The Ministry of Health is phasing out dial-up modem Electronic Data Transfer by the end of 2014 and moving exclusively to web-based MCEDT in January 2015. In this blog post, we take you through the registration process step-by-step.
When a new doctor starts with JCL, one of the first things we do is figure out his or her registration status with the Ministry of Health.
Over the past year, the MOHLTC has been promoting its latest medium of sending and receiving files. This new method, called Medical Claims Electronic Data Transfer or MCEDT for short, is a web-based portal allowing physicians or their billing agents to upload and download files.
How often have you been called to see a patient in hospital after a long shift, and thought: “If only there were some sign of appreciation…” Well there is. Special visit premiums (SVPs) are designed for those times when physicians are called unexpectedly to care for patients
Our primary task as billing specialists for physicians in Ontario is to process claims with a keen and critical eye. We review, interpret, correct and keep track of our physicians’ billing habits, continually looking for potential errors, missing information, and claims that fall outside of normal billing parameters.
Given the volume of OHIP billing that JCL has processed for hundreds of physicians over the years, we have had very little occasion to deal with serious payment integrity issues. That said, once or twice a year our doctors do receive letters from the Ministry of Health requesting further information about their medical billing.
In 2005 and 2006, the Ministry of Health and Long Term Care drastically overhauled their process for auditing physicians’ OHIP billing. The revised process, called the Payment Integrity program, is still in effect and is intended to ensure that physicians bill OHIP properly for their services.
Recently I’ve been following the story of Dr. Alfred Nkut, a Sudbury area family physician currently on trial for defrauding the Ministry of Health and Long-Term Care of an alleged $800,000 in OHIP over-billings. Despite billing OHIP claims as early …
Working with a company like JCL Medical for outsourcing OHIP claims processing does have a cost, but is it a cost in the usual sense? Read up on the unexpected benefits our clients receive.
When a specialist sees a patient at the written request of another physician, and completes a full evaluation to assess the specified condition, the specialist can bill a consultation. Click here to learn about the different consultation OHIP codes available for your specialty.