Email/Fax/Phone Communication from Physicians or Nurse Practitioners
Tariff 8001 allows for Physicians to submit claims in respect to communications from other physicians as well as extended practice nurses RN(EP) and certain allied health providers.
Please note, effective October 1, 2023 there may be a new communication tariff that is better suited for phone calls between physicians. See our overview of communications tariffs here to ensure you are selecting the appropriate tariff.
Where more than one patient is discussed in a single communication, a claim may be submitted with respect to each patient discussed.
Expand the tariff information below for further advice.
Email/Fax/Phone Communications from Physician, NP or designated provider
1. This tariff may be only claimed by:
- A Physician for communications from another physician, RN (EP) or designated allied health provider regarding a patient who is receiving medical care from the Physician or RN (EP) who initiated the communication; and
- A General Practitioner with expertise in Addictions Medicine, Palliative Care, Care of the Elderly, Anesthesia or Obstetrics, from a Specialist, General Practitioner or RN (EP) regarding a patient who is receiving medical care from the practitioner who initiated the communication, and
- A General Practitioner or Specialist (Internal Medicine, Neurologist, Cardiologist, Plastic Surgeon, Urologist, Orthopaedic Surgeon, Neurosurgeon, Otolaryngologist or Dermatologist) from a Dentist/Oral Surgeon regarding a patient who is receiving medical care from the Dentist/Oral Surgeon who initiated the communication, and
- An Ophthalmologist for communications from an Optometrist, and
- An Otolaryngologist for communications from an Audiologist.
2. Tariff 8001 may not be claimed on the same day as 8355 Telephone/Video Conference Consultant Physician or 8356 Telephone/Video Conference Referring Physician.
3. No claim may be made until the Physician responds to the medical inquiry made by the Physician or RN (EP) who initiated the communication.
4. No claim may be made where only a proxy for the Physician e.g., nurse or clerk, communicates with the Physician or RN (EP) who initiated the communication.
5. No claim may be made where the sole purpose of the communication is to arrange a hospital bed for the patient.
6. A maximum of one claim per patient per day may be made per physician.
7. Where more than one patient is discussed in a single communication, a claim may be submitted with respect to each patient discussed.
8. The claim must include the name of the Physician or RN (EP) who initiated the communication, the name of the patient concerned, and the time of day the communication was completed.
9. After Hours Premiums may not be claimed in addition, except for urgent or emergent communications.
10. Services shall be documented in the patient’s record as required by the College of Physicians and Surgeons of Manitoba, and such documentation is required, upon request by Manitoba Health to support the claim submitted.
Communication includes telephone, fax and email. Communications may be initiated by one mode of communication (e.g., telephone) and responded to via another mode (e.g., fax).
Tariff 8001 can be claimed for communications occurring within the same facility and/or clinic.
Physicians and their billing staff of the new synchronous communication tariff.