QHR Product Ideas

The spirit of the QHR ideas portal is to collect ideas and feedback from our users for integrations, enhancements, and new features.

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OHIP billing option for 80% for sub procedures

OHIP allows for limited certain amounts for subprocedures, the default is 80%, but there are areas where a 30% premium is allowed (eg. revision RCR), unfortunately the Global settings do not have these as options (only 75%,50% and 25%) It would be convenient and make for efficient revenue generation for the option to set the global setting default to 80% sub procedures, especially for the Ontario market. Why not a user defined percentage rather than limited presets (it would be responsive to future changes for any and all provinices)?
  • Guest
  • Jun 20 2016
  • Gathering Your Feedback
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  • Guest commented
    September 15, 2016 18:45

    And not just for 80% - also and especially for 1.85% procedures, currently covered by the "bilateral" code set-up. However, this is insufficient. As soon as a bilateral surgery or rather 2 services of the same surgery are billed together with a higher fee code, the "bilateral" setting has to be undone so that 2 service at 85% each can be billed instead with the higher fee code at 100%. Why not offer more percentage options? Why not offer 0.925, which is one unit at 100% and one at 85%, so that any surgical code can become a "bilateral" one by simply using the drop-down menu? I encounter this all the time. I bill for a plastic and reconstructive surgeon, who routinely performs and bills numerous surgical codes. 

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