The GPSC has made changes to some of its fees to enable delegation, simplify billing, and clarify requirements. These changes are part of the GPSC’s continued efforts to support full-service family doctors to improve access to care and services.

Enabling delegation

As part of the service requirements for the GPSC planning fees, doctors may now delegate non-face-to-face planning tasks to College-certified allied care providers working in a GP practice. This change affects the following four GPSC incentives:

• G14033: GP Complex Care Planning and Management Fee
• G14043: GP Mental Health Planning Fee
• G14063: GP Palliative Care Planning Fee
• G14075: GP Frailty Complex Care Planning and Management Fee

Simplifying billing

The Personal Health Risk Assessment (Prevention) (G14066) has been amended to align with the GPSC planning fees. Physicians are no longer required to bill a visit fee in addition to the G14066 fee. A visit fee may still be billed in addition if medically required and does not take place concurrently with the face-to-face planning included under G14066. This change is effective 1 January 2019.

Clarifying documentation

To reflect a recent change to MSP’s counseling fee 0120, the GPSC added the following note to some of its mental health fees: “Documentation of the effect(s) of the condition on the patient and what advice or service was provided is required.” This note has been added to the following five GPSC fees:

• G14044: GP Mental Health Management Fee age 2–49
• G14045: GP Mental Health Management Fee age 50–59
• G14046: GP Mental Health Management Fee age 60–69
• G14047: GP Mental Health Management Fee age 70–79
• G14048: GP Mental Health Management Fee age 80+

It is recommended that GPs ensure that clinical notes for any 0120 or GPSC mental health management fee billing include the required documentation as of 1 December 2018.

For details on all of these changes, including links to updated GPSC billing guides, visit www.gpscbc.ca [9].