Bulletin 11231 — Billing for virtual physician services and technical guidance
Keeping Health Care Providers informed of payment, policy or program changes
To: Primary Health Care Services
Published by: Digital Health Division, Ministry of Health
Date Issued: March 19, 2020
On March 14, 2020 the ministry implemented temporary new fee codes that will enable physicians to be remunerated for provision of routine health care services over the telephone or through videoconferencing during the COVID-19 outbreak. The purpose of these codes is to provide physicians with increased flexibility to deliver care virtually, including but not limited to, assessment of COVID-19 symptoms, to help support efficient health care system flow during the outbreak.
The following information is intended to help provide clarity on how you should bill for video services during this time:
|Virtual Care Program members1 (e.g. current users of Ontario Telemedicine Network [OTN])||Approved OTN video solution||Ontario Virtual Care Program codes2|
|Virtual Care Program members||Non-approved OTN video solution||Temporary K codes|
|Non-Virtual Care Program members||Any video solution||Temporary K codes|
1 The Virtual Care Program limits biling for video visits to patients in their location of choice (i.e. direct-to-patient video visits) to specialists, GP focused designation practice and primary care physicians in patient enrollment models serving rostered patients;
Further Information on the temporary K codes can be found here.
If you want to use the provincial videoconferencing service with verified privacy and security controls enabled by OTN, you can join OTN here.
Additional information regarding best practices for virtual care technology is provided below.
Video Solution - Technical Guidance
Physicians who are not using approved OTN video solution should review the following recommendations regarding video solutions.
|Clinical||Video solutions should enable:|
|Image Quality||Video solutions should meet the minimum image quality requirements:|
|Privacy & Security||Video solutions should:|
|Technical Support||Video solution providers should:|
More details on this technical guidance is available at the OTN website.
Ontario Health Quality, with support from OTN, has recently released draft clinical guidance on adopting and integrating virtual visits into care.
For detailed information on the Ontario Virtual Care Program virtual care remuneration see INFOBulletin # 4731.
For additional resources on delivering virtual care, visit the OTNhub Support.
For specific questions about conducting video visits, please contact: email@example.com.