21 February 2023

Transitory measures for Accès en temps opportun pour les patients inscrits à un médecin de famille

Voir la version francophone

This is a summary of RAMQ’s newsletter 320 published on January 20,2023. This info letter informs us of the transitory measures for l’accès en temps opportun pour les patients inscrits à un médecin de famille.

Please note that we are only outlining the main topics of the info letter and that a thorough reading is necessary for your complete understanding.

Since January 25 2023, RAMQ has adopted temporary measures to distribute payments related to mesures d’accès en temps opportun (code 42252). Payments are based on the number of patients shown in the Nombre de patients inscrits pour la tariffication report as described in the following chart:

 

Nomber of patients consideredQuarterly payment per doctor
100 à 249250 $
250 à 499250 $
500 à 749625 $
750 à 9991 250 $
1 000 à 1 2492 500 $
1 250 à 1 4993 750 $
1 500 à 1 7495 000 $
1 750 à 1 9996 250 $
2 000 et plus7 500 $

 

Consequently, RAMQ will reevaluate payments already distributed in order to correspond to the temporary measures implemented. As soon as their systems will allow it, RAMQ will retroactively apply the LE368 measures as per the following chart:

 

Nomber of patients consideredQuarterly payments per doctor
100 à 249250 $
250 à 499625 $
500 à 7491 250 $
750 à 9992 500 $
1 000 à 1 2493 750 $
1 250 à 1 4995 000 $
1 500 à 1 7496 250 $
1 750 à 1 9997 500 $
2 000 et plus8 750 $

 

Your advisor remains available for any additional information.

Your medical billing Team