On February 1, 2023, eligible family physicians in BC who register for the LFP Payment Model will be able to start billing the new service codes and payment model.
A physician who meets the Initial Eligibility Criteria may enrol in the LFP Payment Model by submitting the Registration Code to Health Insurance BC (HIBC) via Teleplan. Physicians must submit the Registration Code five business days prior to submitting claims under the LFP Payment Model. To continue enrollment, a physician who meets the Ongoing Eligibility Criteria must submit the Registration Code annually between January 1 and March 31. If the Registration Code is not submitted by March 31 of a given calendar year, no subsequent payments will occur under the LFP Payment Model until the Registration Code is submitted.
Adding the Codes to My System
Registering for this program requires you send a claim with a specific billing and ICD9 (diagnostic) code. These are not automatically added to your system by our team, but rather require a system administrator to update the codes on your end.
If you have not already, you will need to update both the billing and the ICD9 codes in your Juno EMR. This can be done in your Manage Teleplan section by clicking on the appropriate update buttons. More information on this can be found on our Guide to the Manage Teleplan page in OSCAR Billing.
Submitting My Enrolment/Registration
To submit the registration code, you will first need to create a patient record with the following information:
- Patient Surname: Portal
- Patient First Name: LFP
- Patient PHN: 9694105066
- Patient DoB: January 1, 2023
The patient's gender does not matter in this context.
Once that patient is created, navigate to the Details / Master page, and initiate the invoice creation process by clicking on 'Create Invoice'. If you are using the Juno interface, the 'Create Invoice' link is available under the 'Billing' menu at the top of the patient's details page.
Create an invoice with the following details:
- Billing code: 98000 (Longitudinal Family Physician Payment Model Registration Code)
- Diagnostic (ICD-9 Code): L23
Include the invoice as a normal invoice in your submission cycle.
Note: Unless you specifically added service code 98000 to a billing form, it will not be available to select on the screen. Type the code in the 'Other service/procedure/premium codes' section located at the bottom of the middle column. Alternatively, enter a key word, then click on the 'code search' button to find the appropriate code in your system.
Please refer to the February 1, 2023 Payment Schedule for further details.