Billing tips
Got questions? We have answers.
The AMA regularly publishes billing tips in MD Scope to help our members with their billing. In this section, you'll find the MD Scope billing tips from the past two years.
Virtual care codes
- Enhanced Virtual Care Codes – Claims System Update - February 2022
- Virtual Care Code Changes – Recognition of Patient Management Time - January 2022
- COVID-19 Vaccinations - May 2021
- Virtual Care Codes - April 2020 Billing Corner
- 03.01AD for COVID-19 - March 2020
After-hours work
- After-hours time premium (03.01AA)
- After-hours work over statutory holidays - December 2023 - December 2024
- After-hours work over statutory holidays - December 2022 - December 2023
- After-hours work over statutory holidays - December 2021 - December 2022
- Either/Or chart for after-hours work
Callbacks
- Callbacks to long-term care
- Special callback to hospital outpatients, 03.03KA, 03.03LA, 03.03MC, 03.03MD
- Special callback to hospital inpatients, 03.05N, 03.05P, 03.05QA, 03.05QB, 03.05R
Forms
Injections
- Are you claiming the right injections?
- Botox injections for chronic migraine sufferers
- Claims for the nasal flu mist, flu and pneumonia injections
- Multiple 13.59A injections at the same encounter
Lacerations
Modifiers
- BMI, Body Mass Indicator
- CMGP Complexity Modifier
- CMXV15, CMXV30
- CMXV20, CMXV35
- COINPT (replaces COMX)
- Transfer of Care, 03.03AO, 03.03AU, 03.03AI, TOC
Record keeping
- Documentation is important
- How to claim for additional compensation EMSAF
- Special Investigations Unit (SIU) Investigates AHCIP Claims and Services
Telephone calls
Uninsured services
Visit services
- Canadian Armed Forces patients
- Consultations
- Dental pre-op and related services
- Family conferences 03.05JB
- Follow-up visits in emergency, UCC or AACC
- Follow-up visits post consultation, repeat visits, 03.03F, 03.03FA
- Home visits, 03.03N, 03.03P, 03.03NA, 03.03NB
- Long-term care forms, admission and placement, 03.04D
- "Major portion thereof" billing
- Post-operative complications
- Pre-operative history and physician examination, 03.04M
- Resident-provided services
- Tool Box – Substance Use Disorder
- Visit with minor procedures
WCB
- Are you missing out on billing when providing WCB services?
- Receiving a warning message when using the CMPG01 to 10 modifiers?
- Rejected claims - explanatory code 21
- WCB Report Fee Adjustments to current contract
- WCB-Alberta for debridement
- WCB-Alberta for expedited surgeries
Can’t find what you’re looking for? Email billingadvice@albertadoctors.org.
