Bonitas tiered reimbursement consultation codes effective 1 November 2013

As part of a pilot project Bonitas has introduced tiered consultation codes The codes below are in-house Medscheme codes and we request that you load these codes into your billing systems to allow the provider practice’s to use them when billing for a consultation for all Bonitas patients (except for BonCap).

It will not be necessary for you to communicate to the practices as Bonitas will be sending a letter positioning the pilot to the GP’s and Specialists .

 The codes below are to be used instead of tariff codes 0190/1/2/3.

 Should a doctor however decide not to use the new dummy codes below we must still accept 0190/1/2/3.The effective date for implementation to your systems and to be ready to accept is 1 November 2013.

 Bonitas will pay the scheme rate or a network rate if on the Bonitas network irrespective of which code used.

 Psychiatrists and anaesthetists are to be excluded.

Tariff Code

Description

07326

New or established patient: Office or outpatient visit requiring up to 10 minutes. This would typically involve problems of minimal severity.

07327

New or established patient: Office or outpatient visit requiring from 10 to 20 minutes. This would typically involve a problem focussed history, clinical examination and straight forward decision making for a minor problem.

07328

New or established patient: Office or outpatient visit requiring from 20 to 40 minutes. This would typically involve a detailed history, clinical examination and straight forward decision making or counselling.

07329

New or established patient: Office or outpatient visit requiring over 40 minutes. This would typically involve a comprehensive history, clinical examination and complex decision making or counselling for a complex problem.

 

*** Medinol Medical Billing Software users:

Add these codes to your Treatment file. R269. In future apply these to your Bonitas consultations instead of 0190, etc. Problems, please contact BPM.

 



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