Bulletin 220402 — Temporary increases for facility fees for April 1
Premium and add-on Fee Schedule Codes
Premium and add-on FSCs that pay a percent increase have not been changed but will calculate the premium payments using the increased fee approved value of the accompanying eligible service(s).
Tables showing Fee Schedule Code increases
Tables showing the applicable FSC increases are available with this INFOBulletin.
- Fee Code Table 1: Increases by Fee Schedule Code - Physician Services
- Fee Code Table 2: Increases by Fee Schedule Code - Technical and Professional
Update your billing software
Please ensure that your billing software is updated to reflect the new FSC values for any services rendered on or after April 1, 2022.
The updated Fee Schedule Master can be found on the Ministry of Health website. This file will be available for download by April 7, 2022.
Claims processed through the OHIP claims system with a service date between April 1, 2022 and March 31, 2023 will reflect these increases and will be reported on your Remittance Advice (RA).
Reciprocal Medical Billing (RMB)
Payments made through the RMB payment program, and any associated premiums, are not eligible for the 2.01% increase.
Due to staged implementations, Medical Claims Adjustments (MADJ) may be required to reprocess and adjust RMB claims to the eligible rate.
Further information will be provided in advance of a MADJ.
Keywords/Tags
FSM; payments; facility fees; physicians; Physician Services Agreement; PSA; fee schedule master
Contact Information
Do you have questions about this INFOBulletin? Email the Service Support Contact Centre or call