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Q112A
Q112A – Cumulative Preventive Care Management Service Enhancement Code (Preventive Care Bonus) Mammography - 65%
OHIP Critical Care Code — APPENDIX Q · Schedule of Benefits
Q112A is a Cumulative Preventive Care Management Service Enhancement Code, also known as a Preventive Care Bonus. It is awarded to physicians who achieve a 65% mammography screening rate among their eligible patient population. This code is submitted with a fee of $0.00 to trigger the bonus payment of $770. Eligibility is restricted to physicians participating in RNPGA, BSM, GHC, SJHC, SEAMO, WHA, CCM, and FHG models who also meet a minimum roster size.
When to Use
- Use Q112A when your rostered female patients aged 50-74 achieve a minimum 65% screening rate for mammography as defined by the Ministry's preventive care target criteria.
- Submit this code once per fiscal year once your internal reporting confirms you have crossed the 65% threshold for the mammography indicator.
Common Pitfalls
- Billing Q112A before the Ministry's official preventive care report confirms your eligibility, which leads to automatic rejections.
- Confusing Q112A with Q113A, Q114A, Q115A, or Q116A; ensure you are specifically claiming the mammography bonus and not the cervical cancer, colorectal cancer, or immunization bonuses.
Billing Tips
- Always verify your current screening percentage via the Ministry's 'Preventive Care Bonus Report' on the Go Secure portal before submitting to avoid unnecessary claim rejections.
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