Q105A – Cumulative Preventive Care Management Service Enhancement Code (Preventive Care Bonus) Cervical Cancer Screening - 60%
OHIP Critical Care Code — APPENDIX Q · Schedule of Benefits
Q105A is a Cumulative Preventive Care Management Service Enhancement Code, also known as the Preventive Care Bonus, for Cervical Cancer Screening. It is awarded when a 60% screening target is met. This code is eligible for payment to physicians in specific models: RNPGA, BSM, GHC, SJHC, SEAMO, WHA, CCM, and FHG, who meet the minimum roster size. The listed value is $220, but the claim must be submitted with a value of $0.00.
When to Use
- Use Q105A when your rostered patient population achieves a 60% cervical cancer screening rate for eligible women aged 25-74.
- Submit this code once the Ministry's Preventive Care Bonus report confirms your practice has met the 60% threshold for the current fiscal year.
Common Pitfalls
- Submitting a dollar amount other than $0.00 will result in an automatic rejection, as the payment is calculated and paid automatically by the Ministry based on your roster performance.
- Billing Q105A before the Ministry has verified your screening data for the specific measurement period will lead to claim rejection.
Billing Tips
- Ensure your EMR is correctly mapping cervical cancer screening procedures to the appropriate diagnostic codes to avoid under-reporting your screening percentage relative to Q106A, Q107A, Q108A, and Q109A.
Effective: March 1, 2005
AQ. Appendix Q
APPENDIX Q
Other
Other Premiums (including After Hours Procedure Premiums)
Cumulative Preventive Care Management Service Enhancement Code (Preventive Care Bonus) Cervical Cancer Screening - 60% ($220) - Bill at $0.00
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