The GSPC has announced two new fee codes to help support family doctors providing longitudinal and team-based care; these include the Brief Clinical Conference Fee (14067) and the CLFP New Patient Intake Fee (14041). The new fee codes can be billed for services provided on or after October 1, 2021. In this blog, we will share the latest update on the new codes and provide the resources you need to accurately bill them. <\/p>\n\n\n\n
The Brief Clinical Conference Fee is payable for two-way case conferencing about a patient with at least one Allied Care Provider (ACP) and\/or physician. This fee is billable regardless of where the patient is located or how the conference occurs and has no minimum time requirement. This fee code is payable to a maximum of one per patient per day with a maximum of 150 per physician per calendar year. <\/p>\n\n\n\n Eligibility Requirements<\/strong> <\/p>\n\n\n\n The PH1067 fee code is eligible to the family doctor who is most responsible for the patient\u2019s longitudinal primary care and has submitted and met one of the requirements below: <\/p>\n\n\n\n Billing Requirements <\/strong> <\/p>\n\n\n\n <\/p>\n\n\n\n We have heard that there\u2019s been a lot of confusion about the new fee code 14067 and when to bill it versus the fee codes 13005 and 14077, as they are quite similar. In the following section, we share some information on when it\u2019s necessary to bill the fee codes 13005 or 14077. <\/p>\n\n\n\n Please note, the fee code 14067 should not be billed for conferencing activities that can be billed as fee codes 13005 or PG14077. <\/p>\n\n\n\n Advice About a Patient in Community Care (13005)<\/strong> <\/p>\n\n\n\n The fee code 13005 can be billed for advice by telephone, fax, or in written form about a patient in community care given in response to an enquiry initiated by an allied health care worker. <\/p>\n\n\n\n Conference with Allied Provider and\/or Physician (14077)<\/strong> <\/p>\n\n\n\n The fee code 14077 can be billed for two-way conferencing about a patient with at least one allied care provider or physician per 15 minutes or greater portion thereof. <\/p>\n\n\n\n THE CLFP New Patient Intake Fee is payable in addition to a visit fee for confirming the addition of a new patient to the physician\u2019s panel where the longitudinal doctor-patient relationship has been confirmed through a standardized conversation or \u2018compact\u2019. By billing the fee code 14041, the FP commits to assuming the role of Most Responsible Provider (MRP) for the patient. The fee code is payable to a maximum of one per patient per calendar year. <\/p>\n\n\n\n Billing Requirements\u00a0\u00a0<\/strong><\/p>\n\n\n\n Note:\u00a0Fee code 14041 must be billed within the first\u00a0three\u00a0months of intake so new patients whose first visit was no earlier than July 1, 2021 are eligible.\u00a0\u00a0<\/p>\n\n\n\n DoctorCare helps doctors sort through confusing billing rules, automate billing submissions, ensure errors are fixed, and optimize billings to maximize revenue. If you are interested in learning more about how we can help, contact us to set up a free consultation. <\/p>\n\n\n\nFee Code <\/strong> <\/td> Description<\/strong> <\/td> Value<\/strong> <\/td><\/tr> PH14067 <\/td> FP Brief Clinical Conference with Allied Care Provider and\/or Physician <\/td> $18.22 <\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n When to Bill Fee Codes 13005 and 14077 <\/h3>\n\n\n\n
Fee Code<\/strong> <\/td> Description<\/strong> <\/td> Value<\/strong> <\/td><\/tr> 13005 <\/td> Advice About a Patient in Community Care <\/td> $18.22 <\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n Fee Code<\/strong> <\/td> Description<\/strong> <\/td> Value<\/strong> <\/td><\/tr> 14077 <\/td> Conference with Allied Provider and\/or Physician \u2013 per 15 minutes or greater portion thereof <\/td> $40 <\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n CLFP New Patient Intake Fee (14041) <\/h2>\n\n\n\n
Fee Code<\/strong> <\/td> Description<\/strong> <\/td> Value <\/strong> <\/td><\/tr> 14041 <\/td> CLFP New Patient Intake Fee <\/td> $15 <\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n