Fee Navigator®

    Health Service Code 03.01AD

    Advice to a patient or their agent (agent as defined in the Personal Directives Act) via telephone, secure email or videoconference

    NOTE:
    1. May only be claimed if the service was initiated by the patient or their agent (agent as defined in the Personal Directives Act).
    2. May only be claimed once per patient, per physician, per day.
    3. Benefit includes providing a new prescription or prescription renewal if provided.
    4. May not be claimed for services provided through Health Link.
    5. Documentation of the request and advice given must be recorded.
    6. May only be claimed when communication is provided by the physician.
    Common terms:
    • Virtual
    Category:V Visit
    Base rate:$20.00

    AMA billing tips:

      • The physician MUST be the one providing the communication
      • May be claimed for communication provided via secure telephone, email, videoconferencing and other secure virtual care methods. MED 221
      • Only one per patient per physician per day
      • Billed using the PHN of the patient
      • Use the location of the physician at the time of the call
      • Document the call, the request that was made and the advice given and to whom the advice was given
      • Document the start and stop time of the service in the patient record.
      • Other than patients located in NWT at the time of the service, virtual care codes cannot be claimed for patients located outside of AB at the time of the service.
      • Virtual care codes cannot be claimed under the medical reciprocal agreement.
      • Does not count towards the daily cap

      May not be billed:

      • When leaving a message
      • When the nurse or anyone other than the physician provides the service

    Fee modifiers:

    No modifiers.

    Governing Rules:

    • 19.1

      Daily patient volume payment rules will apply to visit services with a "V" category code (excluding HSC 03.01AD, 03.01N, 03.03CV, 03.03FV, 03.05LB, 03.08CV, 08.19CV, 08.19CW, 08.19CX, 08.44A, 08.44B, 08.44C, 08.44D, 13.59V, 13.59VA, 13.82A, 13.99AC, 13.99O and 13.99OA) that are provided in an office, home, or a non-registered facility.

      Excluding Grande Prairie and Fort McMurray, the daily patient volume payment rules will not apply to services provided in communities that are eligible for variable fee payments under the Rural Remote Northern Program.

      The total of all billings for eligible category "V" codes that are accepted for payment under the Alberta Health Care Insurance Plan will be calculated for each practitioner for each calendar day. When the daily total exceeds 50, the practitioner's payment on the category "V" codes that exceed 50 will be discounted by 50 percent. When the daily total exceeds 65, the practitioner's payment on the category "V" codes that exceed 65 will be discounted by 100 percent.

      Services will be assessed and payment/discounts will be applied to services in the order in which they are accepted for payment by the Alberta Health Care Insurance Plan.