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K705 – Long-term care – high risk patient conference

OHIP Consultations and Visits Code — CONSULTATIONS AND VISITS · Schedule of Benefits

A Long-term care – High risk patient case conference is participation by a physician and at least 2 other participants that include physicians, employees of Ontario Health atHome, regulated social workers and/or regulated health professionals regarding a long-term care institution high risk inpatient. For the purposes of K705, a high risk patient is a patient identified by staff in the long term institution with clinical instability based on a change in the Resident Assessment Instrument – Minimum Data Set (RAI-MDS) for Nursing Homes. This service is billable per unit, with limits on the number of services per year and units per day.
In addition to common medical record requirements, the record must include the start and end time of the conference, as required for all time-based services per .

In circumstances where the physician other than the physician most responsible for the care of the patient participates in the case conference, K705 is only eligible for payment when the physician's participation is for directing the care of the individual patient.

For the purposes of K705, a high risk patient is a patient identified by staff in the long term institution with clinical instability based on a change in the Resident Assessment Instrument – Minimum Data Set (RAI-MDS) for Nursing Homes.

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