Author profile
Keith J. White, MD
In the May issue of the BCMJ we described how physicians may be affected by the Laboratory Services Act (LSA). The Act reinforces the provision of recovering lab-test costs from the referring practitioner (Section 54).... Read More
This is the fourth and final article in the series that takes you through what to expect if you are the subject of a billing audit by the Billing Integrity Program. This article covers phase 4: recovery. The recovery... Read More
This is the third article in a series of four. The subject of this article is phase 3: reporting. What happens after your on-site audit takes place? When will you know the results? After the on-site audit is... Read More
This is the second article in a series of four that takes you through what to expect if you are the subject of a billing audit by the Billing Integrity Program. In the September article the pre-audit and planning phase... Read More
This is the first of four articles in a series that will take you through what to expect if you are the subject of a billing audit by the Billing Integrity Program. Being audited, whether by Revenue Canada or the... Read More
If you receive fee-for-service payments from MSP, a Mini-Profile (a statistical analysis of your billings for that calendar year) will be generated for you annually. So why should you read it? The Mini-Profiles are... Read More
The Billing Integrity Program is seeing a mixing of services—benefits with nonbenefits—appear on audits. Preamble C.1 in the Doctors of BC Guide to Fees states: “Benefits” under the Act are limited to... Read More
Recent audits have revealed a trend concerning tray fees: physicians are billing tray fees for procedures performed in a hospital; however, tray fees cannot be billed for any service performed in a funded facility, such... Read More
It has come to the attention of the Patterns of Practice Committee that physicians may be inappropriately billing fee item 15142 (urinalysis—complete diagnostic, semi-quant, and micro) due to misinformation from medical... Read More
You may have read previous articles pertaining to the audit process and recovery. It is important to be aware that in addition to audit recovery, the Medical Services Commission (MSC) can also order a Section 15 de-... Read More