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.