With family doctors retiring, fewer graduating family medicine residents are interested in starting a family practice or becoming a small business owner. As Family Health Organization (FHO) doctors face added administrative burden from an increasingly complex billing model, this lecture was created with the aim of simplifying billing for new doctors and make it easier for new doctors to enter comprehensive family practice.

The lecture content was developed as part of an academic project with residents Drs. Abir Islam and Vivesh Patel, and evaluated with the residents of Sunnybrook Family Health Team. The presenter would like to acknowledge Drs. Sharon Domb and Stephen Singh for reviewing the slides and providing feedback.

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0:00 Intro
2:58 Resources
6:38 Capitation & How much you make in a FHO model
14:14 Shadow Billing
15:50 Pros & Cons of working in a FHO model
19:01 FHO Billing Codes
33:13 Specific Premiums (Home Visit, LongTerm Care, L&D, Palliative)

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1) FHO Family Medicine Billing Practice Cases (Pt 2):    • Family Medicine Billing Made Simple: ...  
2) Income Stabilization & New Grad Entry Program (NGEP) (Pt 3):    • Income Stabilization & New Grad Entry...  
3) Intro to Family Medicine Billing for PGY1:    • Intro to Family Medicine Billing in O...  
4) Intro to Family Medicine Billing for PGY2:    • Intro to Family Medicine Billing in O...  
5) How do Doctors get paid?    • How Do Doctors Get Paid? Intro to Phy...  
6) How to Read Your Remittance Advice:    • How to Read Your Remittance Advice (R...  

**2023 UPDATE: NEW SGFP BILLING GUIDE: https://sgfp.ca/rails/active_storage/...

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There are no conflicts of interest to disclose. This section on billing is based on personal experience and it does not necessarily reflect billing or other guidance from the OMA. For specific questions about billing following this presentation, there are resources on the OMA website, or you can contact the OMA directly at [email protected]. All physicians must personally read their MOHLTC fee schedule preamble and be responsible for meeting all criteria for the appropriate billing of the services they provide.

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