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Q101A
Q101A – Cumulative Preventive Care Management Service Enhancement Code (Preventive Care Bonus) Influenza Vaccine - 65%
OHIP Critical Care Code — APPENDIX Q · Schedule of Benefits
The Cumulative Preventive Care Management Service Enhancement Code (Q101A) is a tracking code used to claim a bonus for achieving a 65% influenza vaccination rate. This code corresponds to a bonus payment of $440. It is available to physicians in FHN, FHO, RNPGA, BSM, GHC, SJHC, SEAMO, WHA, CCM, and FHG models who meet the minimum roster size.
When to Use
- Use Q101A when your rostered patient population achieves a 65% influenza vaccination rate as defined by the Ministry of Health's annual preventive care bonus criteria.
- Submit this code once per fiscal year only after confirming your practice has met the specific 65% threshold for the influenza target group.
Common Pitfalls
- Billing Q101A before the Ministry has verified your practice's specific vaccination data, which often leads to automatic rejection or recovery during audit.
- Confusing Q101A with Q100A, Q102A, Q103A, or Q104A; ensure you are specifically claiming the influenza bonus rather than other preventive care targets like mammography or cytology.
Billing Tips
- Always bill Q101A with a $0.00 fee amount, as the $440 payment is triggered by the Ministry's internal calculation based on your roster's performance data.
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