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Q121A
Q121A – Cumulative Preventive Care Management Service Enhancement Code (Preventive Care Bonus) Colorectal Cancer Screening - 50%
OHIP Critical Care Code — APPENDIX Q · Schedule of Benefits
This is a Cumulative Preventive Care Management Service Enhancement Code, also known as a Preventive Care Bonus. It is for achieving a 50% screening rate for colorectal cancer among eligible patients. The bonus payment is $2200, though the code itself is billed at $0.00. Eligibility is restricted to physicians in specific primary care models who meet a minimum roster size.
When to Use
- Use Q121A when your rostered patient panel achieves a 50% colorectal cancer screening rate as defined by the Ministry's Preventive Care Bonus eligibility criteria.
- Submit this code once you have confirmed your roster meets the minimum size requirements and the specific screening threshold for the current fiscal period.
Common Pitfalls
- Billing Q121A without verifying that your roster size meets the minimum threshold, which leads to automatic rejection or recovery during audit.
- Confusing Q121A with Q122A; ensure you are billing the specific code corresponding to the exact screening percentage achieved rather than the next tier up.
Billing Tips
- Monitor your monthly Preventive Care Bonus reports provided by the Ministry to confirm your current screening percentage before submitting Q121A to avoid unnecessary rejections.
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