COVID19 Service Codes
Below we have compiled all the latest information, we informally collected to help physicians bill at this time:
Here are several important points regarding . . .
K080, K081 and K082:
- included in-basket for capitated and salaried Primary Care Enrolment models; or
- for Alternate Payment Program contracts these codes will be shadow-billed and the appropriate flow-through and shadow-billing premiums (if applicable) applied based on the specific contract;
- otherwise the codes will be paid fee-for-service
- The codes are eligible for any applicable after-hours premiums.
Legal: Phone/Video Technology
. . . Ask patients for their consent and record that verbal express consent was obtained . . .
There are no specific technologies required. You should note that there are regulated virtual care products that have passed PHIPA rules, where consent from the patient is handled at sign-up. There are also non-regulated products that have not undergone PHIPA testing. If you choose a non-regulated product, or are unsure, then you should ask patients for their consent and record that verbal express consent was obtained.
“Just like online shopping or email, Virtual Care has some inherent privacy and security risks that your health information may be intercepted or unintentionally disclosed. We want to make sure you understand this before we proceed. In order to improve privacy and confidentiality, you should also take steps to participate in this virtual care encounter in a private setting and should not use an employer’s or someone else’s computer/device as they may be able to access your information.
If you want more information, please check the link on our [website/confirmation email/etc.]. If it is determined you require a physical exam you may still need to be assessed in person. You should also understand that virtual care is not a substitute for attending the emergency Department if urgent care is needed. Are you ok to continue ?”
A note should be placed in the patient’s file:
Informed verbal consent was obtained from this patient to communicate and provide care using virtual and other telecommunications tools. This patient has been explained the risks related to unauthorized disclosure or interception of personal health information and steps they can take to help protect their information. We have discussed that care provided through video or audio communication cannot replace the need for physical examination or an in person visit for some disorders or urgent problems and patient understands the need to seek urgent care in an Emergency Department as necessary.
More detailed information should be available to patients.
Information for Patient for Virtual Care provided through K080, K081, K082 and K083. COVID-19 is placing stress on Canada’s public health system. Our clinic is starting to offer virtual care to make sure that we can continue to care for our patients safely and effectively. This means that we will be using video and audio technologies for some patient visits rather than asking all patients to come into our office. Some of these technologies are provided by the Province. Others have been provided by vendors like Google, or Apple to help make discussions with your care provider as easy as possible during these difficult times. Some health concerns can be addressed with virtual care alone, but in some cases your doctor may ask you to visit a hospital or other health care facility if necessary, for a physical examination.
We do our best to make sure that any information you give to us during virtual care visits is private and secure, but no video or audio tools are ever completely secure. There is an increased security risk that your health information may be intercepted or disclosed to third parties when using video or audio communications tools. To help us keep your information safe and secure, you can:
Understand that this method of communication is not secure in the same way as a private appointment in an exam room.
Use a private computer/device (i.e., not an employer’s or third party’s computer/device) and a secure internet connection. For example, using a personal computer or tablet is more secure than at a library, and your access to the Internet on your home network will generally be more
secure than an open guest Wi-Fi connection.
You should also understand that virtual care is not a substitute for in-person communication or clinical examinations, where appropriate, or for attending the Emergency Department when needed (including for any urgent care that may be required).
lf you are concerned about using video or audio tools for virtual care, you can ask our office to arrange for you to visit a different healthcare provider or other health care center where you can be seen in person. However, please note that visiting a health care provider in person comes with a higher risk of coming into contact with COVID-19 and the possibility of spreading the virus.
By providing your information, you agree to let us collect, use, or disclose your personal health information through video or audio communications (while following applicable privacy laws) in order to provide you with care. In particular, the following means of electronic communication may be used (identify all that apply): videoconferencing (including Skype, Facetime, etc.).
Doctors providing OTN services can continue to do so. Keep in mind that the OTN service codes were replaced effective April 1st with two new tracking codes. Bulletin 4750.
$0.00 Hosted video visit – patient attending at a patient host site
Synchronous video visits with a patient who is physically located and supported at a patient host site during the clinical encounter.
$0.00 Direct-to-Patient Video Visit
Synchronous video visits with a patient in the home or another location of their choice (i.e. the patient is not at a patient host site).