Education and Prevention Committee Billing Briefs
Education and Prevention Committee (EPC) Billing Briefs are prepared jointly by the Ministry of Health (MOH) and the Ontario Medical Association (OMA) to provide general advice and guidance to physicians on billing matters.
Overview
The Ministry of Health (MOH) and the Ontario Medical Association (OMA) have jointly established the Education and Prevention Committee (EPC). The EPC’s primary goal is to educate physicians about submitting OHIP claims for payment for the insured service provided.
EPC Billing Briefs are provided for education and information purposes only.
While the OMA and MOH make every effort to ensure that EPC Billing Briefs are accurate, the Health Insurance Act (HIA) and its Regulations prevail over anything stated in an EPC Billing Brief. Changes in applicable statutes, regulations, or case law may affect the accuracy or currency of the information provided in an EPC Billing Brief. In the event of a discrepancy between an EPC Billing Brief and the HIA or its Regulations and/or Schedule under the regulations, the text of the HIA, Regulations and/or Schedule prevail.
Contents
- Billing for OHIP Services - Resources for Physicians
- Attendance at Labour and Delivery (P009) and Sole Delivery Premium (E411)
- Billing by a Supervising Physician for OHIP services provided by Postgraduate Medical Trainees
- Submission of Claims for Surgical Procedures – Common Situations Where Manual Review Required
- Trauma Premium (E420)
- Virtual Care 1: Comprehensive and Limited Virtual Care Services
- Virtual Care 2: Terms and Conditions
- Virtual Care 3: Case-Based Billing Examples
- Billing by Postgraduate Medical Trainees with OHIP Billing Numbers
French language exemption
Education and Prevention Committee Billing Briefs are exempted from translation under the French Language Services Act as per Ontario Regulation 671/92
Feedback
Your feedback is welcome and appreciated. To provide feedback on EPC Billing Briefs, or to suggest topics for future EPC Billing Briefs, send an email to the attention of the joint Ministry of Health and OMA Education and Prevention Committee.