Fertility claims assessed in April and May 2025 have been reprocessed to pay the new rates.System changes were implemented in June 2025 to increase the rates for the following Fertility Fee Schedule Codes (FSCs):B600 – Complete Intra-Uterine Insemination (IUI)...
OHIP billing involves numerous rules, deadlines, and requirements that can challenge even experienced clinic staff. This FAQ addresses common questions about MOH cutoffs and submission timelines. Simple OHIP Billing YES EMR simplifies these complex requirements...
FINAL ALERT This is it! The absolute LAST MCEDT submission deadline for 2025 is almost here! All outstanding OHIP claims MUST be submitted or they will be processed in 2026. Don’t let the year-end rush cost your practice revenue. Review all pending...
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...
