Doctors Manitoba recommends that, when you perform a surgical procedure on a “pre-scheduled basis”, if it is medically necessary for you to examine the patient prior to performing the procedure you should:
- Submit a claim under the appropriate visit tariff, in addition to your claim for the surgical service;
- Indicate on your claim that you examined the patient prior to performing the surgical service and the reason that such an examination was medically necessary; and
- If you have failed to include such remarks on your claim, and your claim for a visit fee has been rejected, query the claim, and indicate on your query that you examined the patient prior to performing the surgical service and the reason that such an examination was medically necessary.
If you perform an examination on the same date as a pre-scheduled surgical service, it is recommended that you document in the patient chart both the nature/extent of the examination and the reason/medical necessity for the examination. This documentation will be extremely valuable in the event that Manitoba Health should audit any of your claims for visit fees in relation to such examinations.
Updated: November 2016