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Q201A
Q201A – Per Patient Rostering Fee
OHIP Critical Care Code — APPENDIX Q · Schedule of Benefits
Per Patient Rostering Fee. Refer to Appendix Q for eligible models.
When to Use
- Use Q201A when formally enrolling a new patient into your practice under the FHO or FHN model to initiate the monthly capitation payment cycle.
- Submit this code when a patient transfers their roster status from another physician to your practice, provided the transfer is processed through the Ministry's enrollment system.
Common Pitfalls
- Billing Q201A for a patient who is already rostered to another physician in the same FHO/FHN group will result in a rejection, as the patient must be 'de-rostered' from the previous provider first.
- Submitting Q201A without a valid, signed Patient Enrollment and Consent Form on file is a primary cause for audit recovery, as the Ministry requires proof of the patient's intent to roster.
Billing Tips
- Ensure the enrollment date submitted with Q201A matches the date on the signed enrollment form to avoid retroactive payment adjustments or eligibility conflicts.
Provider Fee$0.00
Effective: June 1, 2015
Category
AQ. Appendix Q
Subcategory
APPENDIX Q
Service Type
Other
Code Classes
Other Premiums (including After Hours Procedure Premiums)
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