Billing Inpatient Visits Effectively - Automatic Code (IPTMA, IPTXA)
By using MDBilling.ca’s software automation you can save time, improve accuracy, and ultimately, maximize your monthly revenue.
Important: please familiarize yourself with the Schedule of Benefits, and how the automation codes work. If you are not sure, do not use the automation codes.
INPATIENT VISITS (IPTMA, IPTXA) – "Rounding"
When rounding on patients, the service codes will differ depending on the number of days the patient has been admitted. The MDBilling.ca automation allows for a physician to bill one code for rounding, and for our software system to automatically choose the correct (and highest paying) code allowed based on the admission date entered.
The algorithm will choose the codes as follows ( represents your 2 digit specialty discipline):
IPTMA - MRP Inpatient visits.
C122A + E083A (day after admission)
C123A + E083A (2nd day after admission)
C2A + E083A (1st 5 weeks after admission)
C7A + E083A (6 - 13th week after admission)
C9A + E083A (13th+ week after admission)
IPTXA – Non-MRP Inpatient visits
C2A (1st 5 weeks after admission)
C7A (6 - 13th week after admission)
C9A (13th+ week after admission)
HOW TO USE:
Rounding MRP - simply use the automatic code: IPTMA and our system will choose the correct inpatient visit code and add the MRP premium (E083) for you.
Non-MRP (covering) - simply use the automatic code: IPTXA and our system will choose the correct inpatient visit code for you.
The automation code is available for the following disciplines:
- Anaesthesia (01)
- Cardiac Surgery (09)
- Cardiology (60)
- Clinical Immunology (62)
- Community Medicine (05)
- Dermatology (02)
- Endocrinology & Metabolism (15)
- Family Practice & Practice In General (00)
- Gastroenterology (41)
- General Surgery (03)
- General Thoracic Surgery (64)
- Genetics (22)
- Geriatrics (07)
- Haematology (61)
- Infectious Disease (46)
- Internal And Occupational Medicine (13)
- Medical Oncology (44)
- Nephrology (16)
- Neurology (18)
- Neurosurgery (04)
- Obstetrics And Gynaecology (20)
- Ophthalmology (23)
- Orthopaedic Surgery (06)
- Otolaryngology (24)
- Physical Medicine & Rehabilitation (31)
- Plastic Surgery (08)
- Psychiatry (19)
- Radiation Oncology (34)
- Respiratory Disease (47)
- Rheumatology (48)
- Urology (35)
- Vascular Surgery (17)
Please find more automation codes by logging into our portal -> HELP -> “Automation Codes”.
There is also a video tutorial that teaches you how to use Automation OHIP Code
For more billing tips, please check out our Billing Tip Library.
Questions? Check under the HELP tab or send an email to firstname.lastname@example.org