Ontario's attempt to rapidly expand mental healthcare access in response to COVID-19 includes new Ontario Health Insurance Program (OHIP) billing codes that enable physicians to provide telephonic trauma counselling and patient self-serve online tools while psychologist and other registered mental health...
Surgical Procedures To be reimbursed, surgeons submit claims to OHIP. Procedure claims are associated with specific fee codes that can be used to identify procedure type, date, and amount claimed. Patients undergoing multiple procedures have more than 1 unique fee code claimed on the same date (...
Billing codes also did not capture other aspects of care, such as email communication with patients or care provided by nonphysician clinicians. We examined a 9-month period of the pandemic, but study findings may not reflect evolving practice patterns. Additionally, the administrative data we ...
Insurance fraud includes everything from exaggerating the extent of damages, and faking collisions, to overbilling on services performed in the event of a claim. It comes from a wide cross-section of contributors, which makes it a complex issue for the province to deal with. Climate change is...
Physician costs were obtained based on the number of visits by type of visit (identified by the billing code in the OHIP record) and the associated fee code. Home care costs were based on the number of visits by type of service (nursing, personal support, rehabilitation professional by type...
Pertussis immunization status for both cases and controls was derived from a validated algorithm of immunization fee codes physicians billed to OHIP (Supplementary Table S1) [3]. Immunization status was classified as up-to-date for age, partially vaccinated (incomplete primary, complete primary), or...
Methods Patch testing billing data submitted to the OHIP between 1992 and 2014 were analysed. Two patch test billing codes were investigated: one for work‐related testing (G198), and one for non‐work‐related testing (G206). Rates of patch testing overall were calculated, and trends over ...
Although OHIP diagnostic codes for mental health visits are not specific, we observed the largest increases in visits for anxiety and adjustment reactions, which would be expected to begin and/or worsen in the context of highly stressful circumstances, such as a pandemic. Our findings suggest that...