patient Enrolment & Panel Payments
- Physicians do not need an existing panel before enrolling, but must:
- Maintain at least 250 patients within 4 months.
- Submit an accurate panel list within 3 months, with regular updates.
- Panel payments are based on:
- Patient attachment using the Majority Source of Care (MSOC) methodology.
- Complexity using the Adjusted Clinical Group (ACG) system.
- CLFP payments are discontinued for physicians enrolled in the LFP model.
Locum Physicians & the LFP Model
Locums must enroll before billing. To register:
- Submit Locum Enrolment Code (98005) via Teleplan.
- Complete and submit the LFP Locum Registration Form at least one business day before billing.
Locums have dedicated interaction and time codes listed in the updated LFP Payment Schedule.
Key Takeaways for OSCAR Pro Users
- Review the updated LFP Payment Schedule, including facility-based care billing.
- Note that FPSC network payments now require an annual claim form.
- Be aware of the new explanatory codes and adjust workflows to reduce rejections.
- Stay within time code restrictions to avoid claim denials.
- Maintain accurate panel lists to maximize payments.
- Plan for the extended transition period on non-panel services (to March 31, 2026).
- Locums must continue to enroll separately before billing.
For full details, review the latest LFP Payment Schedule and Simplified Guide, or contact OSCAR Pro support at info@oscarprodesk.ca for help aligning your billing workflows.