Q114A – Cumulative Preventive Care Management Service Enhancement Code (Preventive Care Bonus) Mammography - 75%
OHIP Critical Care Code — APPENDIX Q · Schedule of Benefits
The Q114A is a Cumulative Preventive Care Management Service Enhancement Code, also known as a Preventive Care Bonus. It is used to track and claim a bonus payment of $2,200 for achieving a 75% mammography screening target. Eligibility Requirements: - The physician must be practicing under one of the following eligible models: RNPGA, BSM, GHC, SJHC, SEAMO, WHA, CCM, or FHG. - The physician must meet the minimum roster size associated with their model. Billing Instructions: - This code must be billed at $0.00.
When to Use
- Use Q114A when your rostered female patients aged 50-74 have achieved a 75% screening rate for mammography within the specified measurement period.
- Submit this code once you have verified your preventive care bonus report confirms you have met the 75% threshold for the mammography target.
Common Pitfalls
- Billing Q114A when you have not reached the 75% threshold, which will result in a rejection or audit flag as the Ministry verifies the target against your roster data.
- Confusing Q114A with Q112A or Q113A; ensure you are specifically claiming the mammography bonus and not the cervical cancer or colorectal cancer screening bonuses.
Billing Tips
- Always bill Q114A at $0.00; the actual bonus payment is calculated and paid automatically by the Ministry based on your roster performance data.
Effective: March 1, 2005
AQ. Appendix Q
APPENDIX Q
ManagementFee
Other Premiums (including After Hours Procedure Premiums)
This code signifies that the physician has met the 75% screening target for mammography and is eligible for a bonus payment of $2,200.
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