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Q102A
Q102A – Cumulative Preventive Care Management Service Enhancement Code (Preventive Care Bonus) Influenza Vaccine - 70%
OHIP Critical Care Code — APPENDIX Q · Schedule of Benefits
This is a Cumulative Preventive Care Management Service Enhancement Code (Preventive Care Bonus) for achieving a 70% influenza vaccination rate, resulting in a bonus payment of $770. This code is only eligible for payment to physicians in specific patient enrollment models who meet the minimum roster size. Eligible models include: FHN, FHO, RNPGA, BSM, GHC, SJHC, SEAMO, WHA, CCM, and FHG.
When to Use
- Use Q102A when your rostered patient population achieves the 70% influenza vaccination threshold as defined in the Preventive Care Management program requirements.
- Submit this code once annually after confirming your clinic's performance data meets the 70% target for the specific influenza season.
Common Pitfalls
- Billing Q102A without confirming the patient is officially rostered to your practice, as non-rostered patients do not count toward your preventive care bonus calculations.
- Attempting to bill Q102A if your total roster size falls below the minimum threshold required for your specific enrollment model (e.g., FHO or FHG).
Billing Tips
- Ensure all influenza vaccines administered outside your clinic are captured via the appropriate G-code or manual entry into the Ministry's preventive care portal to ensure they count toward your 70% target.
- Monitor your monthly Preventive Care Bonus reports provided by the Ministry to verify your current percentage before submitting Q102A to avoid unnecessary rejections.
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