Changes to GPSC Incentive Fees

Effective March 23rd, all face to face planning required under the GPSC planning fees 14033 Complex Care, 14075 Frailty, 14043 Mental Health, and 14063 Palliative Care may now be provided by Telehealth: video or phone. Think of it as physician: patient planning.

All existing time requirements remain the same: total planning time (30 minutes) and physician: patient planning time (minimum 16 minutes).

Mental Health Management fees (14044-14048) currently allow videoconferencing. This has been expanded to include telephone counselling.

Yes, effective June 1, 2020, chronic disease management incentive fees may be billed after one year of care has been provided including at least two visits.

Both of the two required visits may be a physician visit. Office, prenatal, home, long term care, or physician Telehealth visits qualify.

Alternatively, one of the two required visits must be a physician visit while the second visit may be:

  1. a telephone visit (14076) or
  2. a group medical visit (1376313781) or
  3. an in-person visit with a college certified allied health provider (14029) working within the family physician’s practice.

Yes, effective June 1, 2020,  chronic disease management incentive fees (14250, 14251, 1252, 14253) may be billed after one year of care has been provided including at least two visits.

Both of the two required visits may be a physician visit. Office, prenatal, home, long term care, or physician Telehealth visits qualify.

Alternatively, one of the two required visits must be a physician visit while the second visit may be:

  1. a telephone visit (14276) or
  2. a group medical visit (13763-13781) or
  3. an in-person visit with a college certified allied health provider(14029) working within the family physician’s practice.

If a GPSC incentive already allows same-day billing of a visit service, then you may bill a same-day Telehealth fee.

Yes, effective June 1, 2020, the required face-to-face visit to provide a personal health risk assessment can now be provided via Telehealth. Physicians should include a note record when billing 14066 if the visit was provided to the patient via Telehealth.

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