Séjour de formation and formation continue
Some small changes were made to paragraphs 5.01 of Annexe VI, 5.2 of section II of Annexe XII and 2.02 and 3.01 of Annexe XIX regarding the formation continue and séjours de formation. You may take part in 2 events organized outside the province of Québec each year, either in-person or via webcast, if they are approved by the Comité consultatif sur la répartition. A formation outside Quebec attended via webcast will count as one of the 2 out-of-province events allowed, even if you did not travel.
In all instances, the event organizer must be able to provide a proof of attendance that includes your name and the date and duration of the event. The organizer must also be authorized and accredited by the proper authorities within their province or country.
LE 336 – Programme de soutien à domicile – SIAD (Home health care)
Retroactively as of September 1st, 2018, if you are using either the hourly rate or fixed rate remuneration mode and you are part of the SIAD team, you may claim the quarterly forfaits provided in the agreement (billing code 42148) by using the activity code 002390 services médicaux SIAD.
The forfaits (42148) cover all the physician’s medical activities related to the services as described in the lettre d’entente 336. They cover the time spent with the patient on their condition, the time spent with their treating physician, with a specialist physician or other healthcare professional and cover their second-line medical duties. In addition, these forfaits compensate for the time the physician spends on prescribing assisting devices and intervention plans related to the practice involving SIAD patients.
Also, whenever you take over the treatment of a new patient, or a significant change to a patient’s situation requires a full examination like for a new patient, you may claim the supplement billable for home visits (billing code 42150).
Starting on June 21st, 2021, you have 120 days to invoice your services retroactively as of September 1st, 2018. If you have already invoiced the services, you must submit a revision request to switch to activity code 002390 to specify that the services were rendered as part of the SIAD program.
New Lettre d’entente 356 Clinique de la douleur en CHSGS
Retroactively as of January 1st, 2021, you may claim the terms provided in the Lettre d’entente no 356 if you comply with the following conditions:
- You are using either the hourly rate or fixed rate remuneration mode;
- You work in a pain management clinic inside a hospital designated for the Entente particulière relative à la rémunération de services professionnels dispensés dans le cadre d’un programme spécifique en centre hospitalier de soins généraux et spécialisés (49);
- You hold a nomination for this activity sector.
If the following information applies to you, see the infolettre to understand all the other terms.
For services rendered in a designated pain management clinic, you must use the type of service 289XXX Clinique de la douleur désignée en CHSGS along with one of the following service codes :
- XXX312 Évaluation – clinique douleur;
- XXX313 Gestion – clinique douleur;
- XXX314 Traitement patients – clinique douleur.
Also modified in the agreement, since January 1st, 2021 you can no longer subscribe to the mixed remuneration mode in a pain management clinic. However, those who were already subscribed to the mixed mode are allowed to keep using it.
New lettre d’entente 355
A new lettre d’entente has been introduced at the Hôtel Dieu de Lévis regarding the clinique de plaies complexe (complex wounds clinic) retroactively as of January 1st, 2021.
See the infolettre for more information.
New lettre d’entente 358
A new lettre d’entente has been introduced for the geriatric ward Clinique mobile du Pavillon Saint-François d’Assise, retroactively as of December 3rd, 2018.
See the infolettre for more information.
New lettre d’entente 359
A new lettre d’entente has been introduced for the services rendered at home as part of the geriatric outgoing clinic of Pavillon Saint-François d’Assise, retroactively as of January 6, 2020.
See the infolettre for more information.