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Custom Facilities - Clinic/ Outpatient

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We have created a feature to segment your patients by different outpatient locations. 

Background:

When billing under an outpatient setting, OHIP requires the facility field to be empty ("No Facility/Outpatient Clinic"). This creates an issue when you are trying to segment patients by different outpatient locations.

 

Use case:

You have a practice with three locations:

  • Locum at a family practice (you need to pay overhead based on the revenue you bill)
  • Private nursing home
  • Hospitalist

For the My Patient List feature, you need to create two different outpatient lists. One for the locum at the family practice, and also for the private nursing home.

In addition, you need to pay an overhead to the clinic based on the patients you bill there.

 

 

Instructions:

Step 1: Create a custom facility for the family practice and nursing home

Top right gear icon --> Settings --> My Custom Facilities

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Step 2 - New Claim: When creating a claim, choose the facility based on your location:

  • Locum at a family practice = Custom Facility - GTA Health
  • Private nursing home (ie/ a facility not identified by OHIP) = Custom Facility - Nursing Home
  • Hospitalist = 4005 - Lakeridge Health (AT)

 

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Step 3 - My Patient List : Create your outpatient list using the GTA Health and Nursing Home facilities

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Step 4 - Reports:

Run a report and filter by facility

Advanced Reports --> Claim Summary Payment --> Facility --> Custom - GTA Health

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If you like to create a report for all your No Facility/ Outpatient Clinic, you can leave the "Facility" filter empty. 

 

Accounting Transactions:

Keep in mind that MOHLTC does not provide a detailed breakdown of the Accounting Transactions by facility or submission sources.   As such, when calculating your % overhead, you may need to include or exclude the Accounting Transactions accordingly.

 

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