October 14th, 2016
Error Codes, Remittance Advice36, A36, ADF, DF, Error codes, RA Inquiry, Remittance advice
As we’ve mentioned before, 3 character OHIP rejection codes come up on error reports, while 2 character codes are found on the Remittance Advice payment report that comes from the Ministry of Health monthly. Rejection codes often have counterparts for …
September 30th, 2016
Remittance AdviceC8, Explanatory codes, H3, H5, M1, MD, Rejection codes, Remittance advice
We’ve all seen OHIP rejection codes on the remittance advice summary sent monthly by the Ministry of Health, but many physicians aren’t sure what they mean, or what to do about rejected codes.
September 2nd, 2016
Error Codes, Remittance AdviceA615, ADF, DF, Error codes, Special Visit Premiums
It’s back to school time, and we’ve returned with more lessons on error codes. Our most recent request a blog querent wanted to know how to deal with the ADF error code. ADF Error Code – corresponding procedure rejected A recent …
January 25th, 2016
Remittance AdviceD7, DF, G400, G611, K007, K015, Remittance advice
In this month’s Request a Blog, we address questions about DF and D7 RA rejections and why certain OHIP codes aren’t payable together.
September 16th, 2015
Remittance AdviceMOH, MOH Cuts, Remittance advice
An OHIP bulletin announcing a second round of cuts to Physician payments was announced on Sept 14, 2015. Physicians across Ontario can expect an additional clawback starting October 1st, 2015.
April 7th, 2015
Remittance AdviceMOH, MOH Cuts, Remittance advice
When talks broke down recently between the Ministry of Health and the OMA regarding a new contract the MOH announced a very important change: an additional 2.65% clawback was added to the 0.5% they’d already been deducting from physician payments.
February 16th, 2015
Remittance AdviceMOH, Remittance advice
There’s one adjustment that can be frustrating for physicians and their billing companies: Estimated Payment – Unprocessed Claims. There are certain circumstances, explained below, during which the MOH is not able to process all the claims they receive for a particular physician.
June 3rd, 2013
Remittance AdviceRemittance advice
Doctors who don’t pay attention to their OMA agreements were probably very surprised to see a .5% reduction to their May 2013 RA OHIP payments.