Further to INFOBulletin 250901, an acuity modifier payment issue under the “Network Base Rate Acuity Modifier Adjustment” accounting transaction resulted in incorrect acuity reconciliation on the November 2025 Remittance Advice (RA). The ministry continues to...
The Ministry of Health and the Ontario Medical Association are moving forward with the 2024 Physician Services Agreement (PSA), which includes a significant 9.95% across-the-board increase for physicians. A recent bulletin provides key details on how these increases...
Physicians returning to Ontario after practicing in the United States face several important adjustments, particularly in medical billing. While both systems use coding-based billing, OHIP’s fee structure, billing rules, and submission processes differ...
The Ministry of Health has introduced updates to Relativity payments in 2025, including changes to calculation methods and payment timing. These updates apply to all Ontario physicians and may influence billing practices and overall revenue flow. Understanding these...
An issue was identified on the August 2025 Remittance Advice (RA), where Paediatric Age Premiums were not paid or reported for claims assessed in July 2025 with service dates on or after July 1, 2024. This may have resulted in incorrect recoveries and negative...
ATTENTION ONTARIO PHYSICIANS If you’re still using outdated billing software – MOH Relativity updates (Bulletin 250701) are your wake-up call. Missed June RA payouts? Facing 3-month submission deadlines? Losing revenue to payment errors? YES Medical System...
