All codes
Q529
Q529 – Q529
OHIP Critical Care Code · Schedule of Benefits
When to Use
- Use Q529 to bill the 'Chronic Disease Management Incentive' for patients enrolled in your FHO or FHN who have one of the designated chronic conditions.
- Apply this code annually per patient to capture the incentive payment for comprehensive management of chronic diseases like diabetes, hypertension, or COPD.
Common Pitfalls
- Billing Q529 for a patient who is not rostered to your specific FHO/FHN group will result in an automatic rejection.
- Attempting to bill Q529 more than once per 12-month period for the same patient is a common cause of claim rejection.
Billing Tips
- Ensure the patient's chronic disease diagnosis is clearly linked in your EMR to satisfy audit requirements for the incentive payment.
- Coordinate the billing of Q529 with other preventive care codes to maximize your FHO/FHN bonus potential without triggering duplicate billing flags.
Provider Fee$0.00
Effective: November 1, 2007
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