Billing for Hospital In-Patient Case Conference

Content by guest blogger Judy MacAlister

While much time is spent on shift change discussing the patients and their needs, physicians need to be aware of when it is appropriate to bill for K121A Hospital In-Patient Case Conference (Page A24 in the 2014 SOB).  Many physicians are billing and getting paid for K121A Case Conference while not meeting the requirements set out by the Ministry.  If their billing is ever reviewed by the Ministry, they will be charged with billing for services not rendered.

The requirements of a case conference is; it must be a scheduled appointment; there must be at least 2 other participants in addition to the most responsible physician, this can include other physicians or regulated health professionals regarding a hospital in-patient.  The outcome of the conference must be documented.