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Layout of the billing table colomns

2020-07-03

We've changed the layout of the current billing table columns on the home page to make it more fluid between the different columns. You will notice that applications should now move from left to right, where they will be well received at RAMQ.

The changes are only aesthetic and nothing changes in functionality.

Best regards,

Your billing Team!

Would you know any resident physician ready to begin their medical practice?

2020-05-14

Our experts offer FREE trainings to new resident physicians so that they can get started with medical billing and deliver their first payment requests. Please share with them the following link to register for the training: click here

Specialists: billing in a COVID-19 context

2020-04-27

To consult our summary of important information transmitted by the RAMQ in the context of the pandemic, click here

Communication regarding the RAMQ latest newletters and FMOQ publications – Général Practitioners

2020-04-21

Here are updates on medical billing for general practitioners and upcoming changes.

A RAMQ newsletter will be published in the next few days. It is important to mention that we are only communicating the essential points of the changes announced by the RAMQ and that a complete reading of said infoletter is necessary for your understanding.

This is the link for detailed information :Newsletter summary

FAQ : teleconsultations COVID-19

2020-04-02

TELECONSULTATIONS :

Below are answers to some of the most asked questions about teleconsultations related to COVID-19.

Do patients seen in teleconsultation count in the number of patients seen / registered for office fees (codes 19928, 19929) if I am normally entitled to them?
Yes, as long as the encounter qualifies as a visit and that the patients are registered.

Are the new patient visit and the supplement for non registered patient (codes 1995X) billable for patients whose care was ultimately taken over the phone by teleconsultation?
Depending on the patient's condition, a management visit may require an examination (patient with heart or respiratory failure, etc.). In this case, it is not appropriate to claim VPEC (new patient visit). If the patient does not require a physical examination because his situation is simple, it is conceivable to request a VPEC.

Until Friday March 20, the CMQ's position was that teleconsultation should only be used to assess known patients. The College has since changed its position and allows it, but stresses that physicians must respect the limits imposed by the means they use and judge on a case-by-case basis.

We therefore recommend that you register the patient and bill a walk in visit or a clinical intervention for the first teleconsultation appointment (if an examination is necessary) and wait for a next appointment in person to bill the new patient visit and the non registered patient supplement (codes 1995X).

I participate in daily and weekly meetings for public health and COVID-19. Can I bill my administrative hours in GMF (activity code 072101) or my medico-administrative hours (activity code XXX043) if I am on an hourly rate?
Some facilities tell us that these meetings are informative and participation is voluntary. Other meetings deal with the specific organization of the GMF to contribute to the evaluation of patients in the context of the pandemic. The FMOQ is discussing the possible avenues of compensation for these meetings with the ministry.

If doctors want to use their bank of medico-administrative hours in GMF to remunerate the participation in these meetings which deal with the functioning of GMF during the pandemic, they can do so.

I do teleconsultations when I'm in the ER. Do I have the right to charge for these services with modifier # DC19?
Yes, you follow the same billing rules and codes as you normally do in your sector of activity. It is not limited to the clinic, CLSC or GMF-U.

I am in a position of imposed quarantine and I choose to conduct teleconsultations for my patients from home. Am I paid according to the isolation measurement compensation or according to the services rendered in teleconsultation?
For the time being, when in isolation one cannot accumulate compensation plus fee for service remuneration for remote services; it's one or the other.

You are encouraged to lend a hand by performing teleconsultations. You are also encouraged to still note the services rendered if you choose the isolation compensation in case the modality changes.

DESIGNATED CLINIC COVID-19:

I work in a designated COVID-19 office and I chose the fixed rate compensation method (code 19680). I see patients registered with my name. Can I charge 8875 (GMF annual fee) or 15169 (vulnerability supplement) supplements?
No, it is not in conformity to bill any other supplement or package than the codes 19681 and 19683 during the period when the package 19680 is claimed.

If I am in a designated COVID-19 clinic and I choose the fee-for-service method, can I invoice the package during unfavorable hours (code 19683)?
Yes, as long as it applies to the sector in question.

Our team continuously monitors the situation and we will continue to keep you informed on the subject as it evolves. This page will therefore be updated frequently.

Awaiting billing information related to COVID-19 for specialists

2020-04-02

FMSQ and other associations have issued communications regarding billing for specialists. We are still waiting for the RAMQ infoletter which is the only official document. As soon as we’ll have the billing information, we will send them to you quickly.

Thank you all for your understanding and collaboration, and take good care of yourself.

