Learn your billing codes thoroughly. Understanding which codes can and cannot be billed together can significantly affect reimbursement. Submitting every possible code and hoping for the best may result in lower payments because the system may automatically pay only the lowest applicable combination.
Remember premium payments. Additional fees may be available for after-hours work, critical care, diagnostic procedures, and travel to hospitals. These premiums can meaningfully increase income.
Understand diagnostic procedure billing. Depending on your qualifications and the procedure, you may be eligible to bill not only professional fees but also technical component fees.
Submit all eligible non-OHIP claims. Services provided to patients covered by out-of-province plans, private insurers, refugee health programs, or other coverage programs may be billable, but they often require separate claim forms and have filing deadlines.
Seek specialty-specific billing expertise. Even skilled administrative staff may not know the nuances of billing in your specialty. Consulting experienced colleagues can help avoid lost revenue.
Consider a professional billing agent. The passage argues that experienced billing agents can optimize code selection, ensure premiums are claimed, manage paperwork, and often generate enough additional revenue to justify their cost.