Wednesday 4 May 2011

You're a physician, you don't work for free!

And WSIB doesn't expect you to work for free either!  The most common misconception that I have dealt with from a physician perspective is believing that they don't get paid for seeing WSIB patients. 

WSIB has just released a new Form 8 that pays slightly more than the last version (and another increase if you submit electronically), the redesign was completed with physician efficiency in mind so the final product should also result in a cleaner work-flow.  Form 8 payment is automatically initiated when the Form 8 is faxed (or submitted electronically) to WSIB - just make sure that you have your WSIB number and information clearly legible in the provider information section.  For more information on Form 8's, see our WSIB section on our site. 

But, what happens if I see a patient after the Form 8 has already been submitted - I don't get paid for the assessment, right?  Wrong, you definitely get paid for each time the patient presents with respect to the WSIB related ailment.  If you are in the ER and you see a patient for WSIB related billing, make sure to note it on your billing sheet along with the applicable code just as you would do for an OHIP patient (i.e. H codes or necessary services (stitches, etc.), the same goes for GP clinic or walk-in-clinic.  The only exception is if a patient presents for a WSIB related reason and a non-WSIB reason during the same visit - in this case you should consider billing A008 (WSIB Mini Assessment - see billing modules for further details and eligibility) to WSIB and the appropriate assessment to OHIP for the OHIP related portion of the assessment.  Keep in mind that if any service is billed on a WSIB claim, other than a partial or minor assessment, no other assessment can be submitted as an OHIP claim.  Even premium OHIP codes can be applied to WSIB (i.e. Q012 - see billing modules for further details and eligibility), the only catch is to ensure that both the assessment and premium codes are sent to WSIB. 

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