New billing procedures for medical specialists as of March 9, 2020

2020-03-31

Since March 9, 2020, a new element of context was created by RAMQ for ‘Centre de répartition des demandes de services (CRDS)’. This element of context can be applied to the 15299 code (consultation à la demande du CRDS) : Consultation réalisée ailleurs que dans le CRDS – LE 221 (raccourci #A221)

For additional information, please refer to Infolettre 340 from March 6, 2020.

https://www.ramq.gouv.qc.ca/SiteCollectionDocuments/professionnels/infolettres/2020/info340-9.pdf

Best regards,

Letter of Agreement 269 COVID-19 for general practitioners

2020-03-30

Here is a summary of the latest COVID-19 newsletter.

It is important to mention that we are only communicating the essential points of the changes announced by the RAMQ and that a complete reading of said newsletter is necessary for your understanding.

https://www.ramq.gouv.qc.ca/SiteCollectionDocuments/professionnels/infolettres/2020/info354-9.pdf

Résumé de l'infolettre

IMPORTANT REMINDER - Billing related to a reimbursement for insured person (Form 4314).

2019-12-01

We would like to remind you about the billing procedure related to an insured person's claim (Form 4314).

Form 4314 is used by an insured person who does not present their health insurance card, or whose card has expired. The form is used to claim reimbursement of the fees they paid for the covered services they received. The physician must complete sections one to four of the form as directed, sign and return to the insured person.

The doctor must also create a claim on Facturation.net and make sure to check the box "Reimbursement insured pers. (4314)”. By doing so, the bill will be linked to the patient's claim for reimbursement.

The Régie must compare the claim linked to the reimbursement request and the corresponding reimbursement request. Therefore, delays in producing a claim related to a refund request entails a deferral for the reimbursement of the insured person. The physician must make sure to indicate on the claim linked to the reimbursement claim the same amount that he has entered in the Amount box on Form 4314 that he has given to the insured person. This amount corresponds to the sum of the amounts entered on each line details of the statement of fees.

Facturation.net’s Team

A new feature for confidential sending of information: Account Statement Follow-up!

2019-09-13

To facilitate the sending and exchange of information related to patients or to your billing, a NEW ACCOUNT STATEMENT FOLLOW-UP MODULE will be available as of October 8th, 2019 directly in your Facturation.net session.

This Module will allow you to:

- To receive follow-ups for your account statement analysis and your notes for missing information;

- To simplify our exchanges without having to protect Word, Excel or PDF documents with a password;

- To guarantee the confidentiality of all communications!

In the meantime, stay tuned, we will email you a video and user guide! So, as of October 8th, you will receive your follow-ups through secure messaging. Our email communications will always be in place for all other types of exchanges.

Please note that this Feature should not be used to send us your billing.

Interruption of the RAMQ online services - Friday, March 29 at 5:45 PM until april 1 6:00 AM.

2019-03-12

We inform you that the RFP Direct Billing (B2B) system will be unavailable due to maintenance, Friday, March 29 at 5:45 PM until april 1 6:00 AM.

No invoice or request can be transmitted during this period of interruption.

Thank you for your cooperation .

Interruption of the RAMQ online services - Wednesday, March 13 at 5:45 PM until march 14 13:30 PM.

2019-03-12

We inform you that the RFP Direct Billing (B2B) system will be unavailable due to maintenance,Wednesday, March 13 at 5:45 PM until march 14 13:30 PM.

No invoice or request can be transmitted during this period of interruption.

Thank you for your cooperation .

Interruption of the RAMQ online services - Thuesday, March 7 at 5:50 PM until 7:30 PM.

2019-03-04

We inform you that the RFP Direct Billing (B2B) system will be unavailable due to maintenance,Thuesday, March 7 at 5:50 PM until 7:30 PM.

No invoice or request can be transmitted during this period of interruption.

Thank you for your cooperation .

Interruption of the RAMQ online services - Thursday, February 26 at 5:50 PM until wenesday 8 AM.

2019-02-20

We inform you that the RFP Direct Billing (B2B) system will be unavailable due to maintenance,Thursday, February 26 at 5:50 PM until wenesday 8 AM.

No invoice or request can be transmitted during this period of interruption.

Thank you for your cooperation .

Interruption Facturation.net - Unavailable from Friday, February 15th 2019 9 PM until Sunday 11:30 PM.

2019-02-15

We would like to inform you that the Facturation.net solution will be unavailable from Friday February 15th 9PM to Sunday February 17th 11:30PM to let us do maintenance work on our infrastructure.

We will inform you if our work takes less time than expected.

Thank you for your cooperation.