News

11 Dec

14075 and the CSHA frailty score

SGP has heard from some members that when they “google” CSHA frailty score, they find information on  scores of 6 and 7 that seems to contradict that found in the description of fee code 14075.  GPSC uses the scale  contained in the GPAC guideline Frailty in Older Adults, revised January 2012.  When you click on the links embedded in the SGP website, you are directed to the scale as it appears in the GPAC guideline, and you may rely on that.

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18 Sep

GPSC Fee Revisions Key Points Summary and Sept 18 update

On August 1, 2015 the General Practitioner Services Committee (GPSC) made revisions to the wording of some GPSC fees. Simplification of documentation requirements for the complex care fee were  made Sept. 18.

Here are some of the key points:

1) There is no longer a requirement to give flowsheets to patients. Offer self-management supports as appropriate for individual patients.

GPSC notes:  “Must have chart-documented provision of a clinically appropriate level of guideline-informed care in the preceding year, including patient self-management supports as appropriate for individual patients. Sharing of flow sheets no longer required, although the use of flow sheets (paper or electronic) as a tool for documentation is still considered an appropriate confirmation of care provision.”

2) For annual billing of CDM incentives, one of the  two visits required in the preceding year can be a GPSC telephone visit or a group medical visit.

GPSC notes: “There must be at least 2 visit fees (office; prenatal; home; long term care; only one of which can be a GPSC Telephone Visit or a Group Medical Visit) in the 12 months prior to billing the CDM incentive. Visits provided by a locum are included; however, if the 2-visit requirement includes a locum visit, an electronic note must be submitted with the claim.”

3) Start and end times are now required for billing submission for mental health planning fees (14043) , palliative planning fees (14063) and mental health management fees (14044, 14045, 14046, 14047, 14048). The start and end times should also be recorded in the chart.

GPSC notes: “Minimum requirement of 30 minutes face-to-face time in addition to visit time (home/office) same day. Both chart and claim must state start and end times of the total service (planning + visit).”

4) For the Complex Care Planning fees 14033 and 14075, the chart note must include the total of : time spent planning (face-to-face, chart review and documentation) plus time spent for the required same day visit fee.  Of this total, the majority must be face-to-face, and this majority time must also be charted.

GPSC notes: “Minimum required time 30 minutes to review chart and create the care plan jointly with the patient and/or their medical representative. The majority of the time must be face-to-face. Documentation in the patient chart of total time spent in planning (face to face; review) and medical visit is required.”

So, document a minimum of 35 minutes of total work time for the combined visit and planning.
The 35 combined minutes should include:

  • at least 20 minutes of physician-patient face-to-face time
  • plus any combination of:
    • chart review
    • more physician-patient face-to-face time
    • encounter documentation
    • allied care provider time with patient

For example: You spend 20 minutes face to face with the patient and 15 minutes on chart review and documentation.
Document: total time = 35 min, face to face time = 20 min

5) GP’s on Alternate Payment who bill encounter codes are now requested to use a different set of CDM codes when submitting for these services.

GPSC notes:  “New codes for GPs who bill encounter codes are available retroactively to January 1, 2015. Please wait until after August 4, 2015 to resubmit any rejected CDMs with these new codes retroactively. Submission code “A” may be used for any claims over 90 days of age. The 2-visit requirements are subject to review of encounter codes to confirm provision of care.”

For the full details read GPSC’s summary of the changes.

SGP is interested to hear what you think of the GPSC’s changes. Send us your thoughts at: sgp.feedback@doctorsofbc.ca

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15 Mar

Billing Tip: WorksafeBC Fee Code Changes for Forms 8 and 11

We have updated the Worksafe page of the SGP website to reflect the following changes:

Effective January 26, 2014: fee codes for submitting Form 8 and 11 have been simplified. Merely select the fee code matching which report form you are submitting (Form 8 or Form 11), and the method of your submission (electronic via Teleplan or non-electronic via fax or mail). It is no longer necessary to select a fee code that matches the timeliness of your submission. The timeline is determined automatically by WorkSafeBC.

