Training Webinars
Sign up now
Discover our training offer for new billers 100% free of charge and without obligation.
With an Attestation (Certificate attesting) to the significant drop in volume OR as medical support replacing a team member during a surgery or a Procédé diagnostique et thérapeutique (Diagnostic and therapy procedure) (PDT)
Mesures de maintien (Support measures) were created to help the average hourly wage reach $211. They are divided in three categories:
Lieux de pratique inhabituels (Unusual type of facility) -> Code 42187
Réaffectation (Reassignment) -> Code 42188
Baisse significative du volume d’activité (Significant drop in volume) -> Code 42189
This is how a support measure in an unusual type of facility, for a 10-hour period starting at 22h on 2021-02-01 and ending at 8h on 2021-02-02, should be billed (Use the À l’acte type of claim) to be able to add billing lines with different dates of service on one single claim that will include both the measures and the supplements, as per the instructions of the RAMQ):
This is how a support measure following a reassignment, for a 12-hour period from 8h to 20h on 2021-02-01, during which no other activity code – not in the ER and 8 hours of activity TH 77113 – ER was claimed, should be billed:
A 20% increase supplement is added from 20h to 8h.
Lieux de pratique inhabituels (Unusual type of facility) -> Code 42190;
Réaffectation (Reassignment) -> Code 42191;
Baisse significative du volume d’activité (Significant drop in volume) in a designated unit and for a designated specialty -> Code 42192
Apply to the physician who is either infected, placed in quarantine for the protection of others or pregnant but working in a high-risk environment. They must remain available.
Impossible to do Télémédecine (Telemedicine) or impossible to be reassigned -> must remain available and must prove that no service was rendered.
From Monday to Friday (except on holidays) between 7h and 12h and between 12h and 17h, a half-day fee of $372 can be claimed for each period of availability of at least 3,5 hours. No other remuneration from the Accord-Cadre can be claimed during that time.
Activities cancelled within 24 hours -> Send a request to the Comité paritaire (Joint committee) to get the compensation.
Médecin infecté, apte à rendre des services et disponible (Physician infected, able and available to work) -> TH activity code 291363
Médecin en quarantaine pour la protection d’autrui et disponible (Physician placed in quarantine for the protection of others, available to work) -> TH activity code 291364
Médecin enceinte qui exerce dans un lieu à risque pour sa grossesse et demeure disponible (Physician in pregnancy working in a high-risk environment, available to work) -> TH activity code 291365
For each half-day, select the time slot (AM or PM) and enter 1h (max. 2h / day).
The facility cannot be an office or locality code (5XXXX or 6XXXX)
Medical services rendered remotely, either by phone or videoconsult, can be billed according to the terms of the agreements.
Both the physician and the patient must be in the province of Quebec during the services (except physicians in bordering zones).
The services can be rendered from a facility, an office or the physician’s residence.
For physicians using the mix mode who do telemedicine outside of a facility (ex.: at home), the mix mode billing codes cannot be claimed except if the physician is infected, placed in quarantine or pregnant. Otherwise, follow these billing instructions:
These visits can be billed by the physicians of each specialty and replace the regular visit codes. They can only be billed for patients suspected or confirmed to have COVID-19.
Allows for a daily compensation of $200 for each missed day at the office (proof required), from Monday to Friday except on holidays.
Applies if one of the following is claimed:
The facility must be considered high-risk.
A request must be sent to the Comité paritaire (Joint committee) within 90 days following the missed day(s) including the required documents (if infected and unable to work -> within 20 weeks).
May be attended live or within 7 days of the original broadcast. The platform must confirm the physician’s attendance (proof of attendance must be provided if requested).