{"id":29567,"date":"2023-09-19T18:30:00","date_gmt":"2023-09-19T18:30:00","guid":{"rendered":"https:\/\/www.syscreations.ca\/blog\/?p=29567"},"modified":"2023-09-19T23:03:45","modified_gmt":"2023-09-19T23:03:45","slug":"ohip-virtual-care","status":"publish","type":"post","link":"https:\/\/www.syscreations.ca\/blog\/ohip-virtual-care\/","title":{"rendered":"A Micro Guide to OHIP Billing for Virtual Care"},"content":{"rendered":"\n

The Problems Virtual Care Providers & Physicians are Facing in Ontario<\/strong><\/h2>\n\n\n\n

The problem is uncertainty.\u00a0<\/em><\/p>\n\n\n\n

The uncertainty of whether MOH will continue supporting OHIP K codes in the post-pandemic world or will disappear with the pandemic.\u00a0<\/span><\/p>\n\n\n\n

In case you don\u2019t know, OHIP K codes were introduced by the government of Ontario in 2020 to help patients receive OHIP-covered virtual care during the pandemic time. <\/p>\n\n\n\n

The government has extended OHIP K code support several times but still, K codes are considered temporary codes.\u00a0<\/span><\/p>\n\n\n\n

If the government declares the OHIP K codes null and void, virtual care providers will be left with no choice but to start charging patients which will result in a very rapid decrease in the number of users.<\/span><\/p>\n\n\n\n

Because users will now prefer in-person care as it is still covered under OHIP.\u00a0<\/span><\/p>\n\n\n\n

Another problem is that OHIP billing for virtual care is limited to K codes. <\/p>\n\n\n\n

If a physician or dentist provides care outside of the K codes, he\/she must be registered with OTN (Ontario Telemedicine Network) and add an OTN billing code – either B103A (for hosted video visits) or B203A (for direct-to-patient video visits) in reimbursement claims.<\/p>\n\n\n\n

In addition to this, the virtual care platform she\/he is using to provide virtual care must be verified by the OTN.<\/span><\/p>\n\n\n\n

(We will discuss OTN verification later in the blog.)<\/span><\/p>\n\n\n\n

The Solution to Secure the Future of Your Virtual Care Program in Ontario<\/strong><\/h2>\n\n\n\n

The fact is, virtual care services in Ontario aren\u2019t covered by OHIP directly – except for those temporary OHIP K codes.<\/span><\/p>\n\n\n\n

To get paid for virtual care services, physicians need to register themselves with OTN. <\/p>\n\n\n\n

In case you don\u2019t know, OTN (Ontario Telemedicine Network) is a government-funded non-profit organization that works to expand the use of virtual care in Ontario.\u00a0<\/span><\/p>\n\n\n\n

To register with OTN, physicians, and dentists need to fill out a registration form<\/strong><\/u><\/span><\/a> and email it to serviceactivation@otn.ca or fax it to 416-354-8280.\u00a0<\/p>\n\n\n\n

Once a physician is registered on OTN, he\/she must satisfy two conditions to get paid for virtual care services. <\/p>\n\n\n\n

Condition #1: <\/strong>The physician must be using OTN-verified telemedicine or virtual care software to provide care.\u00a0<\/p>\n\n\n\n

Condition #2:<\/strong> The physician must be located in Ontario during the virtual care with patients. <\/p>\n\n\n\n

That means the ultimate solution here is to get your telemedicine platform verified by OTN. <\/span><\/p>\n\n\n\n

What is the Role of OTN in Telemedicine Billing in Ontario?\u00a0<\/strong><\/h2>\n\n\n\n

OTN is an independent organization that is funded by the Ontario government. <\/p>\n\n\n\n

It makes sure that virtual care platforms in Ontario follow the defined standards that result in quality, secure, and rapid virtual care for the people of Ontario.\u00a0<\/span><\/p>\n\n\n\n

To support virtual care billing outside of the K series of billing codes, your virtual care platform must be verified by the OTN. <\/p>\n\n\n\n

Also, the government is considering making it mandatory for virtual care platforms in Ontario to have an OTN certificate to provide OHIP-covered services.\u00a0<\/span><\/p>\n\n\n\n

(By the time you read this, the government might have already imposed this law! However, all things will come into effect gradually but very soon.) <\/p>\n\n\n\n

Meaning, to offer all OHIP-covered virtual care services and to claim reimbursement you must offer virtual services through an OTN-verified or OTN-certified telemedicine platform only. <\/span><\/p>\n\n\n\n

What Does It Mean by \u2018OTN Certification or Verification\u2019?\u00a0<\/strong><\/h2>\n\n\n\n

OTN has listed several requirements into two broad categories – technical and administrative requirements.<\/p>\n\n\n\n

To be verified by OTN, your virtual care platform must adhere to all of these technical and administrative requirements of OTN.\u00a0<\/p>\n\n\n\n

We have explained the complete procedure to get verified by OTN in a separate blog!<\/strong><\/u><\/span><\/a><\/p>\n\n\n\n

We are Canadian Telemedicine Tech, Business, and Compliance Pioneers<\/strong><\/h2>\n\n\n\n

We’re an Ontario-based healthcare-focused IT company that has been dealing with telemedicine tech, business, and compliance for more than 8 years.<\/span><\/p>\n\n\n\n

With a staff of 50+ healthcare IT professionals (app developers, UI\/UX designers, business analysts, QA engineers, compliance specialists, and integration experts), we empower healthcare providers, startups, and enterprises with telemedicine tech and solve their compliance and business challenges.\u00a0<\/p>\n\n\n\n

If you\u2019re stuck with telemedicine tech, business, or compliance challenges, we are well-equipped with the knowledge to drag you out from the gray zone to the growth zone!<\/span><\/p>\n\n\n\n

\ud83d\udccc Check out our telemedicine app development<\/span><\/a> solution<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"

The Problems Virtual Care Providers & Physicians are Facing in Ontario The problem is uncertainty.\u00a0 The uncertainty of whether MOH will continue supporting OHIP K codes in the post-pandemic world or will disappear with the pandemic.\u00a0 In case you don\u2019t know, OHIP K codes were introduced by the government of Ontario in 2020 to help […]<\/p>\n","protected":false},"author":4,"featured_media":29568,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[12],"tags":[],"yoast_head":"\nA Guide to OHIP Billing for Virtual Care and OTN Billing Codes<\/title>\n<meta name=\"description\" content=\"Not sure what will happen to OHIP K codes after the pandemic? 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