Is Incorporation Right for You? If you are thinking of incorporating your medical practice there are certain questions you should be asking yourself: Do I earn more each year than my current spending needs? Do I have immediate family members that …
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In our capacity as billing agents, we help our doctors get compensated for the work they do. We run accounts receivable reports, follow-up on unpaid claims, and generally have a stake in the financial well-being of our physicians. When we …
Newly certified doctors are very busy this time of year getting their new practices organized. We thought we’d help lighten the load by explaining the options for handling your medical billing. Deciding on an option earlier will help you get your first paycheck that much sooner.
As we’ve mentioned in earlier blog posts, the Ministry of Health states that the cut-off to submit claims for payment is always the 18th of the month. However, with the December holiday season, the MOH has requested a much early cut-off date for submissions.
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.