Changes to GPSC fee codes align and clarify requirements for accurate billing

Issue: BCMJ, vol. 57 , No. 7 , September 2015 , Pages 277 News

The General Practice Services Committee (GPSC) recently introduced changes to its incentive fee codes, including some of the A GP for Me codes, to provide doctors with improved clarity about requirements to bill.

Effective 1 August, these changes seek to bring clarity, alignment, and coordination to the GPSC incentive fee codes. Key adjustments include:
•    Clear documentation requirements for confirmed diagnoses and care plans.
•    Documentation of timing requirements for face-to-face time with patients and complex care fees.
•    Improved condition-based payments for chronic disease management regarding patient self-management to replace the requirement to provide flow-sheets and COPD Action Plans, the 12-month care requirement, and new codes for GPs who submit encounter codes. Note that the new CDM fee items for GPs who submit encounter records for their visits are effective retroactive to 1 January 2015. Please hold submission of claims until after 4 August 2015. For claims that are over 90 days from initial submission/rejection, you may use submission code “A.”
•    Clarification change in patient eligibility for other GPSC incentives after G14063 billing and payment.

Details about these changes are available at www.gpscbc.ca.

. Changes to GPSC fee codes align and clarify requirements for accurate billing. BCMJ, Vol. 57, No. 7, September, 2015, Page(s) 277 - News.



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