Effective March 12, 2015: fee codes 19938, 19901, 19941, and 19903 will be obsolete. If the physician is invoicing electronically through Teleplan, the fee codes will not be an option in their invoicing software; they will have disappeared following update from MSP. If the physician is invoicing by fax or mail, the item will be rejected and the physician must resubmit the invoice using the correct fee code.

See WCB’s summary:  New WorksafeBC Fee code changes

Check out more SGP Billing Tips in our Billing Tip Archive

 

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02 Feb

Provincial Privileging Dictionary

The FP/GP privileging dictionary work is ready for final feedback.  Read it @ family-medicine-privileges-  SGP is interested to hear feedback at  sgp.feedback@doctorsofbc.ca    Colleagues representing the broad spectrum of family medicine work- urban, suburban and rural- have worked collaboratively to write the dictionary which will be implemented province wide for hospital privileging in Family Medicine.  Organizations involved in the process included   BCCFP; CFPC;  Health Authorities;  SGP;  Doctors of BC; and Rural Issues Committee.  Read more information on the Provincial Privileging Project @ www.privileging.typepad.com

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18 Jan

Billing Tip: NEW GP-Nurse Practitioner Advice Fee Code

G14019 NEW – GP-Nurse Practitioner Advice Fee Code     $40.00

Billable by a family physician for providing advice to a nurse practitioner (NP), in cases where the NP requesting advice is the Most Responsible Provider for a patient’s care in the community.

If providing advice to an NP about a patient for whom you are the MRP (Most Responsible provider), see fee code: G14077.

Read more about 14019 NEW – GP-Nurse Practitioner Advice Fee Code.

Read more about All Case Conferencing Fee Codes,

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01 Jan

Billing Tip: Time to re-submit 14070

To all of you who are participating in Attachment, it’s time to resubmit the 14070 Attachment Participation Code.  By submitting this code you are reaffirming that you provide full service family practice to your patients and will continue to do so for the duration of 2015; and that you confirm the doctor-patient relationship with existing patients through a standardized conversation or “compact.”   You do not need to re-notify your Division of Family Practice of your continued participation.  If you need a refresher on how to submit the 14070:

PHN#: 975 303 5697
Surname: Participation
First name: Attachment
DOB January 1, 2013

See Details in our easy to use simplified guide to fees

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01 Dec

Disability Tax Credit

Many of you may have had patients asking you to sign the Disability Tax Credit form after being  told by a private company that they qualify.  These companies charge a significant commission to the patient for assisting them through the process,  and after a number of complaints, CRA has proposed the Disability Tax Credit Promoter’s Restriction Act. 

This will affect physicians, and the CMA has prepared a Disability Tax Credit briefing note and is asking for comment.  SGP will forward any feedback we receive to the CMA.

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01 Dec

Proposed CRA Changes to GST/HST may affect you

In the 2013 federal budget,  amendments to  the Excise Tax Act were made that  affect GST/HST.  After considerable delay, Canada Revenue Agency has issued a GST_HST_DraftPolicy outlining how CRA plans to apply GST/HST to uninsured physician services. The Canadian Medical Association briefing note Changes to GST-HST Application summarises this well.  You may want to review with your accountant how these changes affect you.

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09 Oct

Rx Renewals in LTC

Beginning Oct 1, 2014 pharmacists will be following a new protocol when sending you prescription renewals for patients in LTC.   You can read about it here.   

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06 Oct

Update: Provincial Privileging Project

The GP Expert Panel has been meeting to work on the Provincial Privileging Dictionary which will outline the  credentials required  to be granted privileges in hospital and residential care facilities in BC.  Members  were chosen to ensure representation of the diversity of care provided in facilities by GPs as well as to reflect the differing needs of rural, suburban and urban practitioners.  Stay up to date and offer your comments on the work so far by following the Provincial Privileging Blog.

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