Non-operative Continuing Care Surcharges Take quiz

Continuing care surcharges apply only when there are medical indications for continuous attendance by a physician to a patient or to a continuous series of patients.

Fee Item


Evening (service rendered between 1800 hrs. and 2300 hrs.) - per half hour or major portion thereof

01206 Night (service rendered between 2300 hrs. and 0800 hrs.) - per half hour or major portion thereof
01207 Saturday, Sunday or Statutory Holiday (call placed between 0800 hrs. and 1800 hrs.) - per half hour or major portion thereof

State time called and time service rendered.

Where timing is continuous submit an account for each patient, indicating "CCFPP" (continuing care from previous patient).
Not applicable to full or part-time emergency physicians or to on-site practitioners providing coverage in drop-in emergency clinics or hospital emergency rooms.

Non-operative continuing care surcharges are applicable when an out-of-office hours call-out charge is applicable or specially called for an emergency within the designated times. These items are not meant to compensate physicians for "overtime" (i.e. when service starts prior to the designated times), and may not be billed when a physician is providing services within the designated times as part of his/her scheduled shift.

Non-operative continuing care surcharges may also be billed with minor procedures requiring less than 45 minutes of care when continuing care from a previous patient. For details on surgical surcharges, see the module entitled "Surgical Surcharges - Emergency Surgery and Surgery Bumped by Emergency Surgery".

Timing begins after the first 30 minutes for a consultation, visit, or anaesthetic evaluation. Payment is based on one half-hour of care or major portion thereof. Therefore, the first surcharge is billable after 45 minutes of continuous care.


Important Information

Non-operative continuing care surcharges do not apply to time spent standing by.

The surcharges are based on the amount of time spent providing care, regardless of the number of patients attended or services provided during that time.

Tip: For more information regarding multiple patients seen during the same special call, please refer to the MSPTutor module entitled "Continuing Care From Previous Patient (CCFPP)".

Non-operative continuing care surcharges are payable to general practitioners, medical specialists, and surgical specialists when non-operative services are provided.

Non-operative continuing care surcharges are payable to radiologists and laboratory physicians, including nuclear medicine physicians, only when the primary service to which the continuing care surcharges apply is payable by MSP on a fee-for-service basis.

For all physicians, the payment agency responsible for the primary service (i.e., visit, consultation, procedure, etc.) is also responsible for any additional remuneration for out-of-office hours premiums. For example, if the visit is the responsibility of WCB or ICBC, then WCB or ICBC is also responsible for any additional out-of-office hours premiums.



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