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Q107A

Q107ACumulative Preventive Care Management Service Enhancement Code (Preventive Care Bonus) Cervical Cancer Screening - 70%

OHIP Critical Care Code — APPENDIX Q · Schedule of Benefits

The Cumulative Preventive Care Management Service Enhancement Code for Cervical Cancer Screening is a bonus payable to eligible physicians who achieve a screening rate of 70%. The bonus amount is $660, though the claim should be submitted with a value of $0.00. This bonus is available to physicians in RNPGA, BSM, GHC, SJHC, SEAMO, WHA, CCM, and FHG models who also meet the minimum roster size requirements for their model.

When to Use

  • Use Q107A once annually when your rostered patient data confirms you have achieved the 70% cervical cancer screening threshold for eligible female patients aged 21-69.
  • Submit this code only if you are enrolled in an eligible primary care model such as FHG, RNPGA, or BSM and have met the specific minimum roster size requirements for your model.

Common Pitfalls

  • Billing Q107A before the Ministry has officially verified your screening performance data, which leads to automatic rejection.
  • Submitting Q107A when you have not met the minimum roster size requirements, as this code is model-dependent and not available to all physicians.

Billing Tips

  • Ensure you are tracking your screening rates via the Ministry's Preventive Care Bonus reports before submitting to avoid unnecessary claim rejections.
  • Remember that Q107A must be submitted with a $0.00 value; the $660 payment is calculated and paid automatically by the Ministry once eligibility is confirmed.
Provider Fee$0.00

Effective: March 1, 2005

Category

AQ. Appendix Q

Subcategory

APPENDIX Q

Service Type

Other

Code Classes

Other Premiums (including After Hours Procedure Premiums)

The full title in the Schedule of Benefits is 'Cumulative Preventive Care Management Service Enhancement Code (Preventive Care Bonus) Cervical Cancer Screening - 70% ($660) - Bill at $0.00'.